Card Set Information
When should you see a doctor for a headache?
When chronic or >4hr/day and 15 days/month for >3 months for very severe headaches that may be caused by underlying disease state
Should you be seeing a doctor for random acute headaches?
What are the four types of headaches?
Sinus, Cluster, Tension, Migraine
Describe the location of pain for a Sinus headache:
Pain behind forehead and/or cheekbones
Describe the location of pain for a Cluster headache:
Pain is in and around the eye
Describe the location of pain for a Tension headache:
Pain like a band squeezing the head
Describe the location of pain for a Migraine headache:
Often pain on just one side of the head
What percent of the population gets migraine headaches?
What percent of men get migraine headaches?
What percent of women get migraine headaches?
What is the definition of a Migraine Headache?
Episodic and associated with severity, light/sound sensitivity and nausea
What are the four stages of Migraine headaches?
Prodrome, aura, headache and postdrome
What is the most common type of Migraine?
What percent of Migraine's are without aura?
What percent of Migraine sufferers have prodrome?
When is the onset of Prodrome?
24-48 hours before the onset of the headache
What are the symptoms of prodrome?
Euphoria, epression, irritability, cravings, neck stiffness and yawning
What percent of migraine patients experience aura?
What are the symptoms of aura?
Bright spot or area of visual loss, can have sensory, verbal or motor disturbance
Describe the headache phase of Migraine:
Often unilateral, trobbing, N/V, photophobia, phonophobia
Describe the Postdrome phase of migraines:
Sudden head movement causes pain in the area where the headache was, exhaustion
What are the characteristics of Cluster Headaches?
Severe attacks of orbital or temporal pain
What is the lifetime prevalence of Cluster Headaches?
Do men or women get cluster headaches more?
What is the relative duration of a cluster headache?
What is the frequency of headaches for cluster headaches sufferers?
Can occur up to 8 times a day
Are cluster headaches unilateral, bilateral or both?
Do patients with cluster headaches or migraines like to be moving during an attack?
What is the most prevalent headache?
What are the characteristics of a tension headache?
Mild to moderate, bilateral, non-throbbing "band-like"
What are the three subtypes of Tension Headaches?
Infrequent, Frequent and chronic
Describe an infrequent Tension headache:
Describe a frequent Tension headache:
Describe a chronic Tension headache:
What is the basic treatment for all headache types?
OTC analgesics (Aspirin, Acetaminophen, NSAIDS), maybe caffeine
Are all Nutraceutical treatments different for all headache types?
What Rx's are used for treatment of Headaches?
What preventative medications are used for treatment of headaches?
Antidepressants, beta-blockers, anticonvulsants, muscle relaxers
When are Rx's used instead of OTC products for headaches?
When OTC is not effective
Why would you recommend liquid gels over tablets for a headache?
They work faster
What pediatric products can be used for headaches?
Ibuprofen and Acetaminophen
What OTC products cannot be used for children with headaches?
Naproxen and Aspirin
What age group can used Ibuprofen for headaches?
What age group can use acetaminophen for headaches?
What is the recommended dose of Caffeine for headaches?
What is the proposed mechanism of caffeine treatment of headaches?
Constricts blood vessels in the brain
What is the limit for caffeine for the treatment of headaches in pregnant women?
Is Caffeine usually administered alone of with other products for treatment of headaches?
With aspirin, acetaminophen and NSAIDs
Does Excedrine Migraine contain caffeine?
Does Bayer migraine contain caffeine?
What causes sinus headaches?
Blockage or infection in nasal cavities
What type of headache presents in the middle of the forehead and around the eyes?
What othe type of headache is easily confused with a migraine?
What is the treatment for a Sinus headache?
Pseudoephedrine and analgesic
What is the mechanism for Alcohol induced headaches?
Alcohol is broken into acetaldehyde which causes headaches
What OTC is not recommended for the treatment of alcohol induced headaches?
Why is Acetaminophen not recommended for Alcohol induced headaches?
Interactions in the liver
What is the best cure for alcohol induced headaches?
Water, vitamins and exercise
What are the seven Nutraceuticals that were presented for treatment of headaches?
Butterbur, Feverfew, Coenzyme Q-10, Riboflavin, magnesium, Capsicum, peppermint oil
What is the NMCD rating for Butterbur in the treatment of Migraines?
What is the binominal Latin name for Butterbur?
Petasites hybridus root extract
What is the possible mechanism of Butterbur headache treatments?
Ca channel regulation influencing inflammation
What is the appropriate dose for Migraine treatment with butterbur?
50 mg 2 times a day
How long does it take to see a benefit from butterbur?
Up to 4 months
Are there any studies showing safety and efficacy of Butterbur in migraine treatments?
What Is the Latin binomial name for Feverfew?
What is the potential mechanism of action of Feverfew?
Parthenolides in the leaves inhibit platelet aggregation and serotonin release from WBCs. Also an anti-inflammatory
What is the dose for Feverfew?
What is the NMCD rating for Feverfew?
Possibly effective for migraine frequency and severity
What is the appropriate headache reduction dose of Feverfew for pregnant women?
Non, should not be used (can cause uterine contractions)
What group might Coenzyme Q10 be most effective in?
What is another name for Riboflavin?
What is the role of B2 in the human body?
Membrane stability and energy related cellular functions
What is the dose for Riboflavin?
400 mg daily
What is the duration of use before a benefit is seen for Riboflavin?
What is the NMCD rating for Riboflavin headache treatments?
Possibly effective for reducing the frequency of migraines
What is the mechanism of action for Magnesium treatments for headache?
Deficiency is associated with neurotransmitter releases, platelet aggregation, and vasoconstriction
What is the NCMD rating for Magnesium prophylaxis for headaches?
Possibly effective in reducing the frequency of cluster and migraine headaches
What group is magnesium prophylaxis most effective in?
Women with menstrual related migraines
What is the route of administration for Capsicum?
What is the mechanism of action for capsicum?
Inhibits substance P, decreases vasodilation, decreases histamine/serotonin, decreases plasma extravasation
What is the NCMD rating for Capsicum?
Possibly effective at reducing the frequency and severity of cluster headaches
What is the time delay before Capsicum becomes effective?
About a week
What unpleasant side effect is associated with Capsicum?
Is Capsicum commonly used?
Is Capsicum easy to find?
What is the mechanism of action for peppermint oil treatment for headaches?
Not Clear, possibly more of a relaxant than a pain reliever
What is the NCMD rating for Peppermint oil as a headache treatment?
Possibly effective for tension headaches
Is peppermint oil recommended for young children for headache tratments?
No, possibly an irritant
What are the directions of use for headache treatment with peppermint oil?
Apply 10% peppermint oil in alcohol to temples and forehead every 15-30 minutes
What is the main ingredient in Head On?
What are non-drug therapies for headaches?
Stress reduction, meditation, acupuncture, spinal manipulation, massage