Tuesday, 27 November 2012

MIGRAINE-The Chronic headaches




It is a chronic disease characterized by moderate to severe headaches. The word derived from greek (hemikrania), means pain on oneside of the head.

Typically the pain is unilateral(affecting one half of the head)it lasts from 2 to 72 hours.

MAIN SYMPTOMS : 

Headache 
Nauzea 
Vomitting 
Photophobia
Phonophobia
Depression&anxiety

 




MAIN TRIGGERS OF MIGRAINE:
Stress & Depression
Allergy
Hormonal changes in Menses & pregnancy
Exercise & Missed meal
Changes in sleep patterns
Smoking or over expouse to smoke 
Food that contains monosodium glutamate
Chocolates,nuts,&onions
Drugs like cocaine,Ethinyl estradiol,Hormone replacement therapy etc.
Hypoglycemia

 






TREATMENTS:
There is no specific care for migraine headaches but some drugs are used for migraine
(1) anti-depressants such as amitriphyline or ventafaxine
(2)b p medicines such as beta blockers(propanolol) or calcium channel blockers (verapamil)
(3)mild migraine such as
 acetaminophen(paracetamol) - 650 mg at onset repeat as needed
lbuprofen - 400 to 600 mg at onset repeat in 1-2 Hr
aspirin - 650 mg at onset repeat as needed
(4)anti-emetic drugs
(5)narcotic pain relievers
(6)NSAIDs: 
Diclofenac-50 to 100 mg/day
Ketorolac-15 to 60 mg/day
Naproxen-750 mg at onset

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