The Patient with Daily Headaches
The term “chronic daily headache” (CDH) describes a variety of headache types, of which chronic migraine is the most common. Daily headaches often are disabling and may be challenging to diagnose and treat. Medication overuse, or drug rebound headache, is the most treatable cause of refractory daily...
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| Format: | Article |
| Language: | English |
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AOSIS
2005-12-01
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| Series: | South African Family Practice |
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| Online Access: | https://safpj.co.za/index.php/safpj/article/view/414 |
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| author | M. Maizels |
| author_facet | M. Maizels |
| author_sort | M. Maizels |
| collection | DOAJ |
| description | The term “chronic daily headache” (CDH) describes a variety of headache types, of which chronic migraine is the most common. Daily headaches often are disabling and may be challenging to diagnose and treat. Medication overuse, or drug rebound headache, is the most treatable cause of refractory daily headache. A pathologic underlying cause should be considered in patients with recent-onset daily headache, a change from a previous headache pattern, or associated neurological or systemic symptoms. Treatment of CDH focuses on reduction of headache triggers and use of preventive medication, most commonly antidepressants, antiepileptic drugs, and beta blockers. Medication overuse must be treated with discontinuation of symptomatic medicines, a transitional therapy, and long-term prophylaxis. Anxiety and depression are common in patients with CDH and should be identified and treated. Although the condition is challenging, appropriate treatment of patients with CDH can bring about significant improvement in the patient's quality-of-life. |
| format | Article |
| id | doaj-art-021e4d62acdd4e81900c41ecce359db2 |
| institution | Kabale University |
| issn | 2078-6190 2078-6204 |
| language | English |
| publishDate | 2005-12-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Family Practice |
| spelling | doaj-art-021e4d62acdd4e81900c41ecce359db22025-08-20T03:44:02ZengAOSISSouth African Family Practice2078-61902078-62042005-12-01471010.1080/20786204.2005.10873304411The Patient with Daily HeadachesM. Maizels0Kaiser PermanenteThe term “chronic daily headache” (CDH) describes a variety of headache types, of which chronic migraine is the most common. Daily headaches often are disabling and may be challenging to diagnose and treat. Medication overuse, or drug rebound headache, is the most treatable cause of refractory daily headache. A pathologic underlying cause should be considered in patients with recent-onset daily headache, a change from a previous headache pattern, or associated neurological or systemic symptoms. Treatment of CDH focuses on reduction of headache triggers and use of preventive medication, most commonly antidepressants, antiepileptic drugs, and beta blockers. Medication overuse must be treated with discontinuation of symptomatic medicines, a transitional therapy, and long-term prophylaxis. Anxiety and depression are common in patients with CDH and should be identified and treated. Although the condition is challenging, appropriate treatment of patients with CDH can bring about significant improvement in the patient's quality-of-life.https://safpj.co.za/index.php/safpj/article/view/414chronic daily headachechronic migraine |
| spellingShingle | M. Maizels The Patient with Daily Headaches South African Family Practice chronic daily headache chronic migraine |
| title | The Patient with Daily Headaches |
| title_full | The Patient with Daily Headaches |
| title_fullStr | The Patient with Daily Headaches |
| title_full_unstemmed | The Patient with Daily Headaches |
| title_short | The Patient with Daily Headaches |
| title_sort | patient with daily headaches |
| topic | chronic daily headache chronic migraine |
| url | https://safpj.co.za/index.php/safpj/article/view/414 |
| work_keys_str_mv | AT mmaizels thepatientwithdailyheadaches AT mmaizels patientwithdailyheadaches |