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The main difference between the two is that cluster headaches tend to occur in cycles, while many patients with migraines have headaches for a few days in a row once a month, Collins said.
Chronic migraine is when someone has greater than 15 headache days/month, with [more than] 8 of those days being moderate to severe with associated migraine symptoms, for greater than 3 months." 3.
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In testing, gabapentin was found to reduce the number of headache days a month by 9.1%. [13] Tizanidine was found to decrease the average frequency of headaches per week, the headache intensity, and the mean headache duration. [15] Through studies, Fluoxetine resulted in better mood ratings and "significant increases in headache-free days". [16]
[3] [4] [5] Preventive treatments of migraine include medications, nutritional supplements, lifestyle alterations, and surgery. Prevention is recommended in those who have headaches more than two days a week, cannot tolerate the medications used to treat acute attacks, or those with severe attacks that are not easily controlled. [6]
New daily persistent headache (NDPH) is a primary headache syndrome which can mimic chronic migraine and chronic tension-type headache.The headache is daily and unremitting from very soon after onset (within 3 days at most), usually in a person who does not have a history of a primary headache disorder.
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