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Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) Short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA) Long-lasting autonomic symptoms with hemicrania (LASH) TACs can be differentiated by the length and frequency of recurrence of the headaches. [3]
[25] [26] In episodic cluster headache, attacks occur once or more daily, often at the same time each day for a period of several weeks, followed by a headache-free period lasting weeks, months, or years. Approximately 10–15% of cluster headaches are chronic, with multiple headaches occurring every day for years, sometimes without any ...
Sumatriptan is effective for ending or relieving the intensity of migraine and cluster headaches. [9] It is most effective when taken early after the start of the pain. [9] Injected sumatriptan is more effective than other formulations. [10] Oral sumatriptan can be used also in the treatment of post-dural puncture headache. [11]
Chronic headache, or chronic daily headache (CDH), is classified as experiencing fifteen or more days with a headache per month. [1] It is estimated that chronic headaches affect "4% to 5% of the general population". [ 2 ]
Rescue treatment involves acute symptomatic control with medication. [4] Recommendations for rescue therapy of migraine include: (1) migraine-specific agents such as triptans, CGRP antagonists, or ditans for patients with severe headaches or for headaches that respond poorly to analgesics, (2) non-oral (typically nasal or injection) route of administration for patients with vomiting, (3) avoid ...
Abortive therapy for cluster headaches includes subcutaneous sumatriptan (injected under the skin) and triptan nasal sprays. High flow oxygen therapy also helps with relief. [11] For people with extended periods of cluster headaches, preventive therapy can be necessary. Verapamil is recommended as first line treatment. Lithium can also be useful.
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