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Headache (Nonpharmacologic (Ice/heat packs, Rest, quiet/dark room, CBT…

- - - - 9 days
    - - 15 days
    - - 3 days
  - - - Analgesic (APAP, excedrin)
      - NSAIDs (ibuprofen, ketorolac, naproxen, diclofenac, ketoprofen)
      - Triptans (suma, riza, zoli, ele, nora)
        
        5-HT1B/1D agonists in cranial vessels --> vasoconstriction
      - Ergotamine derivatives (ergotamine, DHE)
        
        Non-selective 5-HT agonists
        
        Prominent N/V
    - - Beta-blockers
        
        Propranolol
        
        Timolol
      - Anticonvulsants
        
        VPA
        
        Topiramate
      - Trial= 2-3 months
    - - Metoclopramide, prochlorperzine
    - - Pretreat with NSAIDs for 7-10 days
      - Frovatriptan for ppx x2 days
      - Magnesium supplementation
  - - - Have fallen out of favor
        
        Not antiinflammatory
        
        Potential for abuse
- - - - Substance P, CGRH, neurokinin
        
        Vasodilation & extravasation of cranial dural plasma
        
        Intracranial arterial inflammation
- - - - Hatband pressure
  - - - Visual
        
        Positive
        
        Negative
      - Sensory or motor
- - - - x2 s/sx of aura
        
        Visual, motor, sensory
  - - - HA for 4-72 hr
- - - - Chocolate
      - Caffeine
      - Alcohol
      - Spicy
      - Processed meats
      - MSG, aspartame, nitrates
    - - Flashing lights
      - Loud noises
      - Smells
      - Smoke
    - - Sleep
      - Exercise
      - Stress
      - Sexual activity
      - Menstruation