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Medication Causes of Headache

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1. Medication Causes of Headache

Medication Causes of Headache Medication Causes of Headache Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Medication Causes (...) of Headache Medication Causes of Headache Aka: Medication Causes of Headache , Substance-Induced Headache , Headaches due to Medication II. Causes: Headaches related to medication or substance use Chemicals Foods Monosodium glutamate Nitrite Processed meats and fish Food coloring Preservatives Anti-infective agents Amphotericin B Trimethoprim-Sulfamethoxazole ( , ) Cardiovascular agents s ( , ) ( ) Gastrointestinal Agents ( ) ( ) ( ) s and Anti-Inflammatory agents Propoxyphene Pentazocine s s (associated

2018 FP Notebook

2. Assessment of acute headache in adults

% of women have at least one headache per year. Diagnostic clues should be derived primarily from history. Hallmark physical signs are often absent, and many physical findings are non-specific. The majority of patients presenting with acute headache have a benign diagnosis, but a high index of suspicion should be maintained for life-threatening causes of headache. Ramirez-Lassepas M, Espinosa CE, Cicero JJ, et al. Predictors of intracranial pathologic findings in patients who seek emergency care because (...) of headache. Arch Neurol. 1997 Dec;54(12):1506-9. http://www.ncbi.nlm.nih.gov/pubmed/9400360?tool=bestpractice.com Differentials Acute sinusitis Otitis media Menstrual headache Medication withdrawal Medication overuse Cervical paraspinal muscle tenderness Migraine Tension headache Dental caries/wisdom tooth impaction Temporomandibular joint syndrome (TMJ) Cerebrovascular incident Acute hydrocephalus Benign intracranial hypertension (pseudotumor cerebri) Brain tumour Hypertensive encephalopathy Eclampsia

2018 BMJ Best Practice

3. Assessment of acute headache in children

Society (IHS). The international classification of headache disorders, 3rd edition. Cephalalgia. 2018 Jan;38(1):1-211. https://www.ichd-3.org/ http://www.ncbi.nlm.nih.gov/pubmed/29368949?tool=bestpractice.com Primary headaches include migraine, tension-type, cluster, as well as the new daily persistent headache. Secondary headaches are symptomatic of an underlying intracranial or medical condition that requires treatment. The initial assessment of acute headache aims to determine whether (...) there is a secondary cause for headache that requires urgent intervention. Clinical classification Headache may be classified in terms of time course. Acute headache A single episode of headache pain without prior headaches. May represent the first or an unusually severe form of primary headache. May suggest a new acute secondary cause for headache that, therefore, requires evaluation. Acute recurrent headache Stereotyped headaches separated by headache-free periods. Most suggestive of a primary headache disorder

2018 BMJ Best Practice

4. Headache - medication overuse

headache disorder. Background information Background information Definition What is it? Medication overuse headache is a chronic headache which results from, and is perpetuated by, overuse of acute or symptomatic headache medications such as triptans, opioids, nonsteroidal anti-inflammatories (NSAIDs) and paracetamol. The headache usually (but not always) resolves following cessation of the overused medication — withdrawal may cause the headache to worsen initially. Simple analgesics (alone (...) to be considered overuse. For simple analgesics such as NSAIDs (including aspirin) and paracetamol intake must be 15 days or more per month to be considered overuse. [ ; ; ; ; ; ] Causes What causes it? The pathophysiology of medication overuse headache (MOH) is not clear — interaction between excessive use of therapeutic agents and individual susceptibility is likely. Proposed contributing factors include: Psychological and behavioural factors such as psychological comorbidities (such as anxiety

2017 NICE Clinical Knowledge Summaries

5. Headache

, in which another condition causes the headache , include serious conditions such as intracranial (...) neoplasm, meningitis, and subarachnoid haemorrhage and less serious conditions such as sinusitis, mild systemic infection and medication overuse headache . Diagnosis involves: Firstly, assessing for symptoms of secondary causes of headache , starting with conditions that require immediate or urgent referral before considering less serious secondary causes including medication over-use headache (...) or tightening quality; mild-to-moderate intensity; not aggravated by routine physical activity. Episodes of headache are not associated with nausea (...) or vomiting. Photophobia or phonophobia, but not both, may be present. Headache that is not caused by other conditions, such as a pyrexial illness or medication overuse. The cause of TTH is not fully understood. It has been shown to be associated with the presence of myofascial trigger points, and abnormal central processing of pain (causing increased pain

2018 Trip Latest and Greatest

6. Does Bed Rest or Fluid Supplementation Prevent Post?Dural Puncture Headache? (SRS therapy)

accepted by the contemporary medical community is persistent leak of cerebrospinal ?uid through the puncture site. 9 Historical teaching has been to reduce the incidence of post–dural puncture headache by bed rest after the procedure; this meta-analysis suggests that bed rest is ineffective. These results are an update of ameta-analysis 10 summarized in a previous Systematic Review Snapshot. 11 The previous meta- analysis, based on 8 trials, simi- larly reported no bene?twithbed rest versus early (...) Does Bed Rest or Fluid Supplementation Prevent Post?Dural Puncture Headache? (SRS therapy) TAKE-HOME MESSAGE Neither bed rest nor ?uid supplementation decreases the incidence of headache after dural puncture. Does Bed Rest or Fluid Supplementation Prevent Post–Dural Puncture Headache? EBEM Commentators Michael D. April, MD, DPhil Brit Long, MD Department of Emergency Medicine San Antonio Uniformed Services Health Education Consortium Fort Sam Houston, TX Results The review included 24 trials

2018 Annals of Emergency Medicine Systematic Review Snapshots

7. The journey from genetic predisposition to medication overuse headache to its acquisition as sequela of chronic migraine (PubMed)

The journey from genetic predisposition to medication overuse headache to its acquisition as sequela of chronic migraine Migraine remains one of the biggest clinical case to be solved among the non-communicable diseases, second to low back pain for disability caused as reported by the Global Burden of Disease Study 2016. Despite this, its genetics roots are still unknown. Its evolution in chronic forms hits 2-4% of the population and causes a form so far defined Medication Overuse Headache (MOH (...) ), whose pathophysiological basis have not been explained by many dedicated studies. The Global Burden of Disease Study 2016 has not recognized MOH as independent entity, but as a sequela of Chronic Migraine. This concept, already reported in previous studies, has been confirmed by the efficacy of OnabotulinumtoxinA in Chronic Migraine independently from the presence of MOH. The consistency of the current definitions of both Medication Overuse Headache and Chronic Migraine itself might be re-read

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2018 The journal of headache and pain

8. 34m with fever, headache and myalgias

): Agency for Healthcare Research and Quality (US); 2005 Feb. Available from: Glasziou, P., Rose, P., Heneghan, C., & Balla, J. (2009). Diagnosis using” test of treatment”. BMJ: British Medical Journal (Online), 338. Kassirer JP, Wong JB, Kopelman RI. Learning clinical reasoning. Baltimore, MD: Wolters Kluwer/Lippincott Williams & Wilkins; 2010 Share: | | 4 comments on “ Core IM Hoofbeats: 34M with Fever, Headache and Myalgias ” Another excellent episode. One of the characteristic symptom (...) 34m with fever, headache and myalgias Core IM Hoofbeats: 34M with Fever, Headache and Myalgias – Clinical Correlations Search Core IM Hoofbeats: 34M with Fever, Headache and Myalgias January 16, 2019 15 min read Podcast: | Subscribe: | By Shira Sachs MD, Stephanie Sherman MD, Cindy Fang MD and John Hwang MD || Audio Editing by Richard Chen || Graphic by Amy Ou MD Time Stamps Player three has entered the game! [0:15] Case presentation, part 1 [1:20] First impressions [3:24] Rethinking another

2019 Clinical Correlations

9. gammaCore for cluster headache

to treat cluster headaches. Existing medications for cluster headaches are often only partially effective and may cause serious side effects. Clinical evidence shows that, for some people, using gammaCore as well as standard care reduces the frequency and intensity of cluster headache attacks and reduces the need for medication. This is likely to lead to significant quality of life benefits for people living with this condition. Cost analysis suggests that using gammaCore may lead to cost savings (...) gammaCore for cluster headache gammaCore for cluster headache Medical technologies guidance Published: 3 December 2019 www.nice.org.uk/guidance/mtg46 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected

2019 National Institute for Health and Clinical Excellence - Medical technologies

10. Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache

the following clinical questions: (1) In the adult emergency department patient presenting with acute headache, are 60 there risk-stratification strategies that reliably identify the need for emergent neuroimaging? (2) In the adult 61 emergency department patient treated for acute primary headache, are nonopioids preferred to opioid medications? 62 (3) In the adult emergency department patient presenting with acute headache, does a normal noncontrast head 63 computed tomography scan performed within 6 hours (...) 70 Headache is a common and often a potentially high-risk complaint seen by the emergency physician. A 71 query of the National Hospital Ambulatory Medical Care Survey for 2015 found that nontraumatic headache was 72 identified as the fifth leading reason for emergency department (ED) visits, accounting for 3.8 million visits per 73 year (2.8 % of all ED visits). 1 This prevalence affects not only ED volumes but also resource utilization. Previous 74 studies have shown that up to 14% of patients

2019 American College of Emergency Physicians

11. Headache

to gadolinium administration. Reserve this procedure for urgent medical necessity only. O CT head with IV contrast 3 This procedure is for urgent medical necessity only. ??? MRA head without and with IV contrast 3 O CT head without and with IV contrast 2 ??? CTA head with IV contrast 2 ??? Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 8 Headache Clinical Condition: Headache Variant 13: New headache (...) Summary of Literature Review Introduction/Background The cause or type of most headaches can be determined by procuring a careful history and performing a physical examination while focusing on the warning signals that prompt further diagnostic testing. In the absence of worrisome features in the history or examination, the task is then to diagnose the primary headache syndrome based on the clinical features. If atypical features are present or the patient does not respond to conventional therapy

2019 American College of Radiology

12. Local injection therapy for cervicogenic headache and occipital neuralgia

headache and occipital neuralgia. Lansdale: HAYES, Inc. Directory Publication. 2017 Authors' conclusions Rationale: For some patients with cervicogenic headache or occipital neuralgia, conservative medical treatments, including oral analgesics and physical therapy, may be sufficient to relieve pain. However, a population of patients with refractory pain may require more invasive treatments, including injection therapy or surgical interventions. Technology Description: Local injection with analgesic (...) medications or botulinum toxin A (BTX-A) may be used to provide pain relief in patients with conditions, including cervicogenic headache and occipital neuralgia. For these conditions, injections are provided in the area of the greater or lesser occipital nerve or along tender points in the cervical muscles. Controversy: Although there is evidence that injection therapy can provide pain relief, the duration of relief may be brief, and injections may need to be administered every few weeks or months

2018 Health Technology Assessment (HTA) Database.

13. Monoclonal antibodies to prevent migraine headaches

Monoclonal antibodies to prevent migraine headaches Monoclonal antibodies to prevent migraine headaches | CADTH.ca CADTH Document Viewer Monoclonal antibodies to prevent migraine headaches Table of Contents Search this document Monoclonal antibodies to prevent migraine headaches February 2018 Summary Migraine is a common, chronic, neurological disorder. To prevent chronic migraine headaches, botulinum toxin has received regulatory approval. This medication requires multiple injections (...) recurrent attacks may benefit from prophylactic therapy. 26 Botulinum toxin has received regulatory approval for the prevention of chronic migraine headaches. This medication requires multiple injections into specific head and neck sites. 1,6,24 Topiramate is used for the prophylaxis of migraine headaches in adults experiencing four or more migraine attacks per month. 27 Other drugs used for migraine prevention are anti-epileptics (divalproex sodium, lamotrigine, gabapentin), antidepressants

2018 CADTH - Issues in Emerging Health Technologies

14. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Post-Traumatic Headache

other studies have suggested that headaches more commonly resemble tension-type headache. 3,8,14,16,22-27 Unfortunately, too frequent use of analgesics is a significant problem in many individuals suffering from persistent posttraumatic headaches. 8,16 It is well known that too frequent use of analgesics/acute headache medications can, in some, perpetuate and lead to chronification of headaches via the phenomenon of medication overuse (“rebound”) headache. Accordingly, it is important to provide (...) clear instructions on the maximal allowable daily dosing and the maximum allowable monthly frequency of medication consumption - combination analgesics, narcotic analgesics, ergotamines, triptans, and diclofenac potassium oral solution can be utilized no more than 10 days per month to avoid medication overuse (rebound) headache. It is also important to accurately ascertain the frequency and quantity of the patient’s acute headache medication use. Ideally, a blank monthly calendar should be utilized

2018 Ontario Neurotrauma Foundation

15. Headache

, intensity, and duration of attack Number of headache days per month Other symptoms associated with headache Precipitating and relieving factors Effect of activity on pain Relationship with food/alcohol Response to any previous treatment Family history of headache Any recent changes in health Recent Trauma Any recent changes in health, activities Lifestyle e.g. smoking, alcohol use Medical history e.g. hypertension, diabetes, hyperlipidemia Medication profile Must rule out secondary causes of headache (...) : Trauma to the head Stroke or TIA (transient ischemic attack) -- evident by simultaneous onset of neurological impairment of speech, sensation, strength or consciousness Intracranial infection (e.g. meningitis) – headache occurs with fever, neck stiffness, impaired consciousness or photophobia Fever and general malaise Medications that can cause headaches (e.g. tetracycline, sulfamethoxazole-trimethoprim, nitrates, tamoxifen, ACEIs, beta-blockers, calcium channel blockers, hydralazine, methyldopa

2018 medSask

16. Ectopic tooth: an unusual cause of headache (PubMed)

Ectopic tooth: an unusual cause of headache 28554950 2017 10 30 2018 11 13 1488-2329 189 21 2017 05 29 CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne CMAJ Ectopic tooth: an unusual cause of headache. E749 10.1503/cmaj.161366 Anderson Dustin D Department of Medicine (Neurology), University of Alberta, Edmonton, Alta. Ahmed S Nizam SN Department of Medicine (Neurology), University of Alberta, Edmonton, Alta. snahmed@ualberta.ca. eng Case Reports Journal (...) Article Canada CMAJ 9711805 0820-3946 AIM IM Adult Female Headache diagnostic imaging etiology Humans Maxillary Sinus diagnostic imaging Tomography, X-Ray Computed Tooth Eruption, Ectopic complications diagnostic imaging Competing interests: None declared. 2017 5 31 6 0 2017 5 31 6 0 2017 10 31 6 0 ppublish 28554950 189/21/E749 10.1503/cmaj.161366 PMC5449239 N Engl J Med. 2011 Sep 29;365(13):1232 21991896 Ann Maxillofac Surg. 2013 Jan;3(1):89-92 23662268 Neurol Clin. 2014 May;32(2):507-23 24703542

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2017 CMAJ : Canadian Medical Association Journal

17. Transcutaneous stimulation of the cervical branch of the vagus nerve for cluster headache and migraine

include changes in the number and severity of cluster headache or migraine episodes, medication use, quality of life in the short and long term, side effects, acceptability, and device durability. NICE may update this guidance on publication of further evidence. 2 2 Indications and current treatments Indications and current treatments 2.1 Cluster headaches are characterised by episodes of unilateral periorbital pain, conjunctival injection, lacrimation and rhinorrhoea. Attacks can last from a few (...) Disorders classifies migraine types. Transcutaneous stimulation of the cervical branch of the vagus nerve for cluster headache and migraine (IPG552) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 92.2 The usual treatment option for patients with cluster headache or migraine is medical therapy, either to stop or prevent attacks. Treatments for acute cluster headache attacks include oxygen inhalation and medications

2016 National Institute for Health and Clinical Excellence - Interventional Procedures

18. A systematic review and critical appraisal of gene polymorphism association studies in medication-overuse headache. (PubMed)

A systematic review and critical appraisal of gene polymorphism association studies in medication-overuse headache. Purpose of review Medication-overuse headache is a secondary chronic headache disorder, evolving from an episodic primary headache type, caused by the frequent and excessive use of headache symptomatic drugs. While gene polymorphisms have been deeply investigated as susceptibility factors for migraine, little attention has been paid to medication-overuse headache genetics (...) . In the present study we conducted a systematic review to identify, appraise and summarize the current findings of gene polymorphism association studies in medication-overuse headache. Methods A comprehensive literature search was conducted on PubMed and Web of Knowledge databases of primary studies that met the diagnostic criteria for medication-overuse headache according to the temporally-relevant Classification of Headache Disorder of the International Headache Society. Results A total of 17 candidate gene

2017 Cephalalgia : an international journal of headache

19. Medication overuse headache: An entrenched idea in need of scrutiny. (PubMed)

Medication overuse headache: An entrenched idea in need of scrutiny. It is a widely accepted idea that medications taken to relieve acute headache pain can paradoxically worsen headache if used too often. This type of secondary headache is referred to as medication overuse headache (MOH); previously used terms include rebound headache and drug-induced headache. In the absence of consensus about the duration of use, amount, and type of medication needed to cause MOH, the default position (...) -relieving medications from people with frequent headaches solely to prevent or treat MOH. The benefits of doing so are smaller, and the harms larger, than currently recognized. The concept of MOH should be viewed with more skepticism. Until the evidence is better, we should avoid dogmatism about the use of symptomatic medication. Frequent use of symptom-relieving headache medications should be viewed more neutrally, as an indicator of poorly controlled headaches, and not invariably a cause.© 2017

2017 Neurology

20. Headache ? Child

to commonly experience more headaches than girls, whereas after puberty, girls were more affected [2]. Headaches can be either primary or secondary in nature. Primary headaches result from the headache condition itself and not from another cause. A secondary headache is a headache that is present because of another condition. Diagnosis of primary headache disorders of children rests principally on clinical criteria as defined by the International Headache Society [3]. The evaluation of a child (...) with headache begins with acquiring a thorough medical history and performing a physical examination with measurement of vital signs, including blood pressure, a complete neurologic examination, and examination of the optic discs. Primary headaches, such as migraine or tension headaches that are typically chronic or recurrent, are the predominant type of headache in children. It is important to recognize that migraine headaches in young children may not meet the usual diagnostic criteria (eg

2017 American College of Radiology

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