The migraine topic about which I see the most questions is whether specific acute migraine medications (the medications we use when we get a migraine) work. The problem with those questions has been that nothing works for all migraineurs, so the answers have been along the lines of, "It works for some people. The only way to know is to try it."
Now, thanks to a study conducted and published by American Headache Society researchers, the evidence from other studies on the efficacy of acute treatments has been gathered and assessed. Their assessment resulted in acute treatments being categorized in a fashion that at least shows which acute treatments have the most evidence of being effective and which may be ineffective.
"The study aims to provide an updated assessment of the evidence for individual pharmacological therapies for acute migraine treatment." 1
"Pharmacological therapy is frequently required for acutely treating migraine attacks....
Months ago some qualified researchers (physician specialists in this case) published an article in Annals of Allergy , Asthma and Immunology which reported superior outcomes of intranasal steroid (INS) compared to antibiotic or placebo (a substance containing no medication but made to look like medication) in a clinical trial involving over nine hundred patients.
Acute Rhinosinusitis (ARS) is typically manifested by nasal congestion, runny nose, facial pressure or pain, postnasal drip and headache. It is often caused by viruses (like the common cold virus) and lasts up to 4-12 weeks according to these researchers. Interestingly, I’ve told patients for years, that viral based sinus symptoms shouldn’t last more than one and a half to two weeks.
Many healthcare professionals agree that antibiotics are grossly over prescribed for upper respiratory tract infections. Concerns about sinus infections are one of the most common reasons patients contact their doctor. Physici...
"We have really great Migraine-specific medications available, and they're not being prescribed to people who could benefit from them… Often, physicians prescribe nonspecific medications because medications such as Fiorinal and Fioricet may help take the edge off Migraine or tension-type headache; but what we have to realize is that the right thing is for the sufferer to have a specific diagnosis and choose treatment appropriate to the diagnosis.” Dr. Richard B. Lipton professor and vice chair of neurology at the Albert Einstein College of Medicine in New York City and director of the Montefiore Headache Center An online survey of Migraineurs and physicians commissioned by the National Headache Foundation and conducted by Harris Interactive shows that 20 percent of Migraine patients are currently taking “potentially addictive medications that contain barbiturates or opioids and have not been approved by the U.S. Food and Drug Administration for the rel...
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