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The health care professions are all facing an aging and rising tide of baby boomers, and many of these patients are going to be suffering from chronic pain , for a variety of reasons. Unfortunately, the elderly are often untreated or under-treated for pain. Patient and physician should each begin to ask themselves how can this situation might be improved. Pain is a common complaint of the older patient, and as the population ages, frailty and chronic diseases associated with pain will increase. However, it does not get as much attention as older patients are more likely to suffer from arthritis , cancer, and other musculoskeletal disorders. Studies have shown up to 50% of the elderly have significant pain problems; that number rises as high as 80% in the nursing home population. Unfortunately, the elderly do not in general have adequate pain treatment, resulting in depression , anxiety , social isolation, cognitive impairment, immobility, a...
Hemicrania continua is not a form of migraine . It's an entirely separate primary headache disorder . The International Headache Society's International Classification of Headache Disorders, 3rd edition (ICHD-3) describes hemicrania as:
"Persistent, strictly unilateral headache, associated with ipsilateral conjunctival injection (forcing of fluid into the conjuctiva, the mucous membrane that lines the eyelids), lacrimation , nasal congestion, rhinorrhea , forehead and facial sweating, miosis , ptosis and/or eyelid edema, and/or with restlessness or agitation. The headache is absolutely sensitive to indomethacin." 2
The Research Poster
"To find safe and comparable alternative treatments for HC in patients intolerant to indomethacin." 1
"Hemicrania continua (HC) is a primary headache disorder which responds absolutely to therapeutic doses of indomethacin. Unfortunately, approximately a fourth of patients develop adverse effects leading to ...
Neuronal stabilizing agents, aka anticonvulsants or antiepileptic drugs, are among the most prescribed medications for Migraine and headache prevention. They're also used to treat some mental health disorders (bipolar disorder, depression, anxiety) as well as, of course, seizure disorders such as epilepsy. Pregabalin (Lyrica) was recently approved for the treatment of fibromyalgia. The FDA has now has analyzed reports of suicidality (suicidal behavior or ideation) from 199 placebo-controlled clinical studies of 11 of these medications: Carbamazepine (Carbatrol, Equetro, Tegretol, Tegretol XR) Felbamate (Felbatol) Gabapentin (Neurontin) Lamotrigine (Lamictal) Levetiracetam (Keppra) Oxcarbazepine ( Trileptal) Pregabalin (Lyrica) Tiagabine (Gabitril) Topiramate (Topamax) Valproate (Depakote, Depakote ER, Depakene, Depacon) Zonisamide (Zonegran) The studies examined the effectiveness of the drugs in epilepsy, psychiatric disorders (e.g., bipolar disorder, depression...
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