7/2/07 #8 - Hemicrania continua and Indocin?

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  • Full Question:

    I have recently been diagnosed with hemicrania continua, and my doctor has prescribed Indocin 50mg qid. He also put me on Protonix q am to go along with the Indocin. Are there any other treatments for hemicrania continua? I am seeing moderate success with the Indocin, but the GI side affects concern me. I also have difficulty fitting all four doses in the day. I don't want to eat a mini-meal at , but I'm afraid to just eat a cracker and take the Indocin. What is hemicrania continua, and will it ever go away, or am I fated to taking ulcer-causing medications the rest of my life? Melanie.

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    Answer:

    Dear Melanie;

    Hemicrania continua (or chronic paroxysmal hemicrania) is a diagnosis most often tendered by headache specialists. Both are quite rare. It seems you might ask your treating physician about other treatment choices, since recently published case reports might offer treatment with newer anti-inflammatory agents, COX2 inhibitors (Celebrex). It seems the Indocin was originally the agent of choice for chronic paroxysmal hemicrania and also for hemicrania continua, a slightly different type of headache pattern. There have been a few case reports of other treatments for this rare condition. You can read more about hemicrania continua HERE.

     

    Good luck,
    John Claude Krusz and Teri Robert

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Published On: July 02, 2007