Introduction : Refractory Migraines — Migraines that are not responding to treatment — can present significant issues for Migraineurs, including status Migrainous . Unfortunately, even though there are effective treatments that can be tried, many doctors are not aware of them, or even if they’re aware of them, may not be set up to administer them. In such cases, these treatments may be administered outpatient at a hospital, sometimes through the emergency department. The information below was presented at the 49 th Annual Scientific Meeting of the American Headache Society . Objectives : In the search for additional pharmacologic agents that can be given intravenously in the headache clinic, we chose to use IV lidocaine treatment for Migraineurs who were refractory (their Migraines were not responding to treatment) to usual treatment at home. Background : Lidocaine has been used to treat neuropathic pain by virtue of its ability to block sodium channels and thus block neurop...
Generic Name: LIDOCAINE VISCOUS - ORAL Pronounced: (LYE-doe-kane) Lidocaine Viscous MM Precautions
Before using lidocaine, tell your doctor, dentist, or
pharmacist if you are allergic to it; or to other anesthetics (e.g.,
bupivacaine, prilocaine); or if you have any other allergies. This product may
contain inactive ingredients (such as PABA), which can cause allergic reactions
or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your dentist, doctor,
or pharmacist your medical history, especially of:
bites/cuts/scrapes/sores in your mouth or throat
heart problems (e.g., irregular heartbeat)
severe infection with high fever (e.g., sepsis)
Lidocaine may cause a condition that affects the heart
rhythm (QT prolongation). QT prolongation can infrequently result in serious
(rarely fatal) fast/irregular heartbeat and other symptoms (such as severe
When people talk about fibromyalgia, they sometimes use the terms tender points and trigger points interchangeably. In actuality, they have quite different meanings. All accurately diagnosed FM patients have tender points; some may also have trigger points. Tender Points Tender points are used to help diagnosis fibromyalgia. They are extremely sensitive spots on the body that elicit pain when four kilograms (or about 10 lbs.) of pressure are applied. There are 18 specific tender points located at nine bilateral locations. Tender points occur on both the right and left sides of the body at these nine locations: Occiput: bilateral, at the suboccipital muscle insertions. (Where the neck muscles attach at the base of the skull) Low cervical: bilateral, at the anterior aspects of the intertransverse spaces at C5-C7. (Front lower neck) Trapezius: bilateral, at the midpoint of the upper border. (Midway between the neck and shoulder) Supraspinatus: bilateral, at origins, above t...
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