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MEDICATION FOR TREATING HEADACHE
There are many different drugs that can be used to treat a headache, and most of these can be placed in one of three categories:
Analgesics,
Mood-altering drugs, and
Specialized drugs that act against the actual cause of the headache.
A physician must decide whether to approach your discomfort by the abortive, “symptomatic,” method (trying to stop a headache once the symptoms have already begun) or by the preventive method (trying to prevent the onset of the headache by treating you daily, similar to the principle concerning the use of birth control pills).
The abortive, or symptomatic, approach treats the headache once it has begun. An example would be taking two aspirin when you feel a headache beginning. While often successful, and relatively simple to use, a major disadvantage of the abortive approach is that it usually requires the use of drugs that should not be taken too often. If your head pain occurs more than three or four times per week, the abortive approach may be medically inappropriate, since very strong medications are often required for relief with this method. Another disadvantage of the abortive approach is that once a bad headache has already begun, even the most potent medications may not relieve the pain.
The preventive approach is based on the presumption that patients with recurring pain have a certain biological or emotional predisposition that leads to the development of the discomfort. The preventive method of treatment is aimed at altering those factors before the pain develops.
The preventive approach is most often used when the headaches are frequent and occur with regularity. The medicines used in the preventive approach are relatively well tolerated when taken daily. A major disadvantage of the preventive approach is that it requires the use of medication every day. This is necessary because there is usually no way to accurately determine on which days the headache will actually occur. When the headache predictably develops with an event, like a menstrual period or on weekends, preventive medication can occasionally be used just prior to these times.
The abortive and preventive approaches can, at times, be used together. For example, if you are placed on a program of preventive therapy but a headache “breaks through,” you may be given one of the abortive medications to help relieve that particular headache.
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