GUIDELINES FOR TREATMENT OF PRIMARY HEADACHES BY THE CROATIAN SOCIETY FOR NEUROVASCULAR DISORDERS OF THE CROATIAN MEDICAL ASSOCIATION AND CROATIAN SOCIETY FOR PAIN PREVENTION, REFERENCE CENTER FOR THE HEADACHE OF THE MINISTRY OF HEALTH OF THE REPUBLIC OF CROATIA, REFERENCE CENTER CROATIA FOR DIAGNOSIS AND TREATMENT OF ACUTE AND CHRONIC PAIN BY THE MINISTRY OF HEALTH OF REPUBLIC OF CROATIA AND HEADACHE SECTION OF CROATIAN NEUROLOGICAL SOCIETY OF THE CROATIAN MEDICAL ASSOCIATION

Autor: Bašić Kes, Vanja, Supanc, Višnja, Zadro, Matovina, Grbić, Nevena, Zavoreo, Iris, Lisak, Marijana, Breitenfeld, Tomislav, Bosnar Puretić, Marijana, Lovrenčić Huzjan, Arijana, Jančuljak, Davor, Petravić, Damir, Bačić Baronica, Koraljka, Mahović Lakušić, Darija, Stojić, Maristela, Titlić, Marina, Hucika, Zlatko, Soldo, Dragan, Vuletić, Vladimira, Trkanjec, Zlatko
Jazyk: chorvatština
Rok vydání: 2022
Předmět:
Zdroj: Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske
Volume 76
Issue 2-3
ISSN: 1848-8897
1330-0164
Popis: Glavobolja je jedno od najčešćih neuroloških stanja što upućuje za veliku potrebu za lijekovima i ostalim metodama liječenja same akutne faze glavobolje, a po potrebi i prevenciju ostalih napada glavobolje. Prema Međunarodnoj klasifi kaciji glavobolja razlikujemo primarne glavobolje (migrena i njeni podtipovi, tenzijska glavobolja i njeni podtipovi, trigeminalne autonomne glavobolje i njeni podtipovi) i sekundarne glavobolje (povezane s infekcijom, traumom glave i vrata, kranijalnim ili cervikalnim vaskularnim poremećajima, nevaskularnim intrakranijalnim poremećajima, prestankom uzimanja određenih tvari, psihijatrijskim poremećajima, poremećajima kranija, vrata, očiju, ušiju, nosa, sinusa, ustiju te drugih facijalnih ili kranijalnih struktura). Najvažnije je prije uvođenja terapije razlučiti radi li se o primarnoj ili sekundarnoj glavobolji, postaviti dijagnozu primarne glavobolje te se odlučiti za liječenje akutne ili preventivne faze. Od analgetika se najčešće primjenjuju nespecifi čni analgetici koji djeluju na široku paletu boli te specifi čni anagetici koji djeluju samo na određenu vrstu glavobolje (npr. triptani kod migrenoznih napada). Osim navedenog, u tekstu su navedene i ostale metode koje se koriste u liječenju glavobolja, a one uključuju promjenu životnog stila, izbjegavanje provocirajućih faktora, akupunktura te primjena botulinum toksina. Smjernice koje smo objavili 2018. godine nadopunili smo novim lijekovima koji su u međuvremenu registrirani za liječenje akutnih napada te profi laksu migrenskog napada (1).
Introduction: Headache is one of the most frequent neurological conditions, so a big need for medications for headache treatment and other methods is needed for acute pain relief and chronic prevention of headaches. Aim: Knowing that headache is one of the most frequent conditions we wanted to summarise its treatment. Methods: We explored MEDLINE searches about the treatment of primary headaches. We also explored the Croatian scientifi c base Hrčak. Results: We found articles on both scientifi c bases, but have chosen only the most systemised. Discussion: According to International Headache Classifi cation there are two main types of headaches: primary headaches (migraine and its subtypes, tensiontype headache and its subtypes, trigeminal autonomic cephalgias) and secondary headaches (attributed to infection, head or neck trauma, cranial or cervical vascular disorders, non-vascular intracranial disorders, substance withdrawal, psychiatric conditions, pain attributed to the disorders of cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cervical structure). When managing a diagnosis of primary headache, it is important to make a difference between the primary and secondary headache, manage the right diagnosis of primary headache and decide on the right treatment for the acute or preventive phase of headache. The most used medications in headache treatment are nonspecifi c analgetics which can treat headaches, but also other pain disorders. Specifi c headache medication includes medications which can treat only specifi c types of headaches. Except for the above, there are other methods in headache treatment which include a change of lifestyle, avoiding provocative factors, acupuncture and treatment with botulinum toxin. Conclusion: For primary headache treatment it is important to establish the right diagnosis and act fast in the treatment of acute headache attacks. For some patients, it is important to start a prophylactic treatment but also try to prevent a medication overuse headache. When treating a headache of any kind it is also important to take a whole picture of a patient and his/hers comorbidities and think about possible side effects. Changing a lifestyle and some complementary methods can help us in treating chronic headaches. We supplemented the guidelines published in 2018 with new drugs that have since been registered for the treatment of acute attacks and prophylaxis of migraine attacks.
Databáze: OpenAIRE
Externí odkaz: