headache.pptx

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LakshyaJBasumatary

headache migraine FAQ

Salud y medicina

Lakshya J Basumatary DM
Consultant Neurologist
Excelcare Hospitals,Guwahati
Headache Therapy
10 FAQ

U.S. Selected practice recommendations
for contraceptive use (CDC 2016)
Curtis et al, MMWR Recomm Rep 2016,65

Mamura et al, Headache 2015
Worthington I et al, Can J neurol Sci 2013
Dodick DW Lancet 2018

Marmura M et al, Headache 2015
Dodick DW, Lancet 2018

Worthington I, et al. Can J Neurol Sci 2013
Worthington I, et al. Can J Neurol Sci 2013

Chen SP et al. Pain 2016
Oshinsky MI, et al Pain 2014
Akerman S, et al Neurobiol Disc 2017
Chen SP et al. Pain 2016
Oshinsky MI, et al Pain 2014
Akerman S, et al Neurobiol Disc 2017

Silbertsein SDPract Neurol 2007
Holland S et al. Neurology 2012
Dodick DW Lancet 2018

Significant
interference with
ADL
Risk for progression
Acute medication
Ineffective,
contraindicated, AE,
overused
Uncommon
subtypes
Hemiplegic,
brainstem,
migrainous
infarction,
prolonged aura
Patient preference
When to start?

Schoenen J et al, Neurology 2013
Schoenen J et al, Neurology 2013

Holland PR Ann Neurol 2012
Afridi SK et al Neurology 2013

Treatment of migraine in ED: by the evidence

Lasmiditan
oral, centrally-penetrant, selective serotonin 5-HT1F
agonist

First oral calcitonin gene-related peptide
(CGRP) receptor antagonist

Questions??
Lakshya J Basumatary, DM
drbasumatary@gmail.com
99544 80668
@drbasumatary

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headache.pptx

1. Lakshya J Basumatary DM Consultant Neurologist Excelcare Hospitals,Guwahati Headache Therapy 10 FAQ

2. disclosure • Nothing to disclose

7. Migraine treatment during pregnancy

9. U.S. Selected practice recommendations for contraceptive use (CDC 2016) Curtis et al, MMWR Recomm Rep 2016,65

10.

11. Mamura et al, Headache 2015 Worthington I et al, Can J neurol Sci 2013 Dodick DW Lancet 2018

12. Marmura M et al, Headache 2015 Dodick DW, Lancet 2018

13.

14. Becker WB Continuum 2015

15.

16. Worthington I, et al. Can J Neurol Sci 2013 Worthington I, et al. Can J Neurol Sci 2013

17. Chen SP et al. Pain 2016 Oshinsky MI, et al Pain 2014 Akerman S, et al Neurobiol Disc 2017 Chen SP et al. Pain 2016 Oshinsky MI, et al Pain 2014 Akerman S, et al Neurobiol Disc 2017

18.

19.

20. Chou DE et al, Neuromodulation 2017

21.

22.

23. Silbertsein SDPract Neurol 2007 Holland S et al. Neurology 2012 Dodick DW Lancet 2018

24. Significant interference with ADL Risk for progression Acute medication Ineffective, contraindicated, AE, overused Uncommon subtypes Hemiplegic, brainstem, migrainous infarction, prolonged aura Patient preference When to start?

25.

26. Silberstein SD et al. Neurology 2012

27. Silberstein SD et al. Neurology 2012

28. Simpson DM et al Neurology 2016

29. Blumenfeld A, J Headache Pain 2018

30. cefaly

31. Schoenen J et al, Neurology 2013 Schoenen J et al, Neurology 2013

32. Starling A, et al. Cephalgia 2018

33. Any tricks for prevention?

34. Holland PR Ann Neurol 2012 Afridi SK et al Neurology 2013

35. Blumenfeld A, et al Headache 2013

36.

37.

38.

39.

40.

41.

42. Treatment of migraine in ED: by the evidence

43.

44.

45.

46. Lasmiditan oral, centrally-penetrant, selective serotonin 5-HT1F agonist

47. First oral calcitonin gene-related peptide (CGRP) receptor antagonist

48. Attributes of Gepants

49. Questions?? Lakshya J Basumatary, DM drbasumatary@gmail.com 99544 80668 @drbasumatary

Notas del editor

Migraine is the most prevalent neurological disorder and is characterized by recurrent headache attacks associated with gastrointestinal symptoms and sensoriphobia. Due to disabling headache and associated symptoms migraine significantly impair quality of life. It is the sixth most disabling diseae worldwide according to global burden of disease study 2013
Becker WB Continuum 2015 Prochlorperazine –stemetil
Worthington I, et al. Can J Neurol Sci 2013
Chen SP et al. Pain 2016 Oshinsky MI, et al Pain 2014 Akerman S, et al Neurobiol Disc 2017
Chou DE et al, Neuromodulation 2017
Silbertsein SDPract Neurol 2007 Holland S et al. Neurology 2012 Dodick DW Lancet 2018
Silberstein SD et al. Neurology 2012
Simpson DM et al Neurology 2016
Blumenfeld A, J Headache Pain 2018
In early march 2014 the FDA approved for use a transcutaneous electric nerve stimulation device for prevention of migraine knowns as cefaly dvice
Schoenen J et al, Neurology 2013
Starling A, et al. Cephalgia 2018
Holland PR Ann Neurol 2012 Afridi SK et al Neurology 2013
Blumenfeld A, et al Headache 2013
Silberstein DS et al, neurology 2012 Holland Et al Neurology 2012 Dussor G et al ACS Chem Neurosci 2014
Newman L. Continuum 2015
Rozen T. Neurology Continuum 2015
1

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