Clinical considerations on chronic migraine, pharmacoresistance and refractoriness
- 13 May 2010
- journal article
- review article
- Published by Springer Science and Business Media LLC in Neurological Sciences
- Vol. 31 (1), 83-85
- https://doi.org/10.1007/s10072-010-0294-5
Abstract
Patients with chronic migraine are difficult to treat and often analgesic overusers. In this article attention is focused on aspects considered important for producing a definition of refractory in relation to this headache form. I propose that a "chronic migraine" patient should be considered "refractory" to pharmacological prophylaxis when adequate trials of preventive therapies at adequate doses have failed to reduce headache frequency and improve headache-related disability and, in patients with medication overuse, also failed to reduce the consumption of symptomatic drugs.Keywords
This publication has 3 references indexed in Scilit:
- Defining Refractory Migraine and Refractory Chronic Migraine: Proposed Criteria From the Refractory Headache Special Interest Section of the American Headache SocietyHeadache: The Journal of Head and Face Pain, 2008
- Refractory Headache: Classification and NomenclatureHeadache: The Journal of Head and Face Pain, 2008
- New Appendix Criteria Open for a Broader Concept of Chronic MigraineCephalalgia, 2006