Management of chronic daily headache utilizing a uniform treatment pathway.

Abstract:

OBJECTIVE:To determine if the use of a uniform treatment pathway might be effective in treating patients with primary chronic daily headache. METHODS:Thirty-three consecutive patients with primary chronic daily headache were managed according to a treatment pathway which involved sequential administration of divalproex sodium, amitriptyline, amitriptyline plus phenelzine, or methadone. RESULTS:Twenty-two patients (67%) reported a 50% or greater reduction in headache days per month following initiation of treatment. Most positive treatment responses (17 [77%] of 22) were attributed to divalproex sodium. CONCLUSION:Implementation of a uniform treatment pathway may result in significant clinical improvement in a sizable proportion of patients with chronic daily headache.

journal_name

Headache

journal_title

Headache

authors

Rothrock JF

doi

10.1046/j.1526-4610.1999.3909650.x

keywords:

subject

Has Abstract

pub_date

1999-10-01 00:00:00

pages

650-3

issue

9

eissn

0017-8748

issn

1526-4610

journal_volume

39

pub_type

临床试验,杂志文章

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