Hemicrania continua (HC): treatment

Evidence-based neurology checklist on hemicrania continua (hc): treatment: Indomethacin The starting dose is 25mg tid orally but less than 20% respond to this dose An attempt should be made to reduce the dose every 3-6 months Indomethacin may also be administered as a 50mg dose intramuscularly…

Indomethacin

  • The starting dose is 25mg tid orally but less than 20% respond to this dose
  • An attempt should be made to reduce the dose every 3-6 months
  • Indomethacin may also be administered as a 50mg dose intramuscularly

Other drugs

Treatment: radiofrequency ablation

Treatment: others

References

  1. Prakash S, Patel P. Hemicrania continua: clinical review, diagnosis and management. J Pain Res 2017; 10:1493-1509.
  2. Prakash S, Adroja B. Hemicrania Continua. Ann Indian Acad Neurol 2018; 21(Suppl 1):S23-S30.
  3. Brighina F, Palermo A, Cosentino G, Fierro B. Prophylaxis of hemicrania continua: two new cases effectively treated with topiramate. Headache 2007; 47:441-443.
  4. Matharu MS, Bradbury P, Swash M. Hemicrania continua: side alternation and response to topiramate. Cephalalgia 2006; 26:341-344.
  5. Prakash S, Rana K. Topiramate as an Indomethacin-sparing agent in hemicrania continua: a report of 2 cases. Headache 2019; 59:444-445.
  6. And 8 more. Subscribe to see the full list

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