Headache 

Current Issue Highlights

Effects of Switching Acute Treatment on Disability in Migraine Patients Using Triptans
Serrano, D., Buse, D. C., Kori, S. H., Papapetropoulos, S., Cunanan, C. M., Manack, A. N., Reed, M. L. and Lipton, R. B.
Migraine patients often switch from one acute migraine treatment to another. Outcomes following these treatment modifications have rarely been studied. This study analyzed patterns of acute treatment and headache-related disability among triptan users. Switching between triptans or from a triptan to an opioid/barbiturate or NSAID was not associated with improvements in disability compared to consistent triptan treatment.

Optimal Use of Acute Headache Medication: A Qualitative Examination of Behaviors and Barriers to Their Performance
Seng, E. K. and Holroyd, K. A.
This study used qualitative phenomenological interviews to examine behaviors required for optimal use of acute headache medication and barriers to their successful performance. Interviews revealed 8 behaviors required for optimal medication use and numerous barriers that disrupt these behaviors.

Diagnosis and Clinical Features of Trigemino-Autonomic Headaches
May, A.
This review summarizes clinical and diagnostic features of headache syndromes manifest by strictly unilateral headache and ipsilateral cranial autonomic symptoms. These syndromes, coined trigemino-autonomic headaches, are important for the clinician to recognize since appropriate treatment is typically very effective.

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