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The
Quickest Relief for Cluster Headaches I've Found...Triptans
It's
pretty rare that I come across someone who'd been suffering from
clusters that hasn't heard of Imitrex or triptans due to their speed in
pain relief and effectiveness in treating our types of headaches.
Triptans
are used to treat clusters once they occur, so you may hear them called
"abortive" medicines (as opposed to "preventative" medicines).
Triptans
stimulate serotonin, which is a chemical that is used to transport
nerve signals to various parts of the brain. Triptans also can decrease
inflammation and aid in reversing blood vessel dilation around the
brain. Any one of these actions can help relieve a cluster headache.
Triptans
have several drugs in it's class. The brand names for some of these
drugs are ones you may recognize. Here is a partial list of brand name
triptans:
- Axert
- Frova
- Amerge
- Maxalt
- Imitrex
- Zomig
Although
originally used for used for migraines,studies have found that they are
also very effective on cluster headaches. As with any medication, you
have to make your doctor aware of any medical condition that you may
have. Let you doctor know if you have had any of the following:
- History of heart attack
or
stroke
- Allergy to triptans
- Uncontrolled high blood
pressure
- Peripheral vascular
disease
- Ischemic bowel disease
- Certain types of
migraines
such as ones that cause paralysis on one side or ones that cause
dizziness or ringing in the ears.
The
great thing about triptans is they are available in a variety of dosage
forms. You can get tiptans that can be sprayed up the nose, injected
under the skin, or it can be dissolved in the mouth. You do have to be
careful not to use triptans within 24 hours of taking ergot alkaloids
because it can cause excessive narrowing of the blood vessels. You
should also make sure that you doctor knows if you are taking any other
medications that affect serotonin, including herbal medications such as
St. John's Wort.
There
are sides effects that you need to be aware of if you start taking
triptans. The major side effects are an increased risk for chest pain,
stroke or abnormal heart rhythms. Triptans commonly cause a sensation
of pressure or heaviness in the head. You need to be aware that
triptans can cause headaches if the drug is overused or the dose is too
high.
For
many people., triptans are the KEY medicine to managing their clusters,
talk to your doctor about whether they may be right for you.
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