Update: October 2018
Pain in the head is one of the most common types of pain. They
vary in intensity according to a ten-point scale from zero
(no pain) through the unit (minor
discomfort) to ten, when the pain is unbearable. Pain may be
acute or recurrent, i.e. repeating.
In medicine, there is the concept of chronic pain,
which cannot be considered simply as a separate feature. it
whole set of pathological changes in the body
(central and peripheral parts of the nervous system). They
affect the generation of nerve impulses, its conduction and
perceptions that are always distorted in the chronic variant
The main causes of pain in the head
- Vascular spasm
- Arterial hypertension (including hypertensive
- Increased intracranial pressure
- Increased intraocular pressure
- Irritation of the meninges (most often with meningitis).
- Vascular disasters (hemorrhagic or ischemic
- Diseases or irritation of the cranial nerves (most often
neuritis and neuralgia of the facial nerve or trigeminal neuralgia).
- Tumor processes, parasitic diseases in the field
brain, its membranes or skull.
The therapist is able to understand the causes of pain together with
oculist or neuropathologist. There is also a narrow specialist, engaged
exclusively problems of headaches – cephalgologist.
Headache treatment should be directly determined by the reasons
causing them. Without understanding the source of the pain, just take
analgesics or “drink something from a headache” is extremely
unreasonable, because, like any other pain, cephalalgia, is intended
first of all signal the faults in the head that should
diagnose and treat.
Painkillers for headache
it средства первой помощи в ситуациях, когда характер боли не
Clear, and she delivers discomfort.
Weakly effective nonsteroidal anti-inflammatory
- On the basis of acrylacetic acid: Ketorolac (Ketorol, Ketorolac,
Ketanov, Dolak, Ketophril).
- On the basis of para-aminophenol: Paracetamol (Calpol, Panadol, Cefecon,
- Pyrazolone derivatives: Metamizol (Analgin, Tempalgin,
Baralgin, Novalgin, Sedalgin), Propifenazon (Saridon).
- Антранилы: Мефенаминовая кислота, itфенамат (Ревмонн).
Highly effective NSAIDs
- Based on indole acetic acid: Sulindak, Indomethacin
(Метиндол), itдолак (Нобедолак).
- Phenylacetic acid derivatives: Diclofenac (Voltaren,
Diklak, Ortofen, Diklovit).
- Propionic acid derivatives: Ketoprofen (Flamax, Ketonal,
Artrozilen, Flexen) Naproxen (Bonifen, Naproxen), Ibuprofen
(Nurofen, Mig, Faspik).
- Salicylic Derivatives: Acetylsalicylic Acid (Aspirin,
Upsarin, Trombó, Cardiask, Atecardol), Diflunizal.
- Pyrazolidines: Phenylbutazone (Butadione).
- Oxycams: Meloxicam (Amelotex, Artrozan, Movalis),
Lornoxicam (Ksefokam), Piroxicam.
- Coxibs: Celecoxib (Celebrex, Dilax), Rofecoxib
They работают, разогревая участки кожи над местом воспаления или
the pains. They усиливают местный кровоток, что в сочетании с местным
irritation somewhat dulls pain. Here are just
a small list of local funds that can distract from
- Viprosal (camphor, viper venom, salicylic acid, turpentine),
Finalgon (nonivamil and nikoboksil), Menovazin (benzocaine, procaine and
- Ointment on the basis of bee and snake venom.
- Vietnamese balsam.
How to get rid of headache without pills
- Eye massage is a way to reduce intraocular pressure,
stimulate cerebral blood flow. Reception is especially effective for those
who works for a long time behind the monitor, with documents, reads or looks
- The pillows of the index fingers of both hands find painful
hole in the lower part of the orbit (the exit point of the suborbital nerve).
With a swinging circular motion, massage the point on four counts.
one way and the other way.
- A similar point grope on the upper edge of the orbit and also
- Perform a massage point in the middle of the upper cheekbone.
- With gentle, swaying movements, fingertips are massaged.
upper eyelids with eyes closed.
- Open palms with circular movements are massaged clockwise.
arrow and against her occipital bumps.
- With закрытых глазах ладонями массируют лицо.
- The pillows of the index fingers of both hands find painful
- Gymnastics for the eyes
performed in several versions. Classic – apply clear
black dot on the ruler, placing it 30 cm from the eye or
window glass. One eye is closed with the palm, the second is fixed
on point. Then after a couple of seconds, he looks away without fixing
items. Two or three approaches three times a day are well prevented
headache. Similar exercises are developed in different methods.
using visual tables.
- Acupuncture – acupressure acupressure points. how
headache without pills using acupressure can
look at diagrams 1 and 2.
- Hot bath to the knees also relieves intraocular pressure and
headaches. Undesirable with high blood pressure.
Neuropathic pain and pain relief medications
A kind of pain in the head is a feeling that occurs without
visible external damage and without inflammation. This is the so-called
neuropathy. This kind of pain syndrome becomes
due to lesions of the central or peripheral part of the nervous
system. Chronic pain develops according to this principle.
- with neuritis and neuralgia of the facial and trigeminal nerves
- with brain tumors or metastases in it
- with lesions of the cortex, optic hillock, brain stem in HIV
- vascular pathologies (stroke)
- Parkinson’s disease
- multiple sclerosis.
This increases the generation of pain impulse and decreases
inhibitory effect in its transmission and perception. Arise
phenomena when pain either appears from irritants that are
do not cause pain in a normal state, or the threshold goes down
pain sensitivity, pain accompanied by parasthesia
(crawling, tingling), or episodes of increased pain
reaction is replaced by insensitivity, not perception of pain,
например, при внешнем воздействии в сочетании с вегетативными
disorders in the affected area (cyanosis, swelling, or
marbling of fabrics).
In parallel, patients have disturbed sleep, there are depressive
manifestations. Therefore, in addition to drug treatment applied
psychotherapeutic support. Physiotherapeutic and
reflexotherapeutic methods of anesthesia, including the introduction
local anesthetics (lidocaine, trimecain).
- Pregabalin (Lyrics) – derivative
from gamma-aminobutyric acid, which manifests
antiepileptic properties. Effectively with neuropathic
pains. Capable of addiction and dependence. Available in
form of gelatin capsules. For relief of pain, a dose is chosen from
150 to 600 mg per day. Vacation from the pharmacy prescription. Contraindicated
Children under 17 years old, with lactase deficiency. Main side
effects – drowsiness and dizziness, palpitations and blockade
hearts. In combination with drugs that inhibit the central nervous system, can cause
- Gabapentin (Gabagamma, Neurontin, Tebantin) – also
gamma-aminobutyric acid. When taken in capsules in tissue
penetrates approximately 60 percent of the active substance. With
increasing doses of bioavailability is reduced, that is, an increase in
the number of doses or dosages above the average
impractical and inefficient. Absolute contraindication –
hypersensitivity, relative: pregnancy, lactation,
renal failure. Side effects – BP instability,
irritation of the mucous membranes of the nasopharynx and eyes, problems with the gastrointestinal tract.
- Carbamazepine (Tegretol, Finlepsin) – a derivative of carboximide,
leader in the treatment of neuritis of the cranial nerves.
They can not only eliminate all kinds of anxiety in neurosis,
but also serve as one of the components of complex analgesia.
- Heterocyclic agents: Buspirone (Spitomin), combines
imagine the characteristics of an antidepressant and tranquilizer. A plus
it becomes that the drug does not cause lethargy and feeling
- Benzodiazepine derivatives: Diazepam (Relanium, Seduxen,
Valium), Bromazepam (Pexotan), Nitrazepam, Chlordiazepaxide
(Elenium), Mezapam, Clonazepam, Fenazepam.
European guidelines for major varieties
neuropathy in the head area suggest the following order of choice
- Pain associated with lesions of the trigeminal nerve: drugs
Carbamazepine (Finlepsin), Oscarbazepine are the first row.
The second treatment option is surgery
elimination of tunnel syndrome or demyelination of the nervous
- Herpetic neuralgia: drugs of choice
Pregabalin, Gabapenten. You can also start with the local Lidocaine
blockade The second row of medicines: Capsacin, Tramadol, Valproata
(anticonvulsants) and opioid analgesics.
- Central neuropathic pains begin to lead on Pregabalin,
Gabapentene, tricyclic antidepressants. With неэффективности
move to antiepileptic lamotrigine, cannabinoids and
Opioid analgesics and tramadol
With целом ряде ситуаций, прежде всего онкологического
the patient’s origins are transferred to tramadol or morphine-like
analgesics central action. These two groups of drugs
combined not so much by common mechanisms of action as by that
attention paid to their discharge and accounting.
If all over the world Tramadol is used completely in regular
situations as a standard pain relief, then in our state
getting it costs the patient certain temporal and nervous
costs. As a rule, recommendations for his appointment writes
analgologist. Then the hospital can write a prescription for
receiving pills or an injectable drug.
- Tramadol is a weak opioid analgesic and does not
related to drugs. Comparable to Prosidol is his strength
- The more powerful are Fentanyl, Omnopon, Buprenorphine, Morphine,
Promedol. The drugs inhibit the centers of pain in the thalamus, cause
euphoria, change the color of pain and its perception.
Most opioids are addictive and
addiction. In large doses, respiratory depression and vascular
Local painkillers in solutions
These are Lidocaine, Trimecain, Novocain – used in the form
What headache pills relieve migraine
Cephalgia associated with migraine may be prevented or
cropped after its appearance (see how to relieve pain
To eliminate pain apply:
- Nonsteroid painkillers.
- Selective serotonin agonists in tablets or nasal
sprays: Sumatripan, Imigran, Anti-migren, Zolmitriptan, Zolmigren,
Rapimig, Rizatriptan, Noratriptan. With этом Имигран в спрее годится
for relief of prolonged migraine (migraine status).
- Dihydroergotomine derivatives: Dihydroergotamine mesylate
reduces spasm of the veins.
To prevent seizures (if a migraine occurs more often than two
once a month, badly eliminated by nonsteroids and degrades the quality
human life) use the following list:
- Beta adrenoblockers: Metoprolol, Bisoprolol, Egilok, Betalok
- Serotonin antagonists: Sandomigran, Divascan, Disylil.
- Calcium antagonists: Verapamil, Nemotan, Flunarizin.
- Antiepileptic: Topiramate.
- Antidepressants: Nortriptilin, Amitriptyline, Doxepin,
- Antihistamines: ProfiMig.
Reduced intracranial pressure
A bursting headache is a frequent high pressure companion
cerebrospinal fluid with its increased production or
obstructed outflow in the cistern system of the brain.
- The main drugs that help to quickly solve this
the problem is getting magnesium sulfate injections and diacarb in
tablets under the cover of potassium preparations (Asparkam,
- With неэффективности консервативного лечения приходится
resort to shunting operations.
- Drugs that relieve headache with increased intraocular
pressure. Different types of glaucoma can cause pain in the head.
Pilocarpine, Aruthymol, Proxofelin,
Betoptik, Kosopt, Xalacom, Travatan.
Headache Medications for Pressure
With повышенном артериальном давлении, особенно в момент
hypertensive crisis, patients are disturbed by headaches
mainly in the occipital region to which can
join nausea, vomiting, dizziness. If pressure
not to reduce in due time, vascular catastrophe can develop:
stroke or heart attack (see the list of all drugs with high
Almost never use intramuscular injection.
магнезии, которой часто купировали гипертонический криз.
Now use capoten (25-50 mg under the tongue), nifedipine
(Cornifar) 10-5 mg or fiziotenzom (moxonidine) 0.4 mg. For
those who still use clonidine for ongoing therapy
(clonidine) this drug is suitable in a dose of 0.15-0, 075 mg.
Of course, targets in the treatment of arterial
hypertension are reduced risks for target organs (head
мозга, hearts. kidney and eye) and maintaining pressure on the target
figures, that is, in fact, warning of increases in blood pressure above 140 by 90
For этого пользуются средствами следующих групп.
- Diuretic: Hypothiazide, Indapamide (see list of diuretics
- Beta blockers: Bisoprolol, Metoprolol.
- Calcium channel blockers: Verapamil, Nifedipine,
- ACE Inhibitors: Enalapril, Lisinopril.
- Alpha-blockers: Carvedilol.
- Sartans: Valsartan, Candesartan, Lazortan, Eprosartan.
Pills for headache during pregnancy
In a pregnant woman, headaches can be caused by
same reasons as non-pregnant (see what to do with headache
pain during pregnancy). Besides hormonal fluctuations on
background interesting position in themselves can be a provocateur
cephalgia Independently take no pain killers or
other medicines for pain is impossible. It may cost
life and health of the unborn child. It is worth asking for
consultation with a doctor (gynecologist or general practitioner).
Often behind a headache is late gestosis of pregnant women,
which raises blood pressure. Extreme manifestation
such condition becomes pre-eclampsia and eclampsia, which
require inpatient treatment and may cause involuntary
premature resolution of pregnancy.
Thus, the best tablets from the head are drugs,
which with the maximum ability to cope with this
clinical situation have a minimum of side effects for
this patient. For того, чтобы найти для себя такие таблетки,
It is necessary to consult a doctor to find the causes of headaches and selection
medicinal or non drug treatment.