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Новые аспекты диагностики и ведения пациентов с лекарственно-индуцированной головной болью

https://doi.org/10.21518/2079-701X-2013-12-14-19

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Аннотация

Лекарственно-индуцированная головная боль - цефалгия, возникающая 15 и более дней в месяц на протяжении более 3 мес. и связанная с регулярным избыточным применением препаратов для симптоматического лечения головной боли. Лекарственно-индуцированная головная боль развивается у пациентов с одной из первичных форм цефалгий, чаще всего мигренью или головной болью напряжения. Диагностика лекарственно-индуцированной головной боли является клинической, т. е. основывается на жалобах, анамнезе и диагностических критериях Международной классификации головных болей. В июле 2013 г. опубликована МКГБ-3 бета, содержащая новые критерии лекарственно-индуцированной головной боли, лечение которой включает в себя поведенческую терапию, отмену вызвавшего ее препарата, при необходимости - детоксикационную терапию, лечение симптомов, связанных с отменой препарата, а также индивидуальную профилактическую терапию основной формы головной боли. Представлен обзор литературы по методам лечения лекарственно-индуцированной головной боли. Обсуждаются риски и причины ее рецидивов, а также предикторы неэффективности лечения. Отдельное внимание уделено препарату Кетонал (кетопрофен), обладающему хорошим эффектом при купировании приступов головной боли напряжения и профилактике приступов мигрени.

Об авторах

В. А. Головачева
Первый МГМУ им. И.М. Сеченова
Россия


В. В. Осипова
Первый МГМУ им. И.М. Сеченова
Россия


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ISSN 2079-701X (Print)
ISSN 2658-5790 (Online)