[Drug-induced headache and pain reduction medication with amitriptyline in an 11-year old pupil].
We report on an 11-year-old pupil who present-ed to a neurological practice in the company of his parents because of migraine and strong headaches. Precise anamnesis of drugs yielded the diagnosis of a drug-induced headache with underlying migraine disease. The boy was afflict-ed with a hereditary taint, as both parents also suffered from migraine. The mother was also continuously in treatment because of a chronic pain disorder. Therapy with up to 50 mg per day of amitriptyline enabled the boy to stop consuming analgesics without suffering from head-aches. Moreover, under 47.5 mg per day of metoprolol, the migraine symptoms did not re-occur.
Klinik für Abhängiges Verhalten und Suchtmedizin, Zentralinstitut für Seelische Gesundheit, Mannheim. croissant@zi-mannheim.de
B
B
Croissant
K
K
Brosi
D
D
Hermann
K
K
Mann
D000639:Amitriptyline / Q000627:therapeutic use*; D000700:Analgesics / Q000009:adverse effects* / Q000627:therapeutic use*; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001241:Aspirin / Q000009:adverse effects; D002648:Child; D004177:Dipyrone / Q000009:adverse effects; D020773:Headache Disorders / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy*; D006801:Humans; D007052:Ibuprofen / Q000009:adverse effects; D008297:Male; D008790:Metoprolol / Q000627:therapeutic use*; D008881:Migraine Disorders / Q000139:chemically induced / Q000175:diagnosis / Q000188:drug therapy; D013334:Students; D016896:Treatment Outcome
D000700:Analgesics; D000959:Antihypertensive Agents; D000639:Amitriptyline; D004177:Dipyrone; D008790:Metoprolol; D001241:Aspirin; D007052:Ibuprofen