title: Symptomatic Overlap and Therapeutic Opportunities in Primary Headache.
abstract: Headache, a nearly universal experience, remains costly, disabling, and often suboptimally managed. The most common presentations in the United States are migraine, tension-type headache (TTH) and "sinus" headache, but their extensive symptomatic overlap suggests that these conditions can be approached as variations in the same underlying pathology and managed accordingly. We use case studies of patients with varying prior diagnoses (none, migraine, TTH, and sinus headache), as well as a 4-question diagnostic screening tool, to illustrate how pharmacists can use this conceptual framework to simplify identification, management, and referral of patients with primary headache conditions of uncertain etiology.
authors.affiliation: Headache Care Center, Springfield, MO, USA.
authors.forename: Roger
authors.initials: R
authors.lastname: Cady
authors.affiliation: Novartis Consumer Health, Parsippany, NJ, USA.
authors.forename: Sandy Yacoub
authors.initials: SY
authors.lastname: Garas
authors.affiliation: Novartis Consumer Health, Parsippany, NJ, USA.
authors.forename: Ketu
authors.initials: K
authors.lastname: Patel
authors.affiliation: Peterson Pharmacy, Hillboro, WI, USA Clinical Instructor, School of Pharmacy, University of Wisconsin, Maddison, WI, USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Peterson
authors.affiliation: Diamond Headache Clinic Inpatient Unit, Chicago, IL, USA Adjunct Assistant Professor, College of Pharmacy, University of Iowa, Iowa City, Iowa, USA rich.wenzel@hotmail.com.
authors.forename: Richard
authors.initials: R
authors.lastname: Wenzel
mesh_terms: D051270:Headache Disorders, Primary / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D006801:Humans; D008881:Migraine Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D010593:Pharmaceutical Services / Q000458:organization & administration; D010595:Pharmacists / Q000458:organization & administration; D024382:Professional Role; D018781:Tension-Type Headache / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D014481:United States / Q000453:epidemiology
keywords: headache; migraine; neurology; over-the-counter; tension-headache