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Indomethacin 3Xdaily not effective for hemicrania continua?

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December 6th, 2011
I have many symptoms which suggest I have hemicrania continua. I have a constant headache on the left hand side of my head which vary in intensity. I also have occasional throbbing migraine type headaches on that side and i also have intermittant pains at the back of the top of my head which feel like someone is sicking a knife or skewer into my head. I also have non headache symptoms such as weeping eye and runny nose on the same side of the head as the headache and i often feel there is something in my left eye. I also have frequent sweating and am way past menopause.

My problem is that I have been taking 50mg of Indomethacin 3 times daily for 6 weeks and I have not had a complete response which is what the literature suggest will happen. Does this mean I do not have this condition. My healthcare provider knows very little about this condition.


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replied January 7th, 2012
Headache and Migraines Answer A30117
Hello,
Welcome to the ehealthforum and I am really glad to help you out.

Hemicrania continua (HC) is a persistent unilateral headache that responds to indomethacin. It is usually unremitting, but rare cases of remission have been documented. Although your symptoms are suggestive of hemicrania continua, but the possibility of cluster headaches which are usually repetitive should also be evaluated.

Try OTC medicines like aspirin or acetaminophen. For headache pain that cannot be controlled with pain relievers, antidepressants, beta-blockers, or anticonvulsants may be prescribed. Use a cold compress to the area of pain, rest in a room with little or no sensory stimulation (light, sound, and odors) and withdraw from stressful surroundings.


If still the headaches persist then please consult a neurologist. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care.



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