Virtual Headache Specialist

Occipital Neuralgia



  1. Preventive: What to take on a daily basis to try to lessen the frequency and/or intensity of the headaches. Preventive medicines generally take 4-6 weeks to start working and 2-3 months for full effect, assuming the correct dose of the medication is reached. These are the medications used most commonly, although this is not an all-inclusive list.
    1. Anti-convulsant (Anti-seizure) medications:
      ---Gabapentin (Neurontin)
      ---Pregabalin (Lyrica)
      ---Carbamazepine (Tegretol)
      ---Oxcarbazepine (Trileptal)
      ---Topiramate (Topamax)
      ---Lamotrigine (Lamictal)
      ---Divalproex sodium (Depakote)
      ---Lacosamide (Vimpat)
      ---Zonisamide (Zonegran)
    2. Anti-depressant/Anti-anxiety medications:
      ---Amitriptyline (Elavil)
      ---Nortriptyline (Pamelor)
      ---Duloxetine (Cymbalta)
      ---Desvenlafaxine (Pristiq)
      ---Venlafaxine XR (Effexor XR)
    3. Others:
      ---Neck physical therapy
      ---Occipital nerve blocks
      ---Occipital nerve neurostimulation
      ---Occipital nerve decompression