Virtual Headache Specialist

Primary Stabbing Headache



  1. This type of headache is of too short duration to catch it with an abortive, or “as- needed” treatment. Therefore, the goal of treatment is focused on preventive therapy: What to take on a daily basis to try to lessen the frequency and/or severity 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. Nonsteroidal anti-inflammatory drugs (NSAIDs):
      ---Indomethacin (Indocin) (Although taking NSAIDs such as Indomethacin is not recommended as a long term treatment.)
    2. Anti-convulsant (Anti-seizure) medications:
      ---Gabapentin (Neurontin)
      ---Topiramate (Topamax)
      ---Zonisamide (Zonegran)
      ---Divalproex sodium (Depakote)
      ---Carbamazepine (Tegretol)
      ---Oxcarbazepine (Trileptal)
      ---Lamotrigine (Lamictal)
    3. Anti-depressant/Anti-anxiety medications:
      ---Amitriptyline (Elavil)
      ---Nortriptyline (Pamelor)
      ---Venlafaxine XR (Effexor XR)
      ---Desvenlafaxine (Pristiq)
      ---Duloxetine (Cymbalta)
    4. Others: