Short-lasting Unilateral Neuralgiform Headache Attacks With Conjunctival Injection And Tearing (Sunct) Or Short-lasting Unilateral Neuralgiform Headache Attacks With Cranial Autonomic Symptoms (Suna)
Treatment
- 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.
- Anti-convulsant (Anti-seizure) medications:
---Lamotrigine (Lamictal) (This is the first-line treatment which has the best evidence for benefit.)
---Gabapentin (Neurontin)
---Carbamazepine (Tegretol)
---Oxcarbazepine (Trileptal)
---Topiramate (Topamax)
---Zonisamide (Zonegran)
---Divalproex sodium (Depakote)
