Headache Education Center

Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) or Short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA)


Description
Treatment
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Treatment


  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. 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)