What medications are recommended for treating intractable headaches?

For patients with intractable headaches, clinical practice typically recommends adhering to physician-prescribed treatments with non-steroidal anti-inflammatory drugs (NSAIDs), ergotamine preparations, and triptans. However, it is crucial to note that these medications come with potential side effects and contraindications, and the choice of medication varies based on the type of pain. Here's a breakdown:

1. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Such as Ibuprofen Sustained-Release Capsules, Diclofenac Sodium Sustained-Release Tablets, and Paracetamol Granules, these inhibit prostaglandin synthesis in the body, thereby alleviating migraines or tension-type headaches caused by neurovascular factors.

2. Ergotamine Preparations

These medications have a vasoconstrictive effect on cerebral veins, improving headache symptoms resulting from intracranial and extracranial circulatory disorders. Common examples include Dihydroergotamine Caffeine Capsules and Doxepin Mesylate Dropping Pills.

3. Triptans

Including Sumatriptan Tablets, Zolmitriptan Tablets, and Pizotifen Tablets, these drugs exert analgesic effects by acting on the central nervous system, providing some relief to patients' discomfort.

4. Other Medications

If the above methods fail to effectively control symptoms, aspirin enteric-coated tablets and indomethacin suppositories, among other antipyretic and analgesic drugs, may be prescribed under medical guidance to alleviate symptoms. In cases accompanied by anxiety or depression, diazepam tablets and estazolam tablets, as psychotropic drugs, can be administered as adjunctive therapy.

Some patients may also consider complementary treatments like traditional Chinese medicine acupuncture therapy, massage, and tuina (Chinese medical massage). Daily routines should avoid late nights and overexertion, maintaining a cheerful mood conducive to recovery.