Pharmacological Treatments of Headache

두통의 약물학적 치료

  • Na, Eun-Jin (Department of Psychiatry, Chonbuk National University Medical School) ;
  • Park, Jong-Il (Department of Psychiatry, Chonbuk National University Medical School) ;
  • Yang, Jong-Chul (Department of Psychiatry, Chonbuk National University Medical School)
  • 나은진 (전북대학교 의학전문대학원 정신과학교실) ;
  • 박종일 (전북대학교 의학전문대학원 정신과학교실) ;
  • 양종철 (전북대학교 의학전문대학원 정신과학교실)
  • Received : 2016.05.27
  • Accepted : 2016.06.20
  • Published : 2016.06.30


Headache is one of the most common physical symptoms which almost everyone experience at least once during a life. Headache is often associated with disability, but rarely with secondary headache which could result in a serious life-threatening illness, i.e. brain tumor. However, in most cases, headache is a benign illness which comprises a primary headache, i.e. migraine or tension-type headache. The accurate diagnosis of headache is critical for clinicians and it begins with history taking and physical examination since there are no diagnostic tests for primary headaches. Nowadays, there are a wide variety of pharmacological treatments according to each headache disorder. The specific purposes of this review are introducing history of classification of headache disorder and presenting diagnostic process of headache disorder. Then, we discuss the effective pharmacological treatment strategies of each headache disorder.

두통은 대부분의 사람들이 평생 한번씩은 경험하는 가장 흔한 신체증상이다. 심각한 상황을 야기하는 뇌종양과 같은 일부의 원인을 제외하고, 두통의 대부분은 편두통이나 긴장성 두통과 같은 일차성 두통으로 알려져 있다. 두통의 정확한 진단은 임상의들의 자세한 병력 청취와 신체 검사로부터 시작된다. 본 종설에서는 두통의 세부진단과 진단과정에 대해 고찰하고, 효과적인 약물치료 전략에 대해서 논의하고자 한다.



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