Wien Klin Wochenschr. 1994 ; 106(6): 153-8.

[Polypragmasy in chronic tension headache?]

Aull S, Maly J, Mraz M, Schnider P, Travniczek A, Zeiler K, Wessely P.

Kopfschmerzambulanz, Neurologischen Universitätsklinik, Wien.

The various forms of treatment (drugs as well as non-drug therapy) of patients suffering from tension type headache are presented. Analgesics and non-steroidal antirheumatics are used in the management of episodic tension type headache, as well as acute exacerbation of chronic tension type headache. In view of the presumably multifactorial pathogenesis, a multidimensional therapeutic approach is required in patients with chronic tension type headache. Antidepressive drugs (thymoleptics) are usually prescribed as basic therapy. Additional implementation of non-drug therapeutic measures tailored to individual symptomatology is advisable, such as EMG biofeedback, other relaxation techniques, massage, physiotherapy and--in selected cases--psychotherapy or acupuncture.