Samenvatting van de standaard 'Hoofdpijn' van het Nederlands Huisartsen Genootschap

- The previous guideline ‘Migraine’ has been replaced by the guideline ‘Headache’, which includes tension headache, migraine, substance-induced headache and cluster headache.

- For evaluation of the diagnosis and treatment of these types of headache, regular follow-up of these patients is necessary, preferably on the basis of a headache diary.

- In an individual patient, migraine and tension headache can occur interchangeably, even in the course of one attack.

- Ergotamine is no longer recommended for the treatment of migraine attacks in new patients.

- The pharmacotherapy of migraine must be adjusted to the medication already used by the patient and the severity of the attacks.

- The recommended treatment for substance-induced headache is to withdraw the responsible medicines completely; explanation, motivation, and support are very important.

Ned Tijdschr Geneeskd. 2006;150:305-9