Are Cox-2 drugs the second line option in indomethacin responsive headaches?

J Headache Pain. 2010 Oct;11(5):405-7. doi: 10.1007/s10194-010-0225-0. Epub 2010 Jun 2.

Abstract

Paroxysmal hemicrania and hemicrania continua are both indomethacin-responsive headaches. Although indomethacin use to be well tolerated, some patients developed gastrointestinal side effects. We report four cases of hemicrania continua and a patient suffering chronic paroxysmal hemicrania completely responsive to celecoxib. In our experience celecoxib is a good option treatment for patients suffering from hemicrania continua or chronic paroxysmal hemicranea that presents indomethacin adverse effects.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Celecoxib
  • Cyclooxygenase 2 Inhibitors / adverse effects
  • Cyclooxygenase 2 Inhibitors / therapeutic use*
  • Female
  • Headache / chemically induced
  • Headache / drug therapy*
  • Humans
  • Male
  • Middle Aged
  • Paroxysmal Hemicrania / chemically induced
  • Pyrazoles / adverse effects
  • Pyrazoles / therapeutic use*
  • Sulfonamides / adverse effects
  • Sulfonamides / therapeutic use*

Substances

  • Cyclooxygenase 2 Inhibitors
  • Pyrazoles
  • Sulfonamides
  • Celecoxib