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Hypnic headache.

Expert review of neurotherapeutics
September 1, 2010
Mark Obermann et al. (2 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to explore the potential of melatonin as a treatment option for hypnic headache, alongside other medications like lithium and indomethacin.

Results Summary

Melatonin was promoted as a potent medical treatment for hypnic headache, though efficacy was primarily supported by single case reports rather than systematic studies. The abstract does not provide specific data on melatonin's effectiveness compared to other treatments.

Population

Patients with hypnic headache, typically beyond 50 years of age.

Effective Dosage

Not available

Duration

Not available

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
caffeine intake
decrease
hypnic headache
patients with hypnic headache
-
is common acute, as well as prophylactic, treatment
#1
lithium
decrease
hypnic headache
patients with hypnic headache
-
was promoted as potent medical treatment
#2
indomethacin
decrease
hypnic headache
patients with hypnic headache
-
was promoted as potent medical treatment
#3
melatonin
decrease
hypnic headache
patients with hypnic headache
-
was promoted as potent medical treatment
#4
almost every other drug commonly used to treat headache or other pain syndromes
decrease
hypnic headache
patients with hypnic headache
-
was reported to be effective
#5
Abstract

Hypnic headache is a rare primary headache disorder that is characterized by exclusively sleep-related headache attacks in patients usually beyond 50 years of age. Only 174 cases have been reported in the literature so far. Owing to its low prevalence, clinical features and therapeutic options, as well as underlying pathophysiologic mechanisms, are widely unknown or being controversially discussed. The association of hypnic headache with rapid-eye movement sleep was strongly contradicted in recent articles, while an association with hypothalamic dysfunction is thought to be one important pathophysiological mechanism. Common acute, as well as prophylactic, treatment is caffeine intake, either in the form of a cup of coffee or a caffeine tablet. Lithium, indomethacin and melatonin were promoted as potent medical treatments, while almost every other drug commonly used to treat headache or other pain syndromes was reported to be effective in single case reports on hypnic headache.

Medical Subject Headings (MeSH)
Antidepressive AgentsCaffeineCentral Nervous System StimulantsCyclooxygenase InhibitorsHeadache Disorders, PrimaryHumansIndomethacinMelatonin
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality50/10
Citation Metrics
Total Citations5
Citations/Year0.3
Relative Citation Ratio0.23
NIH Percentile11.7%
Research Impact Scores
APT Score0.25
Weight Score0.87
Normalized Score0.58
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