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Triptans in orgasmic headache
Article first published online: 16 OCT 2006
DOI: 10.1111/j.1468-2982.2006.01224.x
Additional Information
How to Cite
Frese, A., Gantenbein, A., Marziniak, M., Husstedt, I., Goadsby, P. and Evers, S. (2006), Triptans in orgasmic headache. Cephalalgia, 26: 1458–1461. doi: 10.1111/j.1468-2982.2006.01224.x
Publication History
- Issue published online: 16 NOV 2006
- Article first published online: 16 OCT 2006
- Received 26 March 2006, accepted 29 June 2006
- Abstract
- Article
- References
- Cited By
Keywords:
- Migraine;
- sexual headache;
- triptans
Orgasmic headache (headache associated with sexual activity type 2 according to the International Headache Society classification) is a sudden severe headache which occurs at orgasm. Experiences with triptan therapy are described. Two out of four patients with severe headache continuing for >2 h had a positive response to acute triptan therapy. Two out of three patients using triptans as short-term prophylaxis reported a reliable response on several occasions. Triptans might be a treatment option to shorten orgasmic headache attacks after the diagnosis is clear and, particularly, subarachnoid haemorrhage has been excluded. In patients who chose to predict their sexual activity, short-term prophylaxis with oral triptans 30 min before sexual activity might be a therapeutic option in those not responsive to or not tolerating indomethacin.