HeadWise HeadWise: Volume 2, Issue 2 - Page 33

Sorrow, Stress in Service Military servicemen and women are no strangers to headache and depression. According to research published in the June 2008 issue of the journal Headache, 47 percent of troops surveyed during the last three months of a one-year combat tour in Iraq screened positive for migraine, probable migraine or non-migraine headache. Furthermore, 18.5 percent of all returning servicemen and women meet the criteria for depression or post-traumatic stress disorder, according to a 2008 study from the RAND Corporation. tricyclics—the very medications that Dr. Diamond researched in the 1960s. Specifically, pain responds “quicker and at lower doses” with amitriptyline than what would typically be needed to treat a major depressive episode, Dr. Shulman says. But tricyclics are generic medications, and because there isn’t a brand name attached to them, Dr. Diamond says most physicians aren’t aware of tricyclics. Depression and migraine may also be treated with monoamine oxidase inhibitors (MAOIs) such as Nardil®. However, MAOIs are rarely prescribed because they come with risk for serious side effects. Dr. Diamond says MAOIs are usually prescribed only for the most well-informed patients. Dr. Brandes adds that patients who have migraine and depression “will likely need a preventive medication for mi ɅɕٕѥٔѥȁɕͥUͥ՜ȁѠ́ЁЁѕ́Ёݽɬȁ́ͥ䁹ЁѼɕձЁ́э̻tͥɽѥ́ɕ͍ɥɅ͍ɅѥѥձѥQ5Lȁѡȁ٥ɅɕѵиQ5Ĺ͕ѕͥȁѼѥɕͽ5I$Ѽ́ѡѥЁѡɅѡ܁Ѽ٥єɕͥ ٽٕ́Ʌѡéչѥ́ͥ٥Յѥɕ̵ɕѕՕ́Ѽѡ卡Ёѕݡѥ̃qɸѼɕ锁ͽѡȁѽѥɕ͕́܁Ѽɕѱѡȁѡ՝́݅䁙ɽѡͼѡ䁍́ѡ́ѡЁɔɔѠɕѕtȸMձ̸ͅ()ɍ͔аݡЁɅѥٔɕͥɽݽ͕ɕٕЁ܁ͽ́ɕͥȸMձ̸ͅIɑ́܁ԁɕЁЁȁɕٕЁаȸɕ͕́ѡЁЁ́хЁѼэѡɉ䁅ɕЁЁɱ七q́ݥѠ䁍ѥѡɱȁԁɕЁͽѡ́ɽЁ̻t!\)YIQ%M59P()ܹ̹ɜ()()9ѥ!չѥ((((0