POLYPRAGMASY IN CHRONIC TENSION-TYPE HEAD ACHE

The various forms of treatment (drugs as well as non-drug therapy) of patients suffering from tension type headache are presented. Analgesic s and non-steroidal antirheumatics are used in the management of episo dic tension type headache, as well as acute exacerbation of chronic te nsion type headache. In view of the presumably multifactorial pathogen esis, a multidimensional therapeutic approach is required in patients with chronic tension type headache. Antidepressive drugs (thymoleptics ) are usually prescribed as basic therapy. Additional implementation o f non-drug therapeutic measures tailored to individual symptomatology is advisable. Such as EMG biofeedback, other relaxation techniques, ma ssage, physiotherapy and - in selected cases - psychotherapy or acupun cture.