Indomethacin: It is important to have a firm diagnosis, and MRI of the brain may be warranted to exclude any structural disease. But if it is icepick headache, most patients respond very well to indomethacin 75-250 mg/day in divided doses. There is generally a response within days. There are alternatives such as gabapentin if this does not stop the headaches or you cannot take indomethacin.
Answered 11/28/2017
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