3 doctors weighed in:

With hemicrania continua, is there anything that can be done medically/surgically or just with indomethacin and other drugs?

3 doctors weighed in
Dr. David Lipkin
Internal Medicine
2 doctors agree

In brief: See below

Indomethacin is the best medication.
For those that can't tolerate it Celexa (citalopram) has been helpful. Tricyclic antidepressants have also been used.Other medications with case reports of efficacy include melatonin, topiramate, verapamil and gabapentin. Radio frequency ablation of supraorbital branch of trigeminal N, Botox, and deep brain stimulation have been used.

In brief: See below

Indomethacin is the best medication.
For those that can't tolerate it Celexa (citalopram) has been helpful. Tricyclic antidepressants have also been used.Other medications with case reports of efficacy include melatonin, topiramate, verapamil and gabapentin. Radio frequency ablation of supraorbital branch of trigeminal N, Botox, and deep brain stimulation have been used.
Dr. David Lipkin
Dr. David Lipkin
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