Postictal Headache Treatment

A postictal headache occurs after an epileptic seizure. Almost half of the people who have epilepsy will get a headache after the seizure stops and this type of headache can last an entire day or longer. Headaches may be mild or patients may experience a throbbing migraine headache. Depending on the severity and frequency of the headaches, postictal headache treatment consists of taking medications or practicing at home management.

Medication

Once a postictal headache begins, taking medication may ease the pain. Nonprescription pain relievers that can be purchased over the counter, such as acetaminophen or ibuprofen, taken according to the package directions, may be helpful. For those who suffer from frequent headaches after a seizure, their doctor may prescribe a prescription medication. Common prescription headache medications include Anaprox or Fiorinal. Migraine postictal headaches can be treated with prescription triptans such as Zomig and Imitrex.

Prophylactic Treatment

This type of treatment also requires taking medication, but this method is used to prevent seizure headaches from happening at all. Instead of taking medication after a headache begins, this method consists of taking medication every day for prevention. The doctor may prescribe an anti-seizure medication, such as Depakote; a beta blocker, such as Inderal; or a calcium channel blocker, such as Elavil, to prohibit postictal headaches.

Management

Mild or moderate headaches that occur after an epileptic seizure may be managed at home without taking any medication. Resting or sleeping in a dark, quiet room and placing a pillow under the head or neck can be effective. In addition, placing a cold pack on the painful area may also help. Staying away from stressful situations and limiting caffeine consumption can also help to ease the pain of a postictal headache.