{"id":61651,"date":"2026-04-16T09:59:39","date_gmt":"2026-04-16T08:59:39","guid":{"rendered":"https:\/\/www.mediconanet.pt\/?p=61651"},"modified":"2026-04-17T16:32:48","modified_gmt":"2026-04-17T15:32:48","slug":"enxaqueca-crise-sintomas-tratamento","status":"publish","type":"post","link":"https:\/\/www.mediconanet.pt\/en\/enxaqueca-crise-sintomas-tratamento\/","title":{"rendered":"Enxaqueca: Reconhecer e Tratar uma Crise"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"61651\" class=\"elementor elementor-61651\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-570cfe3 e-flex e-con-boxed e-con e-parent\" data-id=\"570cfe3\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1761780 elementor-widget elementor-widget-text-editor\" data-id=\"1761780\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2>Introdu\u00e7\u00e3o<\/h2><p>A <b>enxaqueca <\/b>\u00e9 a segunda causa mundial de anos vividos com incapacidade e afeta cerca de 15% da popula\u00e7\u00e3o portuguesa, predominantemente mulheres. Ao contr\u00e1rio do que o nome popular \u00abdor de cabe\u00e7a\u00bb pode sugerir, \u00e9 uma doen\u00e7a neurol\u00f3gica complexa, cr\u00f3nica e, muitas vezes, subdiagnosticada.<\/p><h2>Caracter\u00edsticas da dor<\/h2><p>Uma crise de <b>enxaqueca <\/b>t\u00edpica dura entre 4 e 72 horas, a dor \u00e9 unilateral, puls\u00e1til, de intensidade moderada a grave, agrava com a atividade f\u00edsica e \u00e9 acompanhada por n\u00e1useas\/v\u00f3mitos, fotofobia ou fonofobia. Cerca de 25% dos doentes experimentam aura \u2014 sintomas neurol\u00f3gicos transit\u00f3rios (visuais, sensitivos, de linguagem) que precedem ou acompanham a dor.<\/p><h2>Diagn\u00f3stico<\/h2><p>O diagn\u00f3stico de <b>enxaqueca <\/b>\u00e9 cl\u00ednico, assente nos crit\u00e9rios da International Classification of Headache Disorders (ICHD-3). Exames de imagem s\u00f3 s\u00e3o necess\u00e1rios na presen\u00e7a de sinais de alarme: cefaleia em \u00abtrov\u00e3o\u00bb, cefaleia nova ap\u00f3s os 50 anos, altera\u00e7\u00e3o do padr\u00e3o habitual, d\u00e9fices neurol\u00f3gicos focais, febre, imunossupress\u00e3o, cancro ou traumatismo.<\/p><h2>Tratamento da crise<\/h2><p>O tratamento da <b>enxaqueca <\/b>deve ser precoce e adequado \u00e0 intensidade. Para crises ligeiras a moderadas: AINE (ibuprofeno 400-600 mg, naproxeno 500 mg, diclofenac), paracetamol ou aspirina em dose alta. Em crises moderadas a graves ou quando os AINE falham, os triptanos (sumatriptano, zolmitriptano, rizatriptano, eletriptano) s\u00e3o a primeira linha. Os antiem\u00e9ticos (metoclopramida, domperidona) aliviam n\u00e1useas e melhoram a absor\u00e7\u00e3o. Os opioides e os derivados da ergotamina n\u00e3o s\u00e3o recomendados em primeira linha. Os gepantes (ubrogepant, rimegepant) e o lasmiditan s\u00e3o novas op\u00e7\u00f5es aprovadas pelo FDA e EMA.<\/p><h2>Cefaleia por uso excessivo de medica\u00e7\u00e3o<\/h2><p>Tomar analg\u00e9sicos mais de 10-15 dias por m\u00eas pode transformar\u00a0<a href=\"https:\/\/www.mediconanet.pt\/produto\/enxaqueca\/\" target=\"_blank\" rel=\"noopener\"><b>enxaqueca<\/b>\u00a0<\/a>epis\u00f3dica em cefaleia cr\u00f3nica di\u00e1ria \u2014 uma armadilha frequente. Este \u00e9 um dos motivos pelos quais a profilaxia \u00e9 t\u00e3o importante em quem tem crises frequentes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1545e08 e-flex e-con-boxed e-con e-parent\" data-id=\"1545e08\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8ee3907 elementor-widget elementor-widget-image\" data-id=\"8ee3907\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-16T002938.016-1024x576.jpg\" class=\"attachment-large size-large wp-image-61643\" alt=\"Mulher em consulta online para tratar enxaqueca\" srcset=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-16T002938.016-1024x576.jpg 1024w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-16T002938.016-300x169.jpg 300w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-16T002938.016-768x432.jpg 768w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-16T002938.016-18x10.jpg 18w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-16T002938.016-600x337.jpg 600w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-16T002938.016.jpg 1366w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9ad30cf e-con-full e-flex e-con e-child\" data-id=\"9ad30cf\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-66e4f21 e-con-full e-flex e-con e-child\" data-id=\"66e4f21\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c44ae3e elementor-widget elementor-widget-heading\" data-id=\"c44ae3e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perguntas frequentes (FAQ)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-439b5c3 elementor-widget elementor-widget-n-accordion\" data-id=\"439b5c3\" data-element_type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7080\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7080\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Os triptanos s\u00e3o seguros? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-d801294 e-con-full e-flex e-con e-child\" data-id=\"d801294\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-67dd609 e-flex e-con-boxed e-con e-child\" data-id=\"67dd609\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2204be5 elementor-widget elementor-widget-text-editor\" data-id=\"2204be5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Sim, na grande maioria das pessoas. Contraindicados em doen\u00e7a cardiovascular, AVC, hipertens\u00e3o n\u00e3o controlada e <b>enxaqueca <\/b>hemipl\u00e9gica.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7081\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7081\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Devo tomar o comprimido logo no in\u00edcio da crise? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-f07e3ff e-con-full e-flex e-con e-child\" data-id=\"f07e3ff\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-ba0d7df e-flex e-con-boxed e-con e-child\" data-id=\"ba0d7df\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bd0918d elementor-widget elementor-widget-text-editor\" data-id=\"bd0918d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Sim. O tratamento precoce, ainda durante a fase de intensidade ligeira, \u00e9 mais eficaz do que esperar a dor instalar-se.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7082\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7082\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Posso conduzir depois de tomar um triptano? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-1948aa2 e-con-full e-flex e-con e-child\" data-id=\"1948aa2\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-44203e4 e-flex e-con-boxed e-con e-child\" data-id=\"44203e4\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90363e4 elementor-widget elementor-widget-text-editor\" data-id=\"90363e4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Sonol\u00eancia e tonturas podem surgir. Aguarde at\u00e9 sentir-se capaz antes de conduzir ou operar m\u00e1quinas.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Os triptanos s\\u00e3o seguros?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sim, na grande maioria das pessoas. Contraindicados em doen\\u00e7a cardiovascular, AVC, hipertens\\u00e3o n\\u00e3o controlada e enxaqueca hemipl\\u00e9gica.\"}},{\"@type\":\"Question\",\"name\":\"Devo tomar o comprimido logo no in\\u00edcio da crise?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sim. O tratamento precoce, ainda durante a fase de intensidade ligeira, \\u00e9 mais eficaz do que esperar a dor instalar-se.\"}},{\"@type\":\"Question\",\"name\":\"Posso conduzir depois de tomar um triptano?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sonol\\u00eancia e tonturas podem surgir. Aguarde at\\u00e9 sentir-se capaz antes de conduzir ou operar m\\u00e1quinas.\"}}]}<\/script>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-02d7fba e-flex e-con-boxed e-con e-parent\" data-id=\"02d7fba\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca91313 elementor-widget elementor-widget-text-editor\" data-id=\"ca91313\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2>Refer\u00eancias<\/h2><a href=\"https:\/\/www.ehf-org.org\/\" target=\"_blank\" rel=\"dofollow noopener\">European Headache Federation \u2013 Migraine Guidelines<\/a>\n\n<a href=\"https:\/\/cks.nice.org.uk\/\" target=\"_blank\" rel=\"dofollow noopener\">NICE CKS \u2013 Migraine<\/a>\n\n<a href=\"https:\/\/americanheadachesociety.org\/\" target=\"_blank\" rel=\"dofollow noopener\">American Headache Society<\/a>\n\n<a href=\"https:\/\/www.dgs.pt\/\" target=\"_blank\" rel=\"dofollow noopener\">DGS \u2013 Abordagem das cefaleias<\/a>\n\n<a href=\"https:\/\/ichd-3.org\/\" target=\"_blank\" rel=\"dofollow noopener\">ICHD-3 \u2013 Classification of Headache Disorders<\/a>\n\n<a href=\"https:\/\/www.nhs.uk\/\" target=\"_blank\" rel=\"dofollow noopener\">NHS \u2013 Migraine<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Introdu\u00e7\u00e3o A enxaqueca \u00e9 a segunda causa mundial de anos vividos com incapacidade e afeta cerca de 15% da popula\u00e7\u00e3o portuguesa, predominantemente mulheres. Ao contr\u00e1rio do que o nome popular \u00abdor de cabe\u00e7a\u00bb pode sugerir, \u00e9 uma doen\u00e7a neurol\u00f3gica complexa, cr\u00f3nica e, muitas vezes, subdiagnosticada. Caracter\u00edsticas da dor Uma crise de enxaqueca t\u00edpica dura entre [&hellip;]<\/p>\n","protected":false},"author":13102,"featured_media":61660,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[150],"tags":[],"class_list":["post-61651","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-enxaqueca"],"jetpack_featured_media_url":"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/04\/Imagem-para-Redes-Sociais-a-Rosa-sobre-Descontos-de-Primavera-2026-04-16T023031.370.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/61651","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/users\/13102"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/comments?post=61651"}],"version-history":[{"count":4,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/61651\/revisions"}],"predecessor-version":[{"id":61659,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/61651\/revisions\/61659"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media\/61660"}],"wp:attachment":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media?parent=61651"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/categories?post=61651"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/tags?post=61651"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}