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By ULY CLINIC

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Headache

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Acute Headache

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Diagnostic Criteria

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  • Secondary to fever and infectious diseases

  • Secondary to local inflammatory cause for further actions refer to fever, eye, ear and oral sections. 

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Pharmacological Treatment

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  •  Paracetamol (PO) 1g every 8 hours for at least 3 days OR Ibuprofen (PO) 400mg 8 hourly for at least 3 days

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Children

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  • Paracetamol 15 mg/kg/dose 6 hourly when required to a maximum of 4 doses per 24 hours If there is no relief to paracetamol give Ibuprofen (PO) 5–10mg/kg/dose 8 hourly

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Note: Ibuprofen shall be given with food

 

Chronic Headache 

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Diagnostic criteria

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  • Migraine

  • Cluster headache

  • Tension headache

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Pharmacological Treatment:

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Migraine

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In acute attack give analgesics:

  •  Paracetamol (PO) 1g immediately then every 4 hours; maximum dose of 4g per day OR Acetylsalicylic acid 600mg 6 hourly. AND Metoclopramide (PO) 10mg 8 hourly. OR  Metoclopramide IV 10mg 8 hourly 

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In severe attack give:

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  • Ergotamine tartrate 2mg sublingual, 12 hourly. Not to be repeated at intervals less than 4 days.

  •  For prevention purposes give: Propranolol (PO) 40–80mg 12 hourly OR  Amitriptyline (PO) 10–50mg at night

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 Cluster and tension headaches: Give analgesics as in acute headache

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Updated on 26.10.2020

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References

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1. STG page number  1-2

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