Headache, Diagnostic Criteria & Pharmacological Treatment;- Headaches are a very common condition that most people will experience many times during their lives. The main symptom of a headache is a pain in your head or face. This can be throbbing, constant, sharp or dull. Headaches can be treated with medication, stress management and biofeedback.
Headache, Diagnostic Criteria & Pharmacological Treatment
- Secondaryto fever and infectious diseases
- Secondaryto local inflammatory cause
For further actions refer to fever, eye, ear and oral sections.
- A: Paracetamol (PO) 1g every 8 hours for at least 3 days
- A: Ibuprofen (PO) 400mg 8 hourly for at least 3 days
- A: 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:
- A: Ibuprofen (PO) 5–10mg/kg/dose 8 hourly
Note:Ibuprofen shall be given with food.
In acute attack give analgesics:
- A: Paracetamol (PO) 1g immediately then every 4 hours; maximum dose of 4g per day
- A: Acetylsalicylic acid 600mg 6 hourly.
- C: Metoclopramide (PO) 10mg 8 hourly.
- C: Metoclopramide IV 10mg 8 hourly
In severe attack give:
- C: Ergotamine tartrate 2mg sublingual, 12 hourly. Not to be repeated at intervals less than 4 days.
For prevention purposes give:
- A: Propranolol (PO) 40–80mg 12 hourly
- A: Amitriptyline (PO) 10–50mg at night