Table 3

Treatment of primary headache 15 21–23

Non-pharmacologicalPharmacological
Migraine
 AcuteEncourage sleepGive medication as soon as possible
Paracetamol
Ibuprofen
Antiemetic* for example, Domperidone, Cyclizine
 PreventiveEnsure regular sleep, hydration, regular meals, exercise
Identify and avoid other potential triggers
Rarely indicated
Propranolol*
Pizotifen*
Antiepileptics*

Tension-type headache
 AcuteDistraction techniquesNone if mild
Paracetamol and/or ibuprofen if severe (avoid medication overuse)
 PreventiveEnsure regular sleep, hydration, regular meals, exercise
Identify and avoid other potential triggers
Not recommended
*Limited evidence-base in this age group