Tension type headache (TTH): treatment

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Tension type headache (TTH): treatment. Aspirin 500-1000 mg PO, Paracetamol 1000mg PO. Fully referenced neurology checklist.

Analgesics

  • Aspirin 500-1000 mg PO
  • Paracetamol 1000mg PO
  • Combination analgesics and caffeine

Non-steroidal anti-inflammatory drugs (NSAIDs)

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Prophylactic treatments

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Non-drug treatments

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Acronyms

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References

  1. Derry S, Wiffen PJ, Moore RA. Aspirin for acute treatment of episodic tension-type headache in adults. Cochrane Database Syst Rev 2017; 1:CD011888.
  2. Stephens G, Derry S, Moore RA. Paracetamol (acetaminophen) for acute treatment of episodic tension-type headache in adults. Cochrane Database Syst Rev 2016; 6:CD011889. 
  3. Bendtsen L, Evers S, Linde M, et al. EFNS guidelines on the treatment of tension-type headache-report of an EFNS task force. Eur J Neurol 2010; 17:1318-1325.
  4. Bendtsen L. Drug and nondrug treatment in tension-type headache. Ther Adv Neurol Disord 2009; 2:155-161.
  5. Fumal A, Schoenen. Tension-type headache: current research and clinical management. Lancet Neurol 2008; 7:70-83.
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