| + | | Migraine || F > M, throbbing, unilateral, aura, nausea, vomiting, photophobia, phonophobia, visual disturbances, family history, hours to days || NSAIDs, SQ triptans, CGRPs || AEDs (topiramate, valproate), Beta blockers (propranolol), Verapamil, low-dose TCAs (amitryptaline), zonisamide, botox, CGRPs |
| + | | Cluster || M > F, sharp/stabbing, unilateral, retro-orbital, occurs at the same time each day, resolves quickly; exam reveals Horner syndrome, ipsilateral nasal congestion, conjunctival injection, lacrimation || 100% O2, SQ triptans || AEDs (topiramate, valproate), Verapamil, lithium, steroids |
| + | | Tension || dull/tight/pressure, bilateral, band-like, can extend into the neck and shoulders, triggered by stress, lasts up to 7 days || NSAIDs/APAP, massage, heat, relaxation || Avoid triggers |