TTH: tension-type headache; IV: intravenous; IM: intramuscular; NSAIDs: nonsteroidal antiinflammatory drugs.
* For patients weighing <50 kg or >64 years old, use a reduced dose of ketorolac (15 mg IV or 30 mg IM once).
¶ Acetaminophen is the preferred option in pregnancy and for patients unable to tolerate NSAIDs or aspirin.
Δ Refer to UpToDate topic for additional details on the differential diagnosis of tension-type headache.
◊ Several medications may be used for preventive treatment of tension-type headache in adults including tricyclic antidepressants and antiseizure medications. Refer to UpToDate topics for additional details.