13th August 2024

A 27-year-old female is referred to the neurology clinic with a ten month history of intermittent headache

A 27-year-old female is referred to the neurology clinic with a ten month history of intermittent headache. The headaches occur every few weeks and last for 6-8 hours each time. She describes them as a severe, throbbing pain on the right side of her head. She also reports feeling sick and even sometimes vomiting during the episodes. She is unable to do anything when the headache is present and usually has to lie down in a dark room until it goes away. She is currently headache free and her full neurological exam is normal. She would like to know if there is any treatment which will reduce the frequency of these headaches.

What medication would you recommend?

Select the SINGLE most appropriate option from the list below. Select ONE option only.