19th June 2023

A 35-year-old-man presents to A&E with severe temporal headache with left periorbital pain and tearing of his left eye

A 35-year-old-man presents to A&E with severe temporal headache with left periorbital pain and tearing of his left eye. He describes the pain as like being stabbed behind his eye, and he is pacing up and down the corridor. He has no significant past medical history and is on no regular medication. There is no focal neurology on examination.

Which one of the following is the most appropriate acute treatment of his symptoms?