13th August 2024

A 28-year-old female presents to the headache clinic with an 18 month history of recurrent severe unilateral headaches

A 28-year-old female presents to the headache clinic with an 18 month history of recurrent severe unilateral headaches. She describes an extreme pain focussed around her left eye which lasts for about an hour. The pain occurs about once a day for a few weeks, usually at night time, and then the pain completely disappears for 4-5 months. She is currently in a headache period and her most recent headache was last night. She has no past medical history and no allergies.

What is the most appropriate treatment to offer her?

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