13th August 2024

A 50-year-old man who was diagnosed with tension type headaches 3 years ago has been struggling to manage his symptoms

A 50-year-old man who was diagnosed with tension type headaches 3 years ago has been struggling to manage his symptoms. Since his diagnosis, he has experienced headaches approximately 20 days per month. He takes a dose of paracetamol or ibuprofen about once every 3 days, when the pain is really bad, however he does not want to take it more often as he has been warned about the risk of medication overuse headaches. He has a past medical history of cholecystitis 10 years ago and impaired glucose tolerance. He would like to know if there are any prophylactic medical treatments available.

What is the most appropriate treatment to offer?

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