Question

A 45-year-old office worker presents with a 2-week history of unilateral throbbing headache associated with nausea and photophobia. Neurological examination is normal. What is the most appropriate first-line acute treatment?

Accepted Answer

Paracetamol combined with an NSAID and consideration of a triptan

Answer

Opioid analgesics such as codeine

Answer

Daily prophylactic beta blocker

Answer

Oral corticosteroid taper

Answer

No treatment; reassure

Practice question

A 45-year-old office worker presents with a 2-week history of unilateral throbbing headache associated with nausea and photophobia. Neurological examination is normal. What is the most appropriate first-line acute treatment?