Suggest medication to manage severe headaches

Posted on Fri, 19 Jun 2015 in Headache and Migraines
Question: Having severe tension headaches can this service prescribe pain medication
Answered by Dr. Neeraj Kumar 3 hours later
Brief Answer:
Try amitryptiline under guidance

Detailed Answer:
Hello XXXX,
Tension type headache is chronic headache, bilateral, pressing bursting type. It's continuous and associated with some stress anxiety or depression.
There is no associated nausea, vomiting, photophobia, phonophobia.
No associated redness of eye, unilateral, autonomic features.
Not releived by rest.
Tension type headache is the most common headache.
So if you have such features then you are suffering from tension type headache.
For treatment amitryptiline in doses ranging from 10 mg to 100 mg can be tried. Higher doses have greater sedation and side effects.
Some other antidepressants can be tried.
One entity is medication overuse headache in which the tension headache doesn't get releived due to misuse of painkillers for long duration.
I will advise you to consult a neurologist for proper evaluation and treatment.
Hope you found the answer helpful.
Wishing you good health.
Dr Neeraj Kumar
Above answer was peer-reviewed by : Dr. Raju A.T
Answered by
Dr. Neeraj Kumar


Practicing since :2006

Answered : 2263 Questions


The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  

Recent questions on  Tension headache

doctor1 MD

I am 19 years old and have been headaches for almost a year now. The pain doesn t stop, some days it hurts less, some days more. I was put on...

doctor1 MD

I fequently have headaches that over the years that doctors have said were tension headaches. Sometimes I have a burning sensation also. At times...

doctor1 MD

hi sir. i had headache and earpain.for almost one year.i had consulted doctor n they told as obstructive hydrocephalus..and did vp shunt...

doctor1 MD

what could be causing my headaches that are in the same place daily? I get these headaches everyday on the left side of my head. It doesn t...

doctor1 MD

Hi my head feels heavy I left work early and slept for 3 hours what causes this ? I’m healthy

doctor1 MD

Hi Sir, I hope you remember me ! My father got pituatory macrodenema surgery 3 and half years back. Its because of prolactin production and the...

doctor1 MD

i am a healthy 52 year old man but have been experiencing a minor headache/pressure on the left side of my head the last week or so. i have had a...

Get personalised answers from verified doctor in minutes across 80+ specialties

151 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction