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Papers of the Week

Papers: 28 Nov 2020 - 4 Dec 2020


2021 Jan

Med Clin North Am



Headaches in Adults in Primary Care: Evaluation, Diagnosis, and Treatment.


McNeil M
Med Clin North Am. 2021 Jan; 105(1):39-53.
PMID: 33246522.


Headaches are common in primary care. The diagnosis is made by a careful history and physical examination. Imaging is generally not warranted. Several general principles underlie the acute treatment of headache: early initiation of therapy and adequate dosing at first dose. Careful attention to avoiding too frequent administration of acute therapy is important to avoid medication overuse headaches. Opioids should always be avoided. Preventive treatment is indicated for frequent headaches. Successful treatment entails low-dose medication with careful titration and monitoring of headache frequency. Behavioral strategies are important and should be part of any comprehensive headache management plan.