Tension Type + Rebound Headaches

Question 1

what is the most prevalent headache in the general population?

Answer 1

tension-type headache

Question 2

TTH that is less than one day a month

Answer 2

infrequent episodic TTH

Question 3

TTH that is 1-14 days a month

Answer 3

frequent episodic TTH

Question 4

TTH that is 15 or more days a month

Answer 4

chronic TTH

Question 5

what criteria must be met for episodic TTH?

Answer 5

at least 10 episodes lasting 30 mins-7 days

Question 6

what criteria must be met for chronic TTH?

Answer 6

lasting hours-days occurring on over 15 days/month for more than 3 months

Question 7

what are the acute treatment options for tension type headache? (4)

Answer 7

acetaminophen
aspirin
NSAIDs
caffeine + simple analgesic

Question 8

what are the 3 prophylactic treatment options for TTH?

Answer 8

antidepressant:

amitriptyline
nortripyline
doxepin

Question 9

what is the best practice for TTH?

Answer 9

medication + behavioral therapy

Question 10

occurs on 15 or more days per month due to regular overuse of acute or symptomatic headache medication (triptans or simple analgesics) for more than 3 months

Answer 10

rebound headache

Question 11

when is rebound headache typically present?

Answer 11

upon wakening

Question 12

what is the management for rebound headache? (4)

Answer 12

education
withdraw overused med abruptly
bridge with long-acting NSAID or prednisone
prophylactic headache med (antidepressant)