Migraine may be so severe as to preclude work. Also severe and requiring urgent referral is the traction headache. Natural history Migrainous cluster headaches are more common in men and are characterised by intense pain, especially around one eye. Rhinorrhoea may also be present. They recur irregularly, with long periods between successive attacks.
Tension headaches are more common as the day progresses since tension increases with time.
Your current medication Few drugs, with the exception of vasodilators, cause headaches. Alcohol is another culprit. The elderly also need special consideration, as should hypertensive patients. Allergies Sensitivity to aspirin should be considered here. Reaction of proposed medication Reaction to some of the drugs used to relieve headaches is significant.