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Headaches in over 12s: diagnosis and management

2025

Abstract

Unlabelled: This guideline covers the diagnosis and management of tension-type headache, migraine (including migraine with aura and menstrual-related migraine), cluster headache and medication overuse headache in young people (aged 12 years and older) and adults. It aims to improve the recognition and management of headaches, with more targeted treatment to improve the quality of life for people with headaches, and to reduce unnecessary investigations. MHRA advice on topiramate: Recommendations on topiramate have taken into account the MHRA advice on the use of topiramate. Topiramate should not be used for migraine prophylaxis in pregnancy, or in women of childbearing potential unless the conditions of the Pregnancy Prevention Programme are fulfilled.

Who is it for?: Healthcare professionals who provide care for young people and adults with headaches. Young people (12 years and older) and adults with headaches, and their families and carers. Particular consideration is given to the needs of people of reproductive age.

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