Headaches in Children and Adolescents: Patient Management Suggestions

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1) Educate yourself and your family. Read about your type of headache and its treatment.

2) Maintain a headache diary.

3) Ask your doctor for written instructions about what to do when you have a headache.

4) Limit your use of over-the-counter (nonprescription) medications to no more than two doses per week. Excessive use can actually increase headaches.

5) Follow a regular schedule:

  • Don't skip meals, especially breakfast
  • Get 8 hours of sleep nightly
  • Learn to identify and avoid headache "triggers." Common triggers include caffeinated foods and beverages (chocolate, teas, colas, coffee), nitrates (luncheon meats, sausage/hot dogs, pepperoni), tyramine (aged cheeses, pizza), other "junk" foods, and Oriental foods containing MSG
  • Minimize stress and other headache triggers

6) Daily school attendance IS A MUST!

7) Initiate non-drug measures at the earliest onset of your headache:

  • Seek rest in a cool, dark, quiet, comfortable location
  • Use relaxation strategies and other methods to reduce stress
  • Apply a cold compress

8) Don't wait!! Take the maximum allowable dosage of recommended medication(s) at the first sign of a severe headache.

9) Take prescribed medication regularly, as directed, and maintain regular follow-up visits.

10) Call your doctor when problems arise.

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Last Updated: 7/23/2007

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