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Chronic tension type headache

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  1. Follow the checklist on the home page https://apps.nhslothian.scot/refhelp/guidelines/neurology/headache/ including looking for superimposed migraine and checking for medication overuse headache
  2. Consider Nortriptyline/ Amitryptiline 10mg nocte increasing by 10mg every two weeks aiming for 50-75mg
  3. Consider interaction with chronic pain elsewhere in the body such as fibromyalgia, chronic low back pain, irritable bowel syndrome.

M.A & J.S. 20-12-22