- acute treatment: aspirin, paracetamol or an NSAID are first-line
- prophylaxis: NICE recommend 'up to 10 sessions of acupuncture over 5-8 weeks'
- low-dose amitriptyline is widely used in the UK for prophylaxis against tension-type headache. The 2012 NICE guidelines do not however support this approach '...there was not enough evidence to recommend pharmacological prophylactic treatment for tension type headaches. The GDG considered that pure tension type headache requiring prophylaxis is rare. Assessment is likely to uncover coexisting migraine symptomatology with a possible diagnosis of chronic migraine.'