Exeter Headache Clinic

Management Guidelines

Educational Video Links for Doctors and Patients
Migraine Handbook for Self Management
Headache Consultation. History, Examination and Investigation
Making the Headache Diagnosis
Referral Pathways for Headache in Adults
Management Guidelines
Patient Information Sheets
Research Activity and Publications
Headache Clinic Power Point Presentations
Support for NHS Commissioners
School Policy Guidance
BASH GPwSI Meeting Presentations
Headache Support Groups
Contact us
How to find us
Information for Prescribing Doctors for Prescribing Flunarizine

These management guidelines are meant for use by general practitioners.  Further information can be obtained from the Oxford University Press Manual of Headache, (Eds Kernick D, Goadsby P, 2008).   Extensive guidelines can be found on the British Association for the Study of Headache website (BASH - follow link below) and the Scottish Intercollegiate Guidelines Network (SIGN - follow link below).   Other guidance in simplied form is also offered below.

Clinical Management

Clinical management of migraine

Cluster Headache

Oxygen and cluster headache for Prescribers

Guidelines on the management of nausea and vomiting in migraine

Simple guidance for the management of tension-type headache

Simple guidance for medication overuse headache

Guidance for drug treatment in pregnancy

Hypermobile Spectrum disorders

Migraine in pregnancy and breastfeeding

New persistent daily headache

Guidelines for headache in sport

Guidelines for managing headache in children

Guidelines for post traumatic headache

Guidelines for managing the risk of stroke in migraine with aura

Post Covid Vaccine Headache

Revised Guidelines for the use of Steroids in Headache


Timolol eye drops for the management of acute migraine - Notes for Prescribers


National Guidelines

BASH Guidelines are pragmatic Guidelines based on  both evidence and clinical experience.

SIGN Guidelines are the Scottish evidence-based Guidelines.

NICE Guidelines are the Definitive-based Guidelines.  They are limited due to paucity of rigorous evidence in this area.