Thanks for contacting HCM with your health concern and following is symptomwise approach: 1. most headaches in general practice are ordinary tension headaches and need just an analgesic and may be a tranquiliser. 2. In every patient with headache, I usually perform the following tests: . check blood pressure and control hypertension (if present) . check sinus tenderness and look for any focus of infection in teeth, tonsils & ears. . check tenderness on nape of neck or pain on neck movements . check eyesight. . if there is any neurological sign (weakness of cranial nerves/limbs, convulsions) refer for C.T. scan & Neurologist s opinion. 3. till then take: . tablet disprin 1 (thrice daily) . tablet calmpose 5 mg (1/2-1) at night . take rest in a quiet dark room, massage and press the scalp with counterirritants like Vicks/Amrutanjan 4. If everything is normal then manage on the line of Migraine: . Tablet Vasograin (ergotamine), capsule sibelium (flunarizine), tablet ciplar (propanolol)