Table 2.

Recommended dosages for acute and prophylactic management of tension-type headache.

Acute management	Prophylactic management
Acetaminophen 1000mg	Amitriptyline10-75mg/day
Ibuprofen 200-400mg	Mirtazapine 30mg/day
Naproxen sodium 375-550mg
Ketoprofen 25-50mg
Diclofenac potassium 50-100mg

Physicians should be aware of the risk of developing medication-overuse headache as a result of frequent and excessive use of analgesics in acute therapy. Dosages in prophylactic management with amitriptyLine are increased until efficacy or side effects are reported.