Question

A 41-year-old man presents with recurrent severe unilateral periorbital headaches lasting 45 minutes with autonomic features (lacrimation, nasal congestion) occurring nightly for 2 weeks. What is the most appropriate acute treatment?

Accepted Answer

High-flow 100% oxygen via non-rebreather mask and subcutaneous or intranasal triptan

Answer

Oral acetaminophen

Answer

Low-dose amitriptyline

Answer

Opioids

Answer

Antihistamines

Practice question

A 41-year-old man presents with recurrent severe unilateral periorbital headaches lasting 45 minutes with autonomic features (lacrimation, nasal congestion) occurring nightly for 2 weeks. What is the most appropriate acute treatment?