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The International Headache Society (IHS) is the world's membership organisation for all whose professional commitment, whatever their discipline, is to helping people whose lives are affected by headache disorders.Visit the IHS website

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IHS Diagnosis ICD-10
8.1.10 Headache as an acute adverse event attributed to medication used for other indications [code to specify substance] G44.41  

Diagnostic criteria:

  1. Headache fulfilling criteria C and D
  2. Use of a medication for a therapeutic indication other than headache
  3. Headache develops within minutes to hours after use
  4. Headache resolves within 72 hours after cessation of use

Comments:

Headache has been reported after use of a number of drugs. The following are the most commonly incriminated: atropine, digitalis, disulfiram, hydralazine, imipramine, nicotine, nifedipine, nimodipine. A longer list can be found in the appendix (table 1).

The headache characteristics are not very well defined in the literature but most are dull, continuous, diffuse and moderate to severe.

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