Personal Headache Emergency Action Plan

Patient Information

Name: _________________________ Date: _________________________ Neurologist: ___________________ Emergency Contact: _____________

Warning Signs (Red Flags)

• Sudden, severe headache ("thunderclap")
• Headache with fever and neck stiffness
• Headache after head injury
• Visual changes or double vision
• Weakness in arms or legs
• Confusion or difficulty speaking
• First severe headache over age 50

Action Steps

Step 1: Early Intervention

• Take prescribed medication at first sign of headache
• Note time medication was taken
• Move to quiet, dark room if possible
• Apply cold/hot compress as previously effective

Step 2: If Pain Persists (After 2 Hours)

• May take second dose if prescribed by physician
• Try prescribed backup medication
• Use relaxation techniques
• Stay hydrated

Step 3: Emergency Care Needed If:

• Worst headache of life
• Any red flag symptoms appear
• Medication not effective after 4 hours
• Vomiting prevents medication intake

Medications

Primary Treatment

Medication: ________________ Dose: _____________________ Max doses per 24 hrs: _______

Rescue Treatment

Medication: ________________ Dose: _____________________ Max doses per 24 hrs: _______

Emergency Contacts

Neurologist: ________________ Emergency Room: ____________

Keep this plan accessible at all times

Follow-up Care

Schedule appointment if:

• Emergency plan was activated
• Headaches are increasing in frequency
• Current treatment plan seems ineffective

_Plan reviewed by: ___________________ Date: _____________________________