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Headache or Migraine

What it is

A headache is pain felt in the head or face. It often goes away after a few hours. A migraine is a headache that comes back often and may be more severe. It can make everyday activities more difficult.

What you can do at home

What to do
  • To relieve pain, take acetaminophen (Tylenol) or ibuprofen (Advil). If in doubt, follow the advice provided by a pharmacist.

Important: Ibuprofen is contraindicated for children under 6 months of age.

  • If you have a prescription for migraine medication, take it as directed when symptoms start.
  • Ask a pharmacist for advice if the medication does not work. Other treatment options may be suggested.

Apply cold

  • Apply cold to the forehead for 20 minutes every 2 hours, as needed.
  • Use a cold compress, an ice pack, a bag of frozen vegetables or a cold gel pack.
  • Always place a cloth between the skin and the cold source to protect the skin.

Rest and relieve tension

  • Lie down in a dark, quiet room with your eyes closed.
  • Wear sunglasses if light is bothersome.
  • Stretch and massage the neck if the muscles are tense.
  • Relax by breathing slowly or listening to soft music.
Avoid
  • Avoid drinking alcohol.
  • Avoid using drugs.
  • Reduce exposure to light.

When to seek medical attention

A headache that does not improve or gets worse after 24 hours, even after following the advice provided
A headache that feels different from usual headaches
A headache that prevents usual activities, work or rest
A headache that becomes more severe or headaches that occur more often
A new or unusual headache in a person who:
  • is aged 50 or older
  • has had cancer
  • has a weakened immune system (is immunosuppressed)
Need help?

Call Info-Santé at 811, Option 1, to speak with a nurse at any time.

Go to the pharmacy for advice on medications or treatment.

Make an appointment at your medical clinic or CLSC.

If you do not have a family doctor, go to gap.soinsvirtuels or call 811, Option 3.

When to go to the hospital right away

Vomiting that does not stop
Very high blood pressure (180/120 or higher):
  • systolic: 180 or higher
  • diastolic: 120 or higher
A painful red eye
Difficulty seeing clearly
Rapid changes in overall condition:
  • Unusual tiredness (drowsiness) or difficulty staying awake
  • Not responding normally to what is happening around them
  • Confusion, agitation or unusual behaviour
  • Severe weakness
Neurological symptoms:
  • Loss of balance
  • Numbness in a leg, arm or the face
  • Seizures (uncontrollable shaking of the body)
  • Difficulty speaking or understanding words
  • Severe dizziness
Migraine aura symptoms (such as blurred vision, tingling in the face, or difficulty speaking) that:
  • Occur for the first time
  • Are unusual for you
  • Last more than 60 minutes (1 hour)
A severe or unusual headache:
  • A very severe or unbearable headache that does not go away
  • A headache that begins after physical or sexual activity
  • A headache that wakes you up throughout the night
  • A new headache with jaw pain while chewing (difficulty eating or drinking)
  • A new headache with pain in the temples (the sides of the forehead)
  • A very severe headache with ringing in the ears, a stiff neck, fever or sensitivity to light
For people who are more than 20 weeks pregnant or who gave birth less than 6 weeks ago:
  • A new headache that does not go away
  • Difficulty seeing clearly
  • Stomach ache
  • Difficulty breathing or chest pain