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Be sure to list tension headache in your assessment. The choice of amitriptyline is fine, if you choose prophylaxis, but she will still need recommendations on how to treat acute headaches.

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The things you have listed as triggers are for migraines, not tension headaches. It would be inappropriate to leave her on sumatriptan for tension headachees. Make sure to d/c it.

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Interesting approach! Unless she is taking the apap/hydrocodone daily, she won't need to taper.

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This assessment and plan are inadequate.

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Interesting approach!  Unless she is taking the apap/hydrocodone daily, she won't need to taper. What type of headache is this? Tension.