From the FDA Drug Label
Stop use and ask doctor if • pain gets worse or lasts more than 10 days The headache is considered persistent if it lasts more than 10 days 1.
From the Research
A headache is generally considered persistent when it lasts continuously for 15 days or more per month for at least three consecutive months. This definition aligns with what medical professionals classify as "chronic daily headache" 2. Some headaches may be considered persistent even if they last for shorter periods but recur frequently with minimal pain-free intervals. For example, a headache that lasts 4-72 hours but returns multiple times per month might be classified as persistent migraine. The duration threshold varies somewhat by headache type - tension headaches typically need to occur 15+ days monthly for three months to be considered persistent, while cluster headaches are considered persistent when they occur for more than a year without remission periods longer than one month.
Key factors to consider when evaluating the persistence of a headache include:
- Frequency: How often the headaches occur
- Duration: How long each headache lasts
- Severity: The level of pain and disability caused by the headache
- Triggers: Identifying potential triggers that may contribute to the headache
If you're experiencing headaches that last more than a few days or recur frequently, it's essential to consult a healthcare provider for proper diagnosis and treatment, as persistent headaches can indicate underlying conditions requiring specific management approaches 3.
In terms of treatment, several options are available, including over-the-counter medications such as acetaminophen, ibuprofen, and aspirin, as well as prescription medications like triptans and ergot alkaloids 4, 2. Additionally, lifestyle modifications and alternative therapies may also be beneficial in managing persistent headaches.
It's crucial to work with a healthcare provider to develop a personalized treatment plan that addresses the underlying causes of the headaches and improves overall quality of life.