What is NDPH?
New daily persistent headache is sudden-onset daily headache persisting >3 months — distinct from chronic migraine. Patient can often recall the exact day it started.
Related: Headache → · Dr. Jitendra Knowledge Hub → · ICHD-3 Topic →
Diagnosis
Clinical criteria: daily headache, abrupt onset, >3 months duration. Exclusion of secondary causes and medication-overuse headache.
Treatment
Often resistant to standard treatments — multiple medication trials (amitriptyline, topiramate, gabapentin), occipital nerve blocks, medication-overuse withdrawal, CBT, multidisciplinary approach.