instruction: hello doctor my wife is having headache every day for the past two months pain is only mild but it extends up to the neck area sometimes if she has severe pain she vomits
output: hello regarding your concern I would explain that this kind of headache could be a migraine I recommend starting verapamil 40 my three times daily and amitriptyline 25 my half a tablet before sleep a brain it computed tomography scan would help exclude any other brain lesions but considering the couid situation I would not recommend going to an er besides the situation is not an urgency considering the fact that she suffered from headaches like this before for rapid pain relief I would recommend taking ibuprofen 400 my three times daily coupled with acetaminophen I hope this helps