▁training , ▁elect rom y ographic ▁feedback ▁and ▁cogn itive ▁behavior al ▁ther apy ▁may ▁be ▁considered ▁for ▁mig raine ▁treatment , ▁along ▁with ▁medic ations . ▁ ▁T ension - type ▁head aches ▁ ▁T ension - type ▁head aches ▁can ▁usually ▁be ▁managed ▁with ▁NS A ID s ▁( ib u pro fen , ▁nap ro x en , ▁asp ir in ), ▁or ▁ac et amin oph en . ▁Tri pt ans ▁are ▁not ▁helpful ▁in ▁t ension - type ▁head aches ▁unless ▁the ▁person ▁also ▁has ▁mig ra ines . ▁For ▁chron ic ▁t ension ▁type ▁head aches , ▁am it ri pty line ▁is ▁the ▁only ▁medic ation ▁proven ▁to ▁help . ▁Am it ri pty line ▁is ▁a ▁medic ation ▁which ▁tre ats ▁de pression ▁and ▁also ▁independently ▁tre ats ▁pain . ▁It ▁works ▁by ▁blocking ▁the ▁re upt ake ▁of ▁ser ot on in ▁and ▁n ore pine phr ine , ▁and ▁also ▁reduces ▁mus cle ▁tend ern ess ▁by ▁a ▁separate ▁mechanism . ▁Studies ▁evalu ating ▁ac up unct ure ▁for ▁t ension - type ▁head aches ▁have ▁been ▁mixed . ▁Over all , ▁they ▁show ▁that ▁ac up unct ure ▁is ▁probably ▁not ▁helpful ▁for ▁t ension - type ▁head aches . ▁ ▁Cl uster ▁head aches ▁ ▁Ab ort ive ▁ther apy ▁for ▁cluster ▁head aches ▁includes ▁sub cut aneous ▁sum atri pt an ▁( inject ed ▁under ▁the ▁skin ) ▁and ▁tri pt an ▁nas al ▁sp ray s . ▁High ▁flow