Headache Journal

Clinical Practice Guidelines and Position Statements

The AHS has established guidelines and Position Statements through the dedication of our members, Committees, Special Interest Groups, and Guidelines Committee. These guidelines and Position Statements help promote AHS as the most comprehensive source in the field of Headache Medicine for both professionals and patients.

About Guidelines and Position Statements

Clinical practice guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. A Position Statement is created when the evidence is not strong enough to support a guideline. Position Statements convey the Society’s endorsed stance or belief about specific Headache Medicine matters. 

AHS provides this service to assist all healthcare professionals in their treatment of patients with migraine and related disorders.


Guidelines Committee

The Guidelines Committee works to establish AHS as the authoritative source of information for patients, physicians, and regulatory agencies by developing guidelines and a classification system.

Meet the Committee

AHS Guideline and Position Statement Development Policy

Publications

Access the current list of AHS Guidelines, Position Statements, Evidence Assessments, and Consensus Opinions published in the journal Headache®.

2025

Telemedicine is effective and safe for clinical management of patients with headache disorders: An American Headache Society position statement

First published: 16 October 2025

Authors: Deborah I. Friedman and Andrew Charles are joint last authors

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2025 guideline update to acute treatment of migraine for adults in the emergency department: The American Headache Society evidence assessment of parenteral pharmacotherapies

First published: 01 December 2025

Authors: Jennifer Robblee MD MSc; Mia T. Minen MD MPH; Benjamin W. Friedman MD MS; Miguel A. Cortel-LeBlanc MD MHA; Achelle Cortel-LeBlanc MD; Serena L. Orr MD, MSc

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Routine migraine screening as a standard of care for Women's health: A position statement from the American Headache Society

First published: 10 December 2025

Authors: Todd J. Schwedt MD; Amaal J. Starling MD; Jessica Ailani MD; Andrew D. Hershey MD PhD; Hope L. O'Brien MD MBA; Elizabeth Seng PhD; Adam S. Sprouse-Blum MD PhD; Scott B. Turner DNP; Richard B. Lipton MD

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2024

Calcitonin gene-related peptide-targeting therapies are a first-line option for the prevention of migraine: An American Headache Society position statement update

First published: 11 March 2024

Andrew C. Charles MD; Kathleen B. Digre MD; Peter J. Goadsby MD PhD; Matthew S. Robbins MD; Andrew Hershey MD PhD; The American Headache Society

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2021

The American Headache Society Consensus Statement: Update on integrating new migraine treatments into clinical practice

First published: 23 June 2021

Authors: Jessica Ailani MD; Rebecca C. Burch MD; Matthew S. Robbins MD; on behalf of the Board of Directors of the American Headache Society

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2019

Practice guideline update summary: Acute treatment of migraine in children and adolescents

First published: 17 September 2019

Authors: Maryam Oskoui MD MSc; Tamara Pringsheim MD; Yolanda Holler-Managan MD; Sonja Potrebic MD PhD; Lori Billinghurst MD MSc; David Gloss MD; Andrew D. Hershey MD PhD; Nicole Licking DO; Michael Sowell MD; M. Cristina Victorio MD; Elaine M. Gersz; Emily Leininger; Heather Zanitsch; Marcy Yonker MD; Kenneth Mack MD PhD

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Practice guideline update summary: Pharmacologic treatment for pediatric migraine prevention

First published: 17 September 2019

Authors: Maryam Oskoui MD MSc; Tamara Pringsheim MD; Lori Billinghurst MD MSc; Sonja Potrebic MD PhD; Elaine M. Gersz; David Gloss MD; Yolanda Holler-Managan MD; Emily Leininger; Nicole Licking DO; Kenneth Mack MD PhD; Scott W. Powers PhD ABPP; Michael Sowell MD; M. Cristina Victorio MD; Marcy Yonker MD; Heather Zanitsch; Andrew D. Hershey MD PhD

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2018

The American Headache Society Position Statement On Integrating New Migraine Treatments Into Clinical Practice

First published: 10 December 2018

Author: American Headache Society

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2016

Management of Adults With Acute Migraine in the Emergency Department: The American Headache Society Evidence Assessment of Parenteral Pharmacotherapies

First published: 14 June 2016

Authors: Serena L. Orr MD; Benjamin W. Friedman MD MS; Suzanne Christie MD FRCPC; Mia T. Minen MD; Cynthia Bamford MD; Nancy E. Kelley MD PhD; Deborah Tepper MD

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Treatment of Cluster Headache: The American Headache Society Evidence-Based Guidelines

First published: 19 July 2016

Authors: Matthew S. Robbins MD; Amaal J. Starling MD; Tamara M. Pringsheim MD; Werner J. Becker MD; Todd J. Schwedt MD

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How to Apply the AHS Evidence Assessment of the Acute Treatment of Migraine in Adults to your Patient with Migraine

First published: 20 June 2016

Authors: Tamara Pringsheim MD; William Jeptha Davenport MD; Michael J. Marmura MD; Todd J. Schwedt MD; Stephen Silberstein MD

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2015

The Acute Treatment of Migraine in Adults: The American Headache Society Evidence Assessment of Migraine Pharmacotherapies

First published: 20 January 2015

Authors: Michael J. Marmura MD; Stephen D. Silberstein MD FACP; Todd J. Schwedt MD MSCI

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2013

Choosing Wisely in Headache Medicine: The American Headache Society's List of Five Things Physicians and Patients Should Question

First published: 29 October 2013

Authors: Elizabeth Loder MD MPH; Emma Weizenbaum BA; Benjamin Frishberg MD; Stephen Silberstein MD; on behalf of the American Headache Society Choosing Wisely Task Force

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2012

The 2012 AHS/AAN Guidelines for Prevention of Episodic Migraine: A Summary and Comparison With Other Recent Clinical Practice Guidelines

First published: 26 April 2012

Authors: Elizabeth Loder MD MPH; Rebecca Burch MD; Paul Rizzoli MD

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2010

The FDA Alert on Serotonin Syndrome With Use of Triptans Combined With Selective Serotonin Reuptake Inhibitors or Selective Serotonin-Norepinephrine Reuptake Inhibitors: American Headache Society Position Paper

First published: 01 June 2010

Authors: Randoph W. Evans MD; Stewart J. Tepper MD; Robert E. Shapiro MD PhD; Christina Sun-Edelstein MD; Gretchen E. Tietjen MD

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2005

Guidelines for Trials of Behavioral Treatments for Recurrent Headache, First Edition: American Headache Society Behavioral Clinical Trials Workgroup

First published: 25 May 2005

Authors: Donald B. Penzien PhD; Frank Andrasik PhD; Brian M. Freidenberg PhD; Timonty T. Houle PhD; Alvin E. Lake III PhD; Gay L. Lipchik PhD; Kenneth A. Holroyd PhD; Richard B. Lipton MD; Douglas C. MCCrory MD; Justin M. Nash PhD; Robert A. Nicholson PhD; Scott W. Powers PhD ABPP; Jeanetta C. Rains PhD; David A. Wittrock PhD

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2004

Consensus Statement: Cardiovascular Safety Profile of Triptans (5-HT1B/1D Agonists) in the Acute Treatment of Migraine

First published: 07 May 2004

Authors: David Dodick MD; Richard B. Lipton MD; Vincent Martin MD; Vasilios Papademetriou MD; Wayne Rosamond PhD; Antonette MaassenVanDenBrink PhD; Hassan Loutfi MD; K.Michael Welch MD; Peter J. Goadsby MD PhD; Steven Hahn MD; Susan Hutchinson MD; David Matchar Md FACP; Stephen Silberstein MD; Timothy R. Smith MD; R. Allan Purdy Md FCP; Jane Saiers PhD; The Triptan Cardiovascular Safety Expert Panel

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Additional Resources

Headache® Journal Author Guidelines

American Academy of Neurology (AAN) Practice Guidelines

International Classification of Headache Disorders (ICHD), 3rd Edition

Guidelines for Trials of Behavioral Treatments for Recurrent Headache: Purpose, Process, and Product

5 Things Physicians and Patients Should Question

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