Starts and never stops.

NDPH is less common than migraine BUT the impact it can have on your life is enormous. Learn more about medications, treatments and symptoms here.

What is New Daily Persistent Headache?

New Daily Persistent Headache (NDPH) is a rare chronic headache disorder. New Daily Persistent Headache is a type of headache that starts one day and is constant from the onset. Most people with NDPH do not have a history of headache. One unique thing about NDPH is that most people with it can remember the month or day when it started. NDPH has two subtypes: 1) a self-limiting subtype that typically resolves within several months without therapy, and 2) a refractory subtype that is resistant to aggressive treatment regimens.

Treatment Options for NDPH

There aren’t any NDPH-specific drugs, doctors rely on medications they have used to treat migraine and now there are new treatment options available that are specific to migraine, i.e. CGRP antagonists. Please go through the lists and classifications below to see potential options. We advise you to discuss any medications options with your doctor to determine the best care plan for you.


How is NDPH diagnosed?

NDPH is a diagnosis of exclusion, meaning that all other medical causes must be ruled out for the diagnosis to be made. According to the International Classification of Headache Disorders, NDPH “must not be accounted for by another ICHD-3 diagnosis,” including chronic migraine, chronic tension headache, or hemicrania continua. The criteria for an NDPH diagnosis are:

Persistent headache, daily from its onset, which is clearly remembered. The pain lacks characteristic features, and may be migraine-like or tension-type-like, or have elements of both.​

    1. Persistent headache fulfilling criteria B and C
    2. Distinct and clearly-remembered onset, with pain becoming continuous and unremitting within 24 hours
    3. Present for >3 months
    4. Not better accounted for by another ICHD-3 diagnosis

We recommend seeing a Headache Specialist for proper diagnosis

cluster headache