Guidelines/ICHD
All Guidelines, Reports and Recommendations published by IHS are accessible below. Guidelines published by National Society Members are also available. Note: not all of these can be copied, saved or printed.
Please note that many guidelines are in PDF format which require Acrobat Reader in order to view. You can download Acrobat Reader here.
International Classification of Headache Disorders (ICHD) (3rd Edition)
The International Classification of Headache Disorders (ICHD) is an algorithmic system to define and classify all known headache disorders. It is divided into primary headache disorders such as migraine and symptomatic headaches which are a symptom of a different disorder.
The ICHD presents classification criteria, comments and further information for headache disorders; it is revised from time to time and is now in its 3rd edition.
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International Classification of Headache Disorders (ICHD), 3rd Edition – 2018
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ICHD-3 Abbreviated Pocket Version
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ICHD-3 slide kit
International Classification of Headache Disorders (ICHD) (3rd Edition) – translations
Translations of the ICHD-3 are available in several languages, translated by IHS Affiliate Member Societies.
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ICHD-3 Brazilian Portuguese translation
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ICHD-3 Bulgarian translation
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ICHD-3 Chinese translation
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ICHD-3 Chinese (Mandarin) translation
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ICHD-3 Czech translation (basic version)
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ICHD-3 Czech translation pocket version
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ICHD-3 French translation
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ICHD-3 German translation
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ICHD-3 Italian translation
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ICHD-3 Japanese translation
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ICHD-3 Korean translation
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ICHD-3 Portuguese translation
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ICHD-3 Romanian translation
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ICHD-3 Russian translation
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ICHD-3 Spanish translation
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ICHD-3 Turkish translation
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ICHD-3 Vietnamese translation
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Treatment Guidelines
Practice Recommendations
Real World Evidence Guidelines
Clinical Trials (Recommendations) Guidelines
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Guidelines for Controlled Trials of Drugs in Cluster Headache (1995)
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Guidelines of the International Headache Society for clinical trials with neuromodulation devices for the treatment of migraine – 2021
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Guidelines for controlled trials of preventive treatment of migraine attacks in episodic migraine in adults – 2020
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Guidelines of the International Headache Society for controlled trials of acute treatment of migraine attacks in adults: Fourth edition – 2019
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Guidelines of the International Headache Society for controlled trials of preventive treatment of chronic migraine in adults – 2018
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Guidelines for Controlled Trials of Prophylactic Treatment of Chronic Migraine in Adults – 2008
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Guidelines of the International Headache Society for controlled trials of preventive treatment of migraine in children and adolescents, 1st edition – 2019
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Evaluation and Registration of Adverse Events in Clinical Drug Trials in Migraine – 2008
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Guidelines for Controlled Trials of Drugs in Migraine, 3rd ed. A guide for investigators – 2012
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Guidelines for Controlled Trials of Drugs in Migraine: 2nd Edition – 2000
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Guidelines for Controlled Trials of Drugs in Migraine, 1st edition – 1991
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IHS Position Statements
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Health technology assessment for the acute and preventive treatment of migraine: A position statement of the International Headache Society – 2021
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International Classification of Orofacial Pain (ICOP) (1st Edition)
The first International Classification of Orofacial Pain (ICOP) was published in 2020, and will ensure standardised communication on all aspects of orofacial pain between professions, scientists and clinicians. By acknowledging and using such a classification we make sure that scientific progress is comparable between labs and that clinicians all over the world speak about the same disease when discussing orofacial pain.
Facial pain has been included and defined in the ICHD, but the facial pain chapter in the ICHD excludes many dental and other facial disorders and is thus incomplete. With the advent of ICOP, this has changed. As such, ICHD-3 and ICOP can be cited pari passu, but given that ICOP is more specific for facial pain it should be favoured for this purpose.
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International Classification of Orofacial Pain, 1st edition (ICOP) – 2021
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ICOP Editorial – 2020
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GRADE tables
Clinic-Based Headache Registries Guideline
Ethical Guidelines
ICHD previous editions
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Serbian translation (ICHD-3 beta) – Medunarodna Klasifikacija Glavobolja 3 Izdanje
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International Classification of Headache Disorders (1st edition)
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