A throbbing pain in the temples may be a migraine if the symptoms are unilateral, or it may be caused by elevated blood pressure. Migraine is a primary headache disorder in which the patient presents with recurrent one-sided throbbing headaches, along with possible nausea and vomiting, and a few typical patients may have visual sensation and motor dysfunction as aura prior to the onset. Most patients may have triggers before the onset of the headache including weather changes, anxiety, depression and painful crying, or the headache may be triggered by certain foods or fruits. The main treatment is symptomatic and commonly used medications include ibuprofen, indomethacin and naproxen acetaminophen and aspirin, and in severe cases zolmitriptan and sumatriptan may also be used. Patients with elevated blood pressure can also develop, and should be monitored, mainly for blood pressure treatment, commonly used drugs are amlodipine and Irbesartan, may also be caused by mental tension or stress, the patient usually manifests as distension, soreness or dull pain. It can also occur if the patient is suffering from neuralgia, mainly in the ophthalmic branch of the trigeminal nerve.