Dr prescribed my 14 yo tramadol for headaches - this normal?

[BayesianBlues]

We live abroad so wondering if this would happen in the UK.
14 yo daughter has been suffering from headaches for a month or so. Not totally debilitating like migraines but not nice and quite frequent. She usually would take paracetamol which takes the edge off enough that she can function. Sometimes ibuprofen. Probably every other day on average she's been getting through maybe 4 paracetamols and a couple of ibuprofen if needed.

So the doctor said that this amount of paracetamol is not good for the liver and the ibuprofen isn't good for the stomach and that DD should take tramadol for her headaches. She's prescribed us 10 50mg tabs to take home.

I was a bit shocked that she jumped straight to tramadol. And I wouldn't have thought 4 paracetamol and a couple of ibuprofen every other day is that terrible?

I'm not a dr but it's a VERY different medical culture here (very very quick to prescribe meds and had to push back against the over use of antibiotics) so I'm wondering if this would be considered normal in the UK if anyone has any experience?

Isn't that the one ant from ant and Dec was addicted to

I take Tramadol every day for a spinal condition & it’s definitely not my first go to choice for a headache or migraine.

My daughter & I both had horrific migraines around the age of 14, the GP asked me to keep a diary to see if there were possible triggers (and we did the same with my daughter). My twin sister’s migraines were so bad they actually went down the route of looking to see if she had a brain tumour!

Tee found a definite pre & post menstrual link. It’s interesting that my daughter has now been diagnosed with Hashimoto’s (I’ve sat on the UK threshold for years, any other country I’d have been on levothyroxin like a shot, harrumph!). Since starting the thyroxine she rarely has headaches; I have a doozy of a migraine in the last days of my period. Every period. The endocrinologist is a good shout.

Hoping you find some answers soon, it’s a horrible thing to have to deal with.