
Suggest Treatment For Tension Headache

Check drugs, reconsider diagnosis, see neurologist
Detailed Answer:
Hi and thanks for the query,
The very first thing is to be sure that the headache you are experience is tension headache. Distinguishing tension headaches from other primary headaches like migraine and cluster headaches is imperative.
The medication you are using (Acetaminophen and Ibuprofen) at the current doses are very appropriate and generally should cause sufficient relief, as seen in most patients. Associating Aspirin increases the risk of you developing serious side effects from anti inflammatory drugs like gastrointestinal bleeding. I would suggest you could instead take a drug containing Acetaminophen and caffeine. Considering prophylactic therapy for chronic headaches, especially in tension headaches like about 50mg of Amitryptiline at night once daily or Selective Reuptake Serotonine Inhibitors like Fluoxetine or Venlafaxine have been used and are useful. Your doctor should carefully evaluate your health status and see which drug to chose and add.
It might be interesting to know if you do smoke or not. If yes, stopping smoking improves such headaches. Relaxation is very imperative and is very helpful in such persons.
Persons of the headache after appropriate treatment should cause the diagnosis of tension headache to be careful reconsidered. Other headache types should be considered too. The opinion of a neurologist could be helpful.
Kind regards,
Dr Bain


It is safe
Detailed Answer:
Hi and thanks for the update,
I think 600mg of Ibuprofen is acceptable. You can go ahead.I suggest you eat something and take the drug about 30 minutes after your meal. taking it on an empty stomach could cause stomach irritation.
As per the dosage, it is very safe.
Thanks and mind regards
Dr Bain

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