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What Are Headache Relievers and How to Choose the Right Relievers

Headache relievers are medications or substances used to reduce or eliminate headache pain.

They vary based on the type of headache (tension, migraine, cluster, sinus, etc.) and the severity of symptoms. Here’s a breakdown of the main categories:

1. Over-the-Counter (OTC) Pain Relievers

These are typically used for mild to moderate headaches, especially tension-type or occasional migraines.

Medication Type Notes
Acetaminophen Analgesic Gentle on the stomach, no anti-inflammatory effect
Ibuprofen NSAID Good for inflammation-related pain
Naproxen NSAID Longer-lasting than ibuprofen
Aspirin NSAID Also reduces inflammation and fever
Caffeine combos Stimulant + analgesic Common in headache formulas (e.g., Excedrin)

2. Prescription Medications

Used for chronic, severe, or migraine headaches when OTC drugs are ineffective.

Medication Class Example Drugs Used For
Triptans Sumatriptan, Rizatriptan Migraines (target serotonin receptors)
Ergots Ergotamine, Dihydroergotamine Severe or prolonged migraines
CGRP inhibitors Aimovig, Nurtec, Ubrelvy Preventing or treating migraines
Barbiturate combos Fioricet, Fiorinal Tension/migraine headaches (limited use)
Anti-nausea drugs Metoclopramide, Promethazine Often used with migraine meds

3. Preventive Medications

Used daily to reduce headache frequency in people with frequent migraines or chronic tension headaches.

Drug Class Example Drugs
Beta-blockers Propranolol
Antidepressants Amitriptyline, Venlafaxine
Anticonvulsants Topiramate, Valproate
CGRP monoclonal antibodies Emgality, Ajovy

4. Natural and Alternative Options

For mild cases or as a supplement to conventional treatment:

  • Magnesium (for migraines)
  • Riboflavin (Vitamin B2)
  • Peppermint oil (applied topically)
  • Hydration and rest
  • Cold or warm compress

Choosing the Right Reliever

Headache Type Common Relievers
Tension Headache Acetaminophen, Ibuprofen, Naproxen
Migraine Triptans, NSAIDs, Anti-nausea meds
Cluster Headache Oxygen therapy, Sumatriptan (injection)
Sinus Headache Decongestants + pain relievers
Chronic Daily Headache Preventive meds, lifestyle changes

 

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