What is the recommended treatment for tension headaches?

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Last updated: June 1, 2025View editorial policy

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From the Research

The most effective treatment for tension headaches is a combination of over-the-counter pain relievers, such as acetaminophen or ibuprofen, and lifestyle modifications, including stress management techniques and regular physical activity, as supported by the most recent study 1.

Treatment Options

  • Over-the-counter pain relievers:
    • Acetaminophen (Tylenol) at 325-650mg every 4-6 hours
    • Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin) at 200-400mg every 4-6 hours
    • Naproxen sodium (Aleve) at 220-440mg every 8-12 hours
  • Lifestyle modifications:
    • Stress management techniques like deep breathing exercises or meditation for 10-15 minutes daily
    • Regular physical activity (30 minutes most days)
    • Maintaining proper hydration (at least 8 glasses of water daily)
    • Ensuring adequate sleep (7-9 hours nightly)

Preventive Measures

  • Identifying and avoiding triggers such as poor posture, skipped meals, or certain foods
  • Consulting a healthcare provider if headaches persist despite these measures or occur more than 15 days per month, as preventive medications or other treatments may be necessary, as recommended by 2 and 3.

Additional Considerations

  • For individuals at a higher risk, such as those with renal insufficiency or risk of GI bleeding, paracetamol may be considered as a preferred option instead of ibuprofen, as suggested by 1.
  • The combination of antidepressant medication and stress management therapy may be more effective than monotherapy for chronic tension-type headaches, as found in 4.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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