Headache treatment depends largely on determining the cause of the headache. Tension headaches can usually be treated by the use of over-the counter pain relievers such as Tylenol, ibuprofen, or even aspirin. When tension or stress is the cause, nondrug options may include massage to relieve muscle tension, yoga and other forms of exercise, and working less when possible.
The treatment of migraine headaches is somewhat more involved and may involve a number of different approaches to the pain. (Please see the topic covered under "Migraine Headaches"). Cluster headaches, because of their more severe nature, require the attention of a doctor who can prescribe proper treatments, usually medications.
There's no relief like stopping a migraine before it happens. Several drugs can help prevent pain. Among your options:
Beta-blockers. These relax your blood vessels. You can try as propranolol (Inderal) and metoprolol (Toprol).
Calcium channel blockers. These include dilatizem (Cardizem) and verapamil. They reduce the narrowing of your blood vessels.
Tricyclic antidepressants. Your doctor may prescribe amitriptyline (Elavil) and nortriptyline (Aventyl, Pamelor).
It is important to note that some headaches may return after the regular use of strong pain-relieving medications. These headaches are known as medication overuse, or "rebound" headaches, since they occur when the pain reliever wears off.
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Cady R., "Sinus headache: a neurology, otolaryngology, allergy, and primary care consensus on diagnosis and treatment," Mayo Clinic Proceedings, July 2005.
Richard Senelick, MD on February 07, 2015