4 doctors weighed in:

What is the best/most effective otc med for tension headache? Aspirin, ibuprofen, Aleve or Tylenol (acetaminophen)? Or do they all work equally well?

4 doctors weighed in
2 doctors agree

In brief: Experiences

Not sure one is better than another, as Tylenol (acetaminophen) seems to have fewer stomach issues, but Aleve may work well in patients who also have migraine.
Try a couple and see which you tolerate better.

In brief: Experiences

Not sure one is better than another, as Tylenol (acetaminophen) seems to have fewer stomach issues, but Aleve may work well in patients who also have migraine.
Try a couple and see which you tolerate better.
Thank
3 comments
Dr. Susan Rhoads
Dr. Machanic is correct. The two classes of pain relivers, NSAID's (ibuprofen, naproxen, aspirin, etc.) and tylenol (acetiminophen) are felt to be equally potent in otc forms. More pain relief with higher doses can be achieved by prescription strengths of the NSAID.'s FYI: also, prescription strength NSAID"s are fair cheaper than the same dose of the otc equivalent. One good reason to see a doc
Dr. Susan Rhoads
a Prescription for 120 Ibuprofen, 600 mg tablets, costs between 10-15 dollars, without insurance. That is the same as 360 otc Ibuprofen! Also, the higher dose in 1 tablet, is safer for the stomach, as there is less surface area in 1 big pill than 3 small ones, and less chance to irritate gut. Safer and cheaper! How can you go wrong? Only take with food (no dairy though).
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