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Tension headache, stress headache, or tension-type headache (TTH), is the most common type of primary headache. The pain usually radiates from the lower back of the head, the neck, the eyes, or other muscle groups in the body typically affecting both sides of the head. Tension-type headaches account for nearly 90% of all headaches.
The most common medicines used to treat chronic (daily) headaches are called prophylactic medicines, which are used to prevent headaches. [12] Such preventive medication is taken on a daily basis, even when a person may not have a headache. [ 12 ]
The most common side effects include sleepiness, dizziness, trouble breathing, and abdominal pain. [4] Other severe side effects may include liver problems, confusion, addiction, and allergic reactions. [4] Frequent use may result in medication overuse headache. [8] Barbiturate withdrawal may occur if rapidly stopped following long term use. [9]
However, the aspirin/paracetamol/caffeine combination is superior to both paracetamol alone and placebo and offers meaningful relief of tension headache: two hours after administering the medication, 29 % of those who took the combination were pain-free as compared with 21 % on paracetamol and 18 % on placebo. [65]
“Most commonly, dehydration leads to tension-type headaches with aching and low level pain,” Dr. Sachdev says. “Sometimes, it can trigger a more severe headache, such as a migraine.”
Only approximately 1–5% of people who seek emergency treatment for headaches have a serious underlying cause. [81] More than 90% of headaches are primary headaches. [82] Most of these primary headaches are tension headaches. [79] Most people with tension headaches have "episodic" tension headaches that come and go.
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