Treating tension headaches in children

For occasional symptomatic relief of infrequent tension headaches, over-the-counter (nonprescription) medications are recommended. Ask the advice of your doctor or pharmacist about the use of acetaminophen (Tylenol), ibuprofen (Advil or Motrin), or naproxen sodium (Aleve). The use of aspirin in children under age 14 is not recommended because of aspirin's link with Reye's syndrome, a potentially fatal condition. Also, avoid compounds that contain caffeine.

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For relief of chronic tension headaches, daily preventive medications may be prescribed. These medications--which are aimed at reducing both the frequency and severity of the headaches--may include antidepressants, such as amitriptyline hydrochloride (Elavil), and nonsteroidal anti-inflammatory medications (NSAIDs), such as naproxen sodium (Aleve). These medications are not habit forming. Nonpharmacological treatments such as counseling and biofeedback and lifestyle changes regarding sleep, diet, and stress are quite helpful.

Benzodiazepines, butalbital combinations, and narcotics (codeine) should be avoided because these medications could become habit forming or addictive. Overuse of these medications or the daily use of pain-relieving medications can cause analgesic rebound headaches and make the headache worse [headache.treat.rebound].