This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognizing you when you return to our website and helping our team to understand which sections of the website you find most interesting. We do not share any your subscription information with third parties. It is used solely to send you notifications about site content occasionally.

  • Smaller Small Medium Big Bigger
  • Default Helvetica Segoe Georgia Times

Dear Pharmacist,

I'm prone to tension headaches, but during the holidays, they're constant. I take ibuprofen and sometimes hydrocodone. Can you help me?

--J.R., San Jose, California

Answer: Tension headaches are the most common type of headache. Millions of people get them. The trigger could be an argument, poor posture, lack of sleep, overworking yourself, chronic pain, tight muscles, eyestrain, skipping a meal or grinding your teeth. One main reason is muscle tightness.

An occasional tension headache is no big deal, but if they're "chronic," defined by more than 15/month for 3 months solid, I can see why you take that medicine!

Termed CTTH, short for chronic tension-type headaches, these can cause depression, even if you are a happy-go-lucky person. While painful, these headaches differ form migraines because they don't have the nausea, halo or any type of aura. This makes them much easier to manage as compared to migraines where you have to discover the "migrenade" and eliminate it. The term "migrenade" is my word for a trigger that you eat, inhale or create that goes off in your body like a grenade, causing your migraine. There are no real "migrenades" in CTTH so you can usually eliminate or at least manage these much quicker. The reduction of stress or ending an unhappy relationship can help. Here are some supplements that may help you become headache free:

Rhodiola- Perfect for people with a lot of mental stress, emotional conflict or anxiety. As you know, that can cause tension headaches. Because rhodiola removes ammonia and lactic acid from your blood, it could help with muscle fatigue. Shoot for about 100mg per day, taken anytime before lunch as it may be slightly stimulating.

Magnesium- Simple solution for tight muscles, a common trigger for CTTH. Magnesium relaxes your muscles. If you read my Drug Mugger book, over 200 prescription medications mug it from your body leaving you at risk for muscle aches, migraines, depression, high blood pressure and cardiac arrhythmias. Some forms of magnesium will give you diarrhea. Choose high-quality brands.

Arnica Cream- You can buy this at health food stores, it helps soothe muscle aches and relax tight muscles. When the ingredients found in this beautiful flower extract get into your cells, they temporarily shut down a metabolic pathway called NF Kappa B, (NF?B) which spills nasty pain-causing chemicals (termed "cytokines"). You can have your massage therapist rub it on too.

Hops- Known also as Humulus lupulus, this herb can reduce histamine levels, a compound (better termed a "cytokine") that is associated with headaches. Hops also helps you to fall asleep, and we know insomnia is a trigger for CTTH (and migraines). When I say hops, I mean the supplement form or tea, not beer! Hops is known as a flavoring agent in beer.

I offer natural and pharmaceutical treatment options for dozens of types of headaches in my new book, "Headache Free" available in January. See my website for details

Suzy Cohen

Suzy Cohen, is known as America’s Pharmacist. She has been a licensed pharmacist for 24 years and is a Functional Medicine practitioner. She’s the author of 6 books, including her most recent Amazon #1 best-seller, “Thyroid Healthy: Lose Weight, Look Beautiful and Live the Life You Imagine.”

She was the host of The Thyroid Summit which broadcast worldwide in June 2014. Suzy has been a syndicated columnist for 19 years reaching 20 million in circulation each week. She is a Huffington Post writer, and also hosts her own syndicated medical minute on TV. Suzy has been featured on The Dr OZ Show 6 times, and has appeared on The View, Good Morning America Health, The Doctors and hundreds of other networks. She is a member of The Institute of Functional Medicine, also the American Academy of Anti-Aging Medicine, The American Pharmacists Association and ILADS, the International Lyme and Associated Diseases Society. You can read free articles and receive your free newsletter by visiting her website,

Books authored by Suzy Cohen include:

  • Thyroid Healthy
  • Headache Free
  • Drug Muggers
  • Diabetes Without Drugs
  • The 24-Hour Pharmacist
  • Eczema: Itchin’ for a Cure (kindle only)
  • Understanding Pancreatitis & Pancreatic Cancer (kindle only)