Why is a narcotic not typically given for a tension-type headache?

• A. Tension headaches react best with acetaminophen rather than narcotics. The patient does not necessarily need a narcotic medication.
• B. Narcotics are universally contraindicated for headaches.
• C. Acetaminophen is ineffective for headaches.
• D. Narcotics always worsen headaches.

Answer: (A)

Tension-type headaches are usually treated with nonopioid analgesics because they provide effective relief for mild to moderate pain without the risks tied to opioid medications. Acetaminophen works well for these headaches and has a favorable safety profile when used as directed. In contrast, narcotics don’t offer a meaningful advantage for this type of headache and come with downsides such as potential dependence, tolerance, sedation, and the possibility of medication overuse headaches with regular use. So, the best approach is to use acetaminophen rather than a narcotic. The other statements either overstate the risks or inaccuracy about efficacy and are not aligned with standard headache treatment priorities.