Page last updated: 2024-10-23

aspirin and Headache, Tension

aspirin has been researched along with Headache, Tension in 21 studies

Aspirin: The prototypical analgesic used in the treatment of mild to moderate pain. It has anti-inflammatory and antipyretic properties and acts as an inhibitor of cyclooxygenase which results in the inhibition of the biosynthesis of prostaglandins. Aspirin also inhibits platelet aggregation and is used in the prevention of arterial and venous thrombosis. (From Martindale, The Extra Pharmacopoeia, 30th ed, p5)
acetylsalicylate : A benzoate that is the conjugate base of acetylsalicylic acid, arising from deprotonation of the carboxy group.
acetylsalicylic acid : A member of the class of benzoic acids that is salicylic acid in which the hydrogen that is attached to the phenolic hydroxy group has been replaced by an acetoxy group. A non-steroidal anti-inflammatory drug with cyclooxygenase inhibitor activity.

Research Excerpts

ExcerptRelevanceReference
"We sought to compare the efficacy and safety profiles of aspirin, acetaminophen with codeine, and placebo in the treatment of post-operative dental pain and tension-type headache."9.16Assessment of the efficacy and safety profiles of aspirin and acetaminophen with codeine: results from 2 randomized, controlled trials in individuals with tension-type headache and postoperative dental pain. ( Fisher, M; Gatoulis, SC; Voelker, M, 2012)
"To assess the efficacy and safety of aspirin for acute treatment of episodic tension-type headache (TTH) in adults compared with placebo or any active comparator."8.95Aspirin for acute treatment of episodic tension-type headache in adults. ( Derry, S; Moore, RA; Wiffen, PJ, 2017)
"Four randomized, controlled trials of identical design in 1,900 patients with episodic tension-type headache comparing acetylsalicylic acid, acetaminophen and caffeine vs."8.90Use of a fixed combination of acetylsalicylic acid, acetaminophen and caffeine compared with acetaminophen alone in episodic tension-type headache: meta-analysis of four randomized, double-blind, placebo-controlled, crossover studies. ( Diener, HC; Gold, M; Hagen, M, 2014)
"(1) To establish whether pre-treatment headache intensity in migraine or episodic tension-type headache (ETTH) predicts success or failure of treatment with aspirin; and (2) to reflect, accordingly, on the place of aspirin in the management of these disorders."7.78Aspirin is first-line treatment for migraine and episodic tension-type headache regardless of headache intensity. ( Lampl, C; Steiner, TJ; Voelker, M, 2012)
" Additional studies are needed to assess the relationship between caffeine dosing and clinical benefits in patients with TTH and migraine."6.55Caffeine in the management of patients with headache. ( Diener, HC; Garas, SY; Lipton, RB; Patel, K; Robbins, MS, 2017)
"We sought to compare the efficacy and safety profiles of aspirin, acetaminophen with codeine, and placebo in the treatment of post-operative dental pain and tension-type headache."5.16Assessment of the efficacy and safety profiles of aspirin and acetaminophen with codeine: results from 2 randomized, controlled trials in individuals with tension-type headache and postoperative dental pain. ( Fisher, M; Gatoulis, SC; Voelker, M, 2012)
"The results of this subgroup analysis confirm that the fixed combination of ASA (250 mg), paracetamol (200 mg), and caffeine (50 mg) is effective and well tolerated in a broad spectrum from mild to severe migraine and tension-type headache severity independently of the headache diagnosis."5.15The efficacy and tolerability of a fixed combination of acetylsalicylic acid, paracetamol, and caffeine in patients with severe headache: a post-hoc subgroup analysis from a multicentre, randomized, double-blind, single-dose, placebo-controlled parallel g ( Aicher, B; Diener, HC; Peil, H, 2011)
" In a randomized double-blind study including individuals with either migraine or tension-type headache (TTH) we showed significant superiority of the fixed combination of acetylsalicylic acid + paracetamol + caffeine over the combination without caffeine, the single preparations, and placebo in the treatment of headache."5.14Headache classification by history has only limited predictive value for headache episodes treated in controlled trials with OTC analgesics. ( Aicher, B; Diener, HC; Lipton, RB; Pageler, L; Peil, H; Pfaffenrath, V, 2009)
"We investigated efficacy, safety, and tolerability of two tablets of the fixed combination of 250 mg acetylsalicylic acid (ASA) + 200 mg paracetamol + 50 mg caffeine (Thomapyrin) in comparison with two tablets of 250 mg ASA + 200 mg paracetamol, two tablets of 500 mg ASA, two tablets of 500 mg paracetamol, two tablets of 50 mg caffeine, and placebo in patients who were used to treating their episodic tension-type headache or migraine attacks with non-prescription analgesics."5.11The fixed combination of acetylsalicylic acid, paracetamol and caffeine is more effective than single substances and dual combination for the treatment of headache: a multicentre, randomized, double-blind, single-dose, placebo-controlled parallel group st ( Aicher, B; Diener, HC; Pageler, L; Peil, H; Pfaffenrath, V, 2005)
"Six randomized, double-blind, two-period crossover studies, conducted under similar protocols, compared the efficacy of two analgesic combinations containing caffeine with an acetaminophen 1000 mg control and with a placebo in outpatients with episodic tension-type headaches."5.07Caffeine as an analgesic adjuvant in tension headache. ( Armellino, JJ; Beaver, WT; Friedman, M; Gillings, DB; Migliardi, JR, 1994)
"To assess the efficacy and safety of aspirin for acute treatment of episodic tension-type headache (TTH) in adults compared with placebo or any active comparator."4.95Aspirin for acute treatment of episodic tension-type headache in adults. ( Derry, S; Moore, RA; Wiffen, PJ, 2017)
"Four randomized, controlled trials of identical design in 1,900 patients with episodic tension-type headache comparing acetylsalicylic acid, acetaminophen and caffeine vs."4.90Use of a fixed combination of acetylsalicylic acid, acetaminophen and caffeine compared with acetaminophen alone in episodic tension-type headache: meta-analysis of four randomized, double-blind, placebo-controlled, crossover studies. ( Diener, HC; Gold, M; Hagen, M, 2014)
" Most of these patients suffer from migraine, tension-type headache, or a combination of the two; they tend to self-medicate using over the counter combination headache preparations, particularly acetylsalicyclic acid (ASA) and acetaminophen coformulated with caffeine, which is one of the most commonly used combination analgesics in these patients worldwide."4.86Efficacy of fixed combinations of acetylsalicyclic acid, acetaminophen and caffeine in the treatment of idiopathic headache: a review. ( Anneken, K; Evers, S; Husstedt, IW, 2010)
"(1) To establish whether pre-treatment headache intensity in migraine or episodic tension-type headache (ETTH) predicts success or failure of treatment with aspirin; and (2) to reflect, accordingly, on the place of aspirin in the management of these disorders."3.78Aspirin is first-line treatment for migraine and episodic tension-type headache regardless of headache intensity. ( Lampl, C; Steiner, TJ; Voelker, M, 2012)
" All medications including placebo were almost equally safe and well tolerated."2.70Efficacy and safety of metamizol vs. acetylsalicylic acid in patients with moderate episodic tension-type headache: a randomized, double-blind, placebo- and active-controlled, multicentre study. ( Cámara, J; Cornet, ME; Despuig, J; Díez-Tejedor, E; Fragoso, YD; Leira, R; Liaño, H; Martínez-Martín, P; Ortiz, P; Peil, H; Raffaelli, E; Titus, F; van Toor, BS; Vix, JM, 2001)
" Additional studies are needed to assess the relationship between caffeine dosing and clinical benefits in patients with TTH and migraine."2.55Caffeine in the management of patients with headache. ( Diener, HC; Garas, SY; Lipton, RB; Patel, K; Robbins, MS, 2017)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19901 (4.76)18.7374
1990's1 (4.76)18.2507
2000's8 (38.10)29.6817
2010's11 (52.38)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Lipton, RB2
Diener, HC5
Robbins, MS1
Garas, SY1
Patel, K1
Gold, M1
Hagen, M1
Göbel, H1
Heinze, A1
Heinze-Kuhn, K1
Göbel, A1
Göbel, C1
Derry, S1
Wiffen, PJ1
Moore, RA1
Mayor, S1
Pfaffenrath, V2
Pageler, L2
Peil, H4
Aicher, B3
Anneken, K1
Evers, S1
Husstedt, IW1
Haag, G2
Lampl, C1
Voelker, M3
Steiner, TJ2
Ristic, D1
Spangenberg, P1
Ellrich, J1
Gatoulis, SC1
Fisher, M1
Lange, R1
RYAN, RE1
Gaciong, Z1
Farinelli, I1
Martelletti, P1
Migliardi, JR1
Armellino, JJ1
Friedman, M1
Gillings, DB1
Beaver, WT1
Martínez-Martín, P1
Raffaelli, E1
Titus, F1
Despuig, J1
Fragoso, YD1
Díez-Tejedor, E1
Liaño, H1
Leira, R1
Cornet, ME1
van Toor, BS1
Cámara, J1
Vix, JM1
Ortiz, P1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Acute Headache Treatment in Pregnancy: Improvement in Pain Scores With Occipital Nerve Block vs PO Acetaminophen With Caffeine A Randomized Controlled Trial[NCT03951649]Phase 462 participants (Actual)Interventional2020-02-10Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Duration of Headache Free Period at 7 Days

(NCT03951649)
Timeframe: 7 days

Interventiondays (Median)
Occipital Nerve Block6
Oral Acetaminophen/Caffeine Group1

Number of Participants With Development of Hypertensive Disease of Pregnancy Within 28 Days

(NCT03951649)
Timeframe: 28 days

InterventionParticipants (Count of Participants)
Occipital Nerve Block9
Oral Acetaminophen/Caffeine Group4

Number of Participants With Development of Hypertensive Disease of Pregnancy Within 7 Days

(NCT03951649)
Timeframe: 7 days

InterventionParticipants (Count of Participants)
Occipital Nerve Block7
Oral Acetaminophen/Caffeine Group2

Number of Participants With Injection Site Complication (Infection, Hematoma, and Ecchymosis)

Other: Pain at injection site (NCT03951649)
Timeframe: 7 days

InterventionParticipants (Count of Participants)
Occipital Nerve Block0
Oral Acetaminophen/Caffeine Group2

Number of Participants With Need for Admission for Treatment of Headache

(NCT03951649)
Timeframe: 7 hours

InterventionParticipants (Count of Participants)
Occipital Nerve Block0
Oral Acetaminophen/Caffeine Group0

Number of Participants With Need for Crossover Treatment

(NCT03951649)
Timeframe: 4 hours

InterventionParticipants (Count of Participants)
Occipital Nerve Block9
Oral Acetaminophen/Caffeine Group14

Number of Participants With Need for Neurology Consult

(NCT03951649)
Timeframe: 5 hours

InterventionParticipants (Count of Participants)
Occipital Nerve Block4
Oral Acetaminophen/Caffeine Group2

Number of Participants With Need for Representation for Treatment of Headache With 28 Days

Emergency department for treatment of headache since treatment asked at 28 day follow up (NCT03951649)
Timeframe: 28 days

InterventionParticipants (Count of Participants)
Occipital Nerve Block5
Oral Acetaminophen/Caffeine Group1

Number of Participants With Need for Second Line Treatment

(NCT03951649)
Timeframe: 120 min

InterventionParticipants (Count of Participants)
Occipital Nerve Block5
Oral Acetaminophen/Caffeine Group5

Number of Participants With Response to Occipital Nerve Block in Pregnancy

Based on guidelines from the International Headache Society the primary outcome is the portion of women who experience resolution of headache or improvement of headache to mild range (VRS ≤ 3) at 2 hours following treatment with Occipital nerve block as compared to acetaminophen/caffeine cocktail. (NCT03951649)
Timeframe: 60-300 min

InterventionParticipants (Count of Participants)
Occipital Nerve Block20
Oral Acetaminophen/Caffeine Group16

Response to Cross Over Treatment at 60 Min

"Visual/verbal Rating Score (VRS). VRS is used to assess pain in patients. With 0 representing no pain at all and 10 representing worst possible pain.~Total Minimum score=0 Total Maximum score=10~Higher values represent worse pain. If VRS=0, then the headache pain is considered resolved." (NCT03951649)
Timeframe: 60 min

Interventionscore on a scale (Median)
Occipital Nerve Block6
Oral Acetaminophen/Caffeine Group3

Response to Second Line Treatment at 60 Min

"Visual/verbal Rating Score (VRS). VRS is used to assess pain in patients. With 0 representing no pain at all and 10 representing worst possible pain.~Total Minimum score=0 Total Maximum score=10~Higher values represent worse pain. If VRS=0, then the headache pain is considered resolved." (NCT03951649)
Timeframe: 180min

Interventionscore on a scale (Median)
Occipital Nerve Block6
Oral Acetaminophen/Caffeine Group4

Response to Treatment Within 2 Hours

"Visual/verbal Rating Score (VRS). VRS is used to assess pain in patients. With 0 representing no pain at all and 10 representing worst possible pain.~Total Minimum score=0 Total Maximum score=10~Higher values represent worse pain. If VRS=0, then the headache pain is considered resolved." (NCT03951649)
Timeframe: 2 hrs

Interventionscore on a scale (Median)
Occipital Nerve Block6.0
Oral Acetaminophen/Caffeine Group6.5

Reviews

8 reviews available for aspirin and Headache, Tension

ArticleYear
Caffeine in the management of patients with headache.
    The journal of headache and pain, 2017, Oct-24, Volume: 18, Issue:1

    Topics: Abdominal Pain; Acetaminophen; Adult; Analgesics; Aspirin; Caffeine; Central Nervous System Stimulan

2017
Use of a fixed combination of acetylsalicylic acid, acetaminophen and caffeine compared with acetaminophen alone in episodic tension-type headache: meta-analysis of four randomized, double-blind, placebo-controlled, crossover studies.
    The journal of headache and pain, 2014, Nov-19, Volume: 15

    Topics: Acetaminophen; Analgesics; Aspirin; Caffeine; Double-Blind Method; Drug Therapy, Combination; Humans

2014
[Peppermint oil in the acute treatment of tension-type headache].
    Schmerz (Berlin, Germany), 2016, Volume: 30, Issue:3

    Topics: Acetaminophen; Administration, Cutaneous; Adult; Aspirin; Child; Controlled Clinical Trials as Topic

2016
Aspirin for acute treatment of episodic tension-type headache in adults.
    The Cochrane database of systematic reviews, 2017, 01-13, Volume: 1

    Topics: Acetaminophen; Administration, Oral; Adult; Aged; Analgesics; Aspirin; Codeine; Dipyrone; Humans; Me

2017
Efficacy of fixed combinations of acetylsalicyclic acid, acetaminophen and caffeine in the treatment of idiopathic headache: a review.
    European journal of neurology, 2010, Volume: 17, Issue:4

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Animals; Aspirin; Caffeine; Drug Combinations; Humans; Tens

2010
The real dimension of analgesic activity of aspirin.
    Thrombosis research, 2003, Jun-15, Volume: 110, Issue:5-6

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Clinical Trials as Topic; Comorbidity; Dose-Respon

2003
[Self-medication of migraine and headache].
    MMW Fortschritte der Medizin, 2006, Nov-23, Volume: 148, Issue:47

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Caffeine;

2006
Aspirin and tension-type headache.
    The journal of headache and pain, 2007, Volume: 8, Issue:1

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Humans; Tension-Type Headache

2007

Trials

7 trials available for aspirin and Headache, Tension

ArticleYear
Headache classification by history has only limited predictive value for headache episodes treated in controlled trials with OTC analgesics.
    Cephalalgia : an international journal of headache, 2009, Volume: 29, Issue:2

    Topics: Acetaminophen; Adolescent; Adult; Aged; Analgesics, Non-Narcotic; Aspirin; Caffeine; Double-Blind Me

2009
The efficacy and tolerability of a fixed combination of acetylsalicylic acid, paracetamol, and caffeine in patients with severe headache: a post-hoc subgroup analysis from a multicentre, randomized, double-blind, single-dose, placebo-controlled parallel g
    Cephalalgia : an international journal of headache, 2011, Volume: 31, Issue:14

    Topics: Acetaminophen; Adolescent; Adult; Aged; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Ster

2011
Assessment of the efficacy and safety profiles of aspirin and acetaminophen with codeine: results from 2 randomized, controlled trials in individuals with tension-type headache and postoperative dental pain.
    Clinical therapeutics, 2012, Volume: 34, Issue:1

    Topics: Acetaminophen; Adolescent; Adult; Aged; Analgesics, Non-Narcotic; Analgesics, Opioid; Analysis of Va

2012
Aspirin in episodic tension-type headache: placebo-controlled dose-ranging comparison with paracetamol.
    Cephalalgia : an international journal of headache, 2003, Volume: 23, Issue:1

    Topics: Acetaminophen; Adolescent; Adult; Aged; Aspirin; Dose-Response Relationship, Drug; Double-Blind Meth

2003
The fixed combination of acetylsalicylic acid, paracetamol and caffeine is more effective than single substances and dual combination for the treatment of headache: a multicentre, randomized, double-blind, single-dose, placebo-controlled parallel group st
    Cephalalgia : an international journal of headache, 2005, Volume: 25, Issue:10

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Caffeine;

2005
Caffeine as an analgesic adjuvant in tension headache.
    Clinical pharmacology and therapeutics, 1994, Volume: 56, Issue:5

    Topics: Acetaminophen; Adolescent; Adult; Aged; Aspirin; Caffeine; Cross-Over Studies; Double-Blind Method;

1994
Efficacy and safety of metamizol vs. acetylsalicylic acid in patients with moderate episodic tension-type headache: a randomized, double-blind, placebo- and active-controlled, multicentre study.
    Cephalalgia : an international journal of headache, 2001, Volume: 21, Issue:5

    Topics: Adolescent; Adult; Aged; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Aspirin;

2001

Other Studies

6 other studies available for aspirin and Headache, Tension

ArticleYear
Aspirin for frequent episodic tension-type headache has limited evidence.
    BMJ (Clinical research ed.), 2017, Jan-15, Volume: 356

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Humans; Tension-Type Headache

2017
Comments on 'Efficacy of fixed combinations of acetylsalicylic acid, acetaminophen and caffeine in the treatment of idiopathic headache: a review'.
    European journal of neurology, 2010, Volume: 17, Issue:11

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Caffeine;

2010
Aspirin is first-line treatment for migraine and episodic tension-type headache regardless of headache intensity.
    Headache, 2012, Volume: 52, Issue:1

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Clinical Trials as Topic; Cross-Over Studie

2012
Acetylsalicylic acid inhibits α,β-meATP-induced facilitation of neck muscle nociception in mice--implications for acute treatment of tension-type headache.
    European journal of pharmacology, 2011, Dec-30, Volume: 673, Issue:1-3

    Topics: Adenosine Triphosphate; Animals; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Cyclooxygenase In

2011
TENSION HEADACHE: A NEW AGENT FOR ITS SYMPTOMATIC RELIEF.
    Headache, 1965, Volume: 5

    Topics: Aspirin; Barbiturates; Caffeine; Diagnosis; Drug Therapy; Headache; Humans; Mental Disorders; Phenac

1965
[Aspirin. Treatment of migraine and tension headaches].
    Medizinische Monatsschrift fur Pharmazeuten, 2007, Volume: 30, Issue:9

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Humans; Migraine Disorders; Tension-Type Headache

2007