headache tratment

1. If headache not associated with warning symptoms as listed above, the following medications may be used.
If headache associated with any warning symptoms is particularly severe, or does not respond to any of the medications below, go to step 2.
Medication is listed in increasing order of strength.

1. Ascriptin (buffered aspirin), Motrin, Voltaren, and Arthrotec are all anti-inflammatory and analgesic agents, and in the doses recommended here are nearly equivalent in pain relief. All may cause mild upset stomach and should be avoided if there is allergy to aspirin. Arthrotec is a combination of antiinflammatory drug and stomach-protective agent, with decreased risk of stomach discomfort and erosions, it should be used if the other agents cannot be tolerated. Use of Arthrotec decreases the risk of developing erosive and ulcerous lesions
of the gastrointestinal tract. Selection is based on crew experience and dosing convenience.

2. Tylenol and Analgin are analgesics. Analgin has minimal and Tylenol has no anti-inflammatory effects. They do not cause upset stomach, and work almost as well for general pain as do the anti-inflammatory agents. Selection is based on crew experience.

3. Vicodin is Tylenol plus a mild narcotic and is the strongest oral pain reliever. It may cause some drowsiness and dizziness. AMP Tylenol (Acetaminophen) (P1-A1,2,3) - Aspirin-free pain reliever (blue)

Dose: 1-2 tablets every 4 to 6 hours as needed.
__-1, Analgin - Non-narcotic analgesic agent
__-2
Dose: 1 tablet 3 times/day Possible side effects Blood clotting defect due to low platelets
AMP Motrin (Ibuprofen) (P1-B5,6) - Oral anti-inflammatory drug and pain (blue) reliever

Dose: 1 tablet every 8 hours with food and drink

NB: Do not take if allergic to aspirin.

Possible side effects
Upset stomach, diarrhea AMP Voltaren (Diclofenac Sodium) (P1-B-10) - Oral anti-inflammatory drug, (blue) effective alternative to Motrin for pain relief of headache, backache, -or- sinus pressure __-1
Dose: 1 tablet 2 to 3 times/day as needed
NOTE
Do not take if allergic to aspirin.
Possible side effects
Abdominal pain, cramps, fluid retention
__-1, Arthrotec (Diclofenac/Misoprostol) - Non-steroidal anti-inflammatory oral
__-3 pain reliever with stomach protective prostaglandin
Dose: 1 tablet 2 to 3 times/day
Possible side effects
Upset stomach, bleeding defects
2. If headache is associated with any warning symptoms, is particularly
severe, or does not respond to any of the medications in step 1, contact
ground and schedule PMC.
Be ready to provide the following information.
Location of pain: _____________________
Duration of pain: _____________________
Description of pain: _____________________
Associated symptoms: _____________________