When a headache hits, there are a few ways to handle it: get some rest, hydrate with a glass of water (and hydrating foods), and, of course, reach for a pain reliever to reduce discomfort. Over-the-counter pain relievers are among the most popular quick fixes for aches, pains, and fevers—but relying on them could do some serious damage to your health.
All supplements and medications come with potential risks. Dr. Bing, MD MPH (@doctor.bing), a neurologist who shares advice on TikTok, recently shared a video warning that overusing certain over-the-counter medications can actually lead to more pain, not less. In his video, titled “3 things I don’t recommend as a neurologist,” his first word of advice is clear: “Don’t overuse over the counter pain relievers.” As he explains, “NSAIDs like Motrin or Aleve or acetaminophen can help with the pain, but frequent use can actually make headaches worse.” Learn more about the risks of each below.
Watch on TikTok
1. NSAIDs (Ibuprofen, Naproxen, Aspirin)
Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Motrin, Advil) and naproxen (Aleve) are among the most popular choices when it comes to relieving common aches and pains. And while these pain relievers can be certainly safe and effective in moderation, using them too often can come with risks.
“Chronic use of NSAIDs can cause stomach ulcers, kidney damage, and increase stroke risk,” Dr. Bing warns. Over time, these medications irritate the stomach lining, potentially leading to ulcers and internal bleeding. They also put stress on the kidneys, which can contribute to kidney disease, and some research shows that long-term NSAID use can even contribute to higher stroke risk. Yikes!
To stay on the safe side, Dr. Bing recommends limiting NSAID use to no more than 15 days per month. “If you find yourself always needing pain relievers, you should talk to your doctor about other medication and non-medication alternatives for pain,” he says.
2. Acetaminophen (Tylenol, Paracetamol)
Acetaminophen (a.k.a. Tylenol) is another common pain reliever. This one is commonly recommended for headaches and fevers. Unlike NSAIDs, it doesn’t cause stomach ulcers—but that doesn’t mean it’s risk-free.
"Acetaminophen overuse can damage the liver," Dr. Bing warns. Taking too much of this drug can overwhelm your liver and lead to toxicity or even failure. This is especially concerning and risk for people who consume alcohol, which puts a similar strain on your liver. Stay safe!
Safe Pain Reliever Use
Does this mean you have to give up pain relievers completely and suffer through your headaches? Not necessarily. All in all, Dr. Bing recommends using these medications in moderation. He suggests keeping NSAID and acetaminophen use to no more than 15 days per month and considering other pain management options like physical therapy, acupuncture, or lifestyle changes. When in doubt, talk to your doctor.
