Back pain medicine during breastfeeding

Headaches affect almost everyone from time to time, but they are usually temporary and nothing to worry about. During pregnancy, it is generally safe to use headache tablets to treat headaches. There are different types of headache, including tension headaches, migraines and cluster headaches. Headaches can develop gradually or suddenly, and they vary from dull and mild to pounding and very intense. Patients need to be careful when using headache tablets to treat headaches while pregnant because not all headache tablets are safe to take in pregnancy.

Causes of headaches

The various types of headache may have different causes. It is not entirely clear what causes tension headaches, but triggers may include stress combined with increased tension in the neck muscles. The exact causes of migraines are also unknown. It is believed that inflamed blood vessels in the brain may have a part to play. Another potential underlying factor is the way in which the brain processes pain signals. In people who are prone to migraines, triggers may include an irregular sleeping pattern, an irregular daily routine, hormonal changes, stress, certain foods and changes in the weather.



Headache tablets during pregnancy

During pregnancy, it is generally safe to use headache tablets to treat the typical symptoms of headaches. Headaches can be treated using a range of different headache tablets or active ingredients. You may have questions about how safe these medicines are during pregnancy:

  • Ibuprofen (Aktren, Dolormin, etc.), acetylsalicylic acid (Aspirin, Dolomo, Neuralgin, Godamed, Melabon, Excedrin Kopfschmerz und Migräne Headache and Migraine), ketoprofen (Gabrilen), naproxen (Dolormin, Naproxen InfectoPharm), diclofenac (Voltaren)
  • Paracetamol (Ben-u-ron, Migränerton)
  • Metamizole (Analgin)
  • Etoricoxib (Arcoxia), celecoxib (Celebrex)
  • Almotriptan (Almogran, Dolortriptan for migraines), eletriptan (Relpax), naratriptan (Naramig, Naratriptan-Ratiopharm), sumatriptan (Imigran, Sumatriptan-Ratiopharm), rizatriptan (Maxalt), zolmitriptan (AscoTop)
  • Ergotamine (Erfgo-Kranit)
  • Clostridium botulinum toxin (Botox)
  • Erenumab (Aimovig), galcanezumab (Emgality)
  • Flunarizine (Flunarizin acis)
  • Metoprolol (Beloc-Zok), amitriptyline (Saroten), topiramate (Topamax)
  • Homeopathic medicines, e.g. Antimigren, Dolfin, Migräne-Echtroplex, Migräne Gastreu

Risks of headache tablets during pregnancy

Taking headache tablets during pregnancy may cause various side effects, such as an upset stomach, nausea, vomiting, drowsiness and dizziness. It is extremely important to choose the right headache tablets during pregnancy since some headache tablets such as ibuprofen are discouraged (contraindicated) from the 28th week of pregnancy because they may lead to serious complications for the unborn child (closure of the ductus arteriosus blood vessel, kidney damage). There are, however, some headache tablets that can be taken during pregnancy, making them the preferred treatment option.

Find out whether your headache tablets are safe for you and your baby during pregnancy


  • Gain comprehensive information on the risks and safety of your medicine during pregnancy and breastfeeding.
  • Make decisions on the basis of trustworthy information on medicines.
  • Receive a written report summarising your personal medicine consultation and share it with your doctor.


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