Different preventive medication
for migraines may not be effective on
tension headaches. I have tried propanolol, which did nothing for me. Ditto for topamax--just made me dizzy, couldn't tolerate it for more than 1 day. Haven't tried antidepressants yet because Elavil, which the doctor recommended, can cause heart rhythm problems if you get premature ventricular contractions (skipped heartbeats).
I have fioricet for pain relief, but it barely works.