Pain relievers and hypertension.

Q: What is a safe pain reliever for headache if you have hypertension?

A: Acetaminophen does not cause high blood pressure. However the use of this drug may cause liver problems. No drug is 100% safe. You have to weigh the benefits of taking something for your headache against possible side effects. Used properly, the old fashioned ice pack can provide relief without side effects. For other non-drug options go this article on WebMD.com

Further Reading:
Safest Pain Reliever for People With High Blood Pressure – eHow.com

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