Favorite OTC headache treatment? in Migraines and Other Headaches - Not Tonight, Dear Posted May 5 If the'yre stress or tension induced as you say, have you considered taking a benzodiazepine or other anti anxiety medication? I often get dull, throbbing neck aches that, before making the connection w/ anxiety instead of injury/strain, would never respond to OTC pain meds. Also, for non-drug related suggestions, I would strongly suggest an ice hat and eye mask, at least if you're at home. I almost always take something, put the ice hat on, then go lay down with the mask as I get pretty photosensitive and the ice hat helps to distract.