Patient reports recurring tension-type headaches almost daily for the past 2 weeks, self-medicating with one Dolo 650 tablet most evenings for relief. No fever, no other analgesics/NSAIDs combined, no known liver disease, occasional alcohol use (1-2 drinks/week). Headaches seem to respond well to the tablet but patient is concerned about taking paracetamol this frequently and wants to know if this crosses into overuse territory, and whether liver function tests are warranted before continuing further. Visit: https://medicompares.com/
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Based on what you've described, taking **one Dolo 650 tablet most evenings for the last two weeks would not generally be considered medication-overuse headache**. That usually becomes a concern when simple painkillers such as paracetamol are used on **15 or more days a month for more than 3 months**. The bigger thing I'd pay attention to is the headache itself. Since this is a **new headache occurring almost every day for two weeks**, it's worth getting assessed rather than continuing to rely on a painkiller every evening. As for the liver, if you have **no liver disease, aren't taking any other paracetamol-containing medicines, and are taking only 650 mg a day**, routine liver-function tests aren't usually necessary just because you've used it for two weeks. Your reported alcohol intake of 1–2 drinks a week also doesn't, by itself, suggest a need for LFTs. For now, avoid increasing the dose or frequency on your own and check other medicines for hidden paracetamol. If the headaches continue, I'd recommend discussing them with a doctor so the cause can be evaluated. Seek urgent care if you develop a **sudden severe headache, weakness or numbness, difficulty speaking or seeing, confusion, fainting, repeated vomiting, fever with neck stiffness, or a rapidly worsening headache**. So, **your current paracetamol use isn't in the usual overuse range, and LFTs aren't routinely needed solely because of this pattern. The persistent new headaches are the part that deserves further evaluation.**
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