In the case where a client is experiencing headache from nitrates, which medication may be given for relief?

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Acetaminophen is often chosen for relief of headaches, particularly in the context of headaches induced by nitrates. Nitrates can cause vasodilation, which may lead to headache as a side effect due to increased intracranial pressure or vascular changes. Acetaminophen is a non-opioid analgesic that is effective for treating mild to moderate pain, including headaches. It works by inhibiting prostaglandin synthesis in the brain, which helps alleviate pain without causing gastrointestinal irritation or increasing the risk of bleeding.

In the context of this particular patient scenario, acetaminophen is a more suitable choice compared to other options, such as ibuprofen or naproxen, which are nonsteroidal anti-inflammatory drugs (NSAIDs). While NSAIDs are also effective for relieving headaches, they can be more irritating to the gastrointestinal tract and are often not recommended in patients at risk for bleeding or who may be taking medications that also affect platelet function, such as nitrates. Aspirin, while effective as a pain reliever, has similar drawbacks regarding gastrointestinal irritation and bleeding risks.

Thus, acetaminophen provides an effective balance of pain relief without the added concerns associated with some other analgesics in this situation.

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