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4Head is a cooling stick containing levomenthol that you apply across your forehead to ease a headache. There’s nothing to swallow, and it can be used alongside other headache medicines.
See your GP if you get a lot of headaches, or your headaches are new or getting worse. In pregnancy, frequent or severe headaches should be checked by your midwife or GP, because they can be a sign of high blood pressure.
Order before 3pm — same-day dispatch (MON - FRI)
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Suitable age
Adults and children (see the leaflet)
Max per order
2 sticks
Consultation
No consultation needed (GSL)
4Head is a headache treatment in a stick, containing levomenthol 90% w/w. You glide it across your forehead, avoiding your eyes. It first feels cool or tingly, and then has a pain-relieving effect. There’s nothing to swallow, which can help if you feel sick.
4Head can be used on its own or alongside painkillers. For migraine attacks that need more, see our migraine treatments and our triptans guide. If you get headaches often, read about medication overuse headache.
| Medicine type | Cooling stick applied to the skin (General Sale List medicine) |
| Active ingredient | Levomenthol 90% w/w |
| Size | 3.6g stick |
| How to use | Glide across the forehead, avoiding the eyes; reapply as needed |
| Interactions | None known |
| Price | 1 stick £4.99 · 2 sticks £9.49 |
4Head may help if you want a headache treatment you don’t swallow, or something to use alongside your usual painkillers.
Don’t use it if you’re allergic to levomenthol, peppermint oil or the other ingredients.
See your GP if you get a lot of headaches, or your headaches are new, different or getting worse.
Get urgent help (call 999) if you have a sudden, severe “thunderclap” headache, a headache with weakness, numbness, a drooping face or slurred speech, a headache with fever, a stiff neck or a rash, or a headache after a head injury. These aren’t migraine and need assessment straight away.
A cooling headache stick containing levomenthol, which you apply to your forehead. It’s a General Sale List medicine.
It’s licensed for headache, and some people find the cooling effect helpful during a migraine, especially alongside their usual treatment. For moderate to severe migraine, triptans usually work better; see our triptans guide.
You can reapply it as needed. If the feeling becomes too strong, use it less often or on a smaller area.
Yes. There are no known interactions, so you can use it alongside painkillers or triptans.
The leaflet says it can be used. If you’re pregnant and getting frequent or severe headaches, speak to your midwife or GP, because this can be a sign of high blood pressure.
If you get a lot of headaches, or they’re new, different or getting worse. Get urgent help (call 999) if you have a sudden, severe “thunderclap” headache, a headache with weakness, numbness, a drooping face or slurred speech, a headache with fever, a stiff neck or a rash, or a headache after a head injury. These aren’t migraine and need assessment straight away.
Helpful articles and clinical guides related to this treatment category.
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