Ibuprofen always worked better for me, I never got any relief with Paracetamol, but everyone is different. I've suffered from migraines since childhood, on propranalol (prophylactically) and take sumatriptan as soon as I feel one coming on (if I delay it doesn't work). So far migraines have been stable, one a month (week of period) since I started HRT (this was a concern as I know with some it can cause headaches/migraines). Hope osteopath helps!!