Can Rebound Headaches Be Prevented
You can prevent rebound headaches when you use pain relievers on a limited basis, only when you need them. Do not use them more than once or twice a week unless your doctor tells you to. In some cases, your doctor can prescribe a medication preemptively that would prevent the headaches and is meant to be taken daily without causing rebound. This would lower the amount of abortive therapy needed.
Also, avoid caffeine while youâre taking pain relievers, especially medication that already has caffeine. For migraines, which use a wide variety of different medications and treatment approaches, itâs particularly important to talk to your doctor about the best way to use your combination of medication to avoid the rebound effect.
How Is Medication Overuse Headache Diagnosed
Your healthcare provider will ask about the medications you take both prescription and over-the-counter to manage your headaches. He or she will ask you specifically how many days a week/month you have headaches, how long your headache last, what type of headache medication you take and how often you take headache/pain-relieving medications. You may be asked to track all of this information in a headache diary.
If you take as-needed medication for headaches more than two to three days per week and have daily or near daily headaches, you may be at high risk for medication overuse headache.
Other tests: Your healthcare provider may order imaging tests or blood tests to make sure there are no other possible causes for your headache.
How Often Is Too Often When Talking About Medications And The Cause Of Medication Overuse Headache
Headache specialists have found that medication overuse headache can be triggered in patients with migraine who take the following types of medications at the following frequency a month:
- Butalbital combinations five or more days a month, or
- Opioids for eight or more days a month, or
- Triptans for 10 or more days per month, or
- Nonsteroidal anti-inflammatory drugs for more than 10 days per month.
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What Happens If I Overdose
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of acetaminophen can damage your liver or cause death.
The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. Later symptoms may include pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.
What Should I Know About Storage And Disposal Of This Medication
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature, away from excess heat and moisture .
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website for more information if you do not have access to a take-back program.
It is important to keep all medication out of sight and reach of children as many containers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location â one that is up and away and out of their sight and reach.
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Imitrex For Other Conditions
In addition to the uses listed above, Imitrex may be used off-label for other purposes. Off-label drug use is when a drug thats approved for one purpose is used for a different one thats not approved. And you may wonder if Imitrex is used for certain other conditions. Below is information on another possible use for Imitrex.
Imitrex for tension headaches
Imitrex isnt FDA-approved to treat tension headaches. Theres not much evidence that Imitrex works for tension headaches, and its unlikely to be used for this type of headache.
Tension headaches are also known as stress headaches. This type of headache tends to affect both sides of the head. It may also be associated with stiffness in the neck or shoulders.
People with a tension headache dont usually experience nausea, but they may be more sensitive to light and sound.
If you have tension headaches, talk with your doctor. They can help you figure out possible causes and suggest treatment options.
How Much Is Diabetes Medication
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General Information About The Safe And Effective Use Of Nurtec Odt
Medicines are sometimes prescribed for purposes other than those listed in a Patient Information guide. Do not use Nurtec ODT for a condition for which it was not prescribed. Do not give Nurtec ODT to other people, even if they have the same symptoms that you have. It may harm them. You can ask your pharmacist or healthcare provider for information about Nurtec ODT that is written for health professionals.
How Does Bitter Melon Lower Blood Sugar
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How To Break The Cycle Of Rebound Headaches
Some people with are vulnerable to a vicious cycle: The more medication they take to relieve their pain, the more headaches they get. Called medication-overuse or rebound , it’s surprisingly common, says Stephen Silberstein, MD, FAAN, director of the Headache Center at Jefferson University Hospitals in Philadelphia. “Patients may think that if a little is good, more must be better, but with migraine that’s just not the case,” he says.
When patients medicate too often or take larger than recommended doses, their bodies get used to the drug, resulting in worse or more frequent headaches, explains Kevin Weber, MD, assistant professor of neurology at the Ohio State University Neurological Institute in Columbus.
If that sounds familiar, it’s time to talk to your doctor. He or she can help you break the pattern. Here are some questions to get the conversation started.
What are the signs of a medication-overuse headache? Your doctor can walk you through the classic symptoms of this type of headache, says Richard B. Lipton, MD, FAAN, endowed professor and vice chair of neurology at the Einstein College of Medicine and director of the Montefiore Headache Center, both in New York City. He shares this list with his patients:
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Drug Forms And Strengths
Imitrex comes in the forms and strengths below.
Imitrex tablet: 25 mg, 50 mg, and 100 mg
Imitrex tablets are available in strengths of 25 milligrams , 50 mg, and 100 mg. The tablets are taken by mouth.
Imitrex nasal spray: 5 mg and 20 mg
The Imitrex nasal spray comes in strengths of 5 mg and 20 mg. The nasal spray device contains a single dose that you spray into one nostril only.
Imitrex STATdose pen: 4 mg and 6 mg
The Imitrex STATdose pen is a reusable autoinjector pen thats used to give an injection from a single-dose prefilled syringe cartridge. Cartridges for the pen come in strengths of 4 mg and 6 mg.
Imitrex vial: 6 mg
The Imitrex vial is available in a strength of 6 mg. It contains a single dose of liquid solution for use with a syringe.
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Who Should Take A Medicine To Prevent Migraine Attacks
There is no definite rule. For example, you may wish to consider this option if you have:
- More than two migraine attacks per month that cause significant disruption to your life.
- Less frequent, but severe, migraine attacks.
- The need to use a lot of painkillers or triptan medicines to treat migraine attacks.
- Painkillers or triptans for migraine attacks not working very well, or you are unable to take them because of side-effects or other problems.
Before embarking on preventative treatment, it is probably best to keep a migraine diary for a few months to assess:
- How often and how bad your migraine attacks are.
- Your current use of medication to treat the migraine attacks.
This may help you to decide if preventative treatment is worth a try, and also to help assess if you may have medication-induced headache. See the leaflet called Migraine trigger diary, including a migraine diary that you may like to print out and use.
Excedrin Overdose Risk No : The Jitters
You know that jittery, nervous feeling you get when you’ve had one cup of coffee too many ? Well, too much Excedrin means too much caffeine, especially if you’re also eating or drinking foods that contain caffeine.
You also may have a lot of trouble falling sleep if you have too much caffeine, and sleep loss can be a migraine trigger, Dr. Grosberg says.
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What Are Rage Seizures
Focal emotional seizure with anger characterized by the presence of anger, which may be accompanied by aggressive behaviour. This is a rare seizure type, anger and aggression, if present, are mostly seen in the post-ictal period. This seizure type localizes to prefrontal or mesial temporal regions of the brain.
How To Cope With Side Effects Of Propranolol
What to do about:
- feeling tired, dizzy or light-headed as your body gets used to propranolol, these side effects should wear off. If propranolol makes you feel dizzy, sit or lie down until you feel better. Try to avoid alcohol as it will make you feel worse.
- cold fingers or toes put your hands or feet under warm running water, massage them and wiggle your fingers and toes. Do not smoke or have drinks with caffeine in this can make your blood vessels narrower and further restrict blood flow to your hands and feet. Try wearing mittens and warm socks. Do not wear tight watches or bracelets.
- difficulties sleeping or nightmares try taking your propranolol in the morning. If you have to take it more than once a day, speak to your doctor. They may be able to change your propranolol to the slow release form.
- feeling sick stick to simple meals and do not eat rich or spicy food. It might help to take your propranolol after a meal or snack.
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Imitrex For Cluster Headaches
The Imitrex injection is FDA-approved to treat cluster headaches in adults. Other forms of Imitrex are not approved for this use.
Cluster headaches are intense headaches that come on suddenly. They last for about an hour and occur several times a day. The pain typically starts around the eye and spreads over one side of the head.
Cluster headaches happen over a few days, weeks, or months. Theyre usually followed by periods of remission without headaches.
Imitrex helps to relieve cluster headaches. Its not used to prevent cluster headaches.
Effectiveness for cluster headaches
Imitrex injection was found to be effective for treating cluster headaches in two clinical studies.
In these studies, researchers assessed how many people had relief from their cluster headache after taking Imitrex injection or a placebo . Relief meant that a headache that was considered moderate to severe became a mild headache, or the pain went away completely.
In the studies:
- 74% to 75% of the people who received a 6-mg Imitrex injection had relief from their cluster headache within 15 minutes after taking the dose
- 26% to 35% of people who took a placebo had relief from their cluster headache within 15 minutes after taking the dose
Breaking The Rebound Headache Cycle
To break the rebound cycle, youll need to change your medication habits. Unfortunately, that may bring more pain in the short run. In addition to your headaches getting worse, you could get withdrawal symptoms, like nervousness, restlessness, nausea, vomiting, insomnia and constipation. Withdrawal tends to last from two to ten days. For some people, it can go on for several weeks. To get your system back to its normal baseline, its important to make an action plan with your provider.
- Cold turkey. If youve been taking simple analgesics, you and your doctor may decide to eliminate your quick fix meds completely.
- Tapering. You may both decide to bring your medication usage down more gradually.
- Short term withdrawal treatment. You and your doctor may decide that medication is needed to help you break the cycle. Options include corticosteroids, prochlorperazine, nerve blocks, DHE and anti-nausea medicine.
- Detox. If youve been relying on opioids or barbiturate-containing medicines , the withdrawal symptoms may be severe enough to require medical supervision via a brief hospitalization. In the hospital, you can expect to receive intravenous doses of DHE-45 , as well as anti-nausea and sedating drugs.
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Treatment For Medication Overuse Headaches
Discontinuation of overused medication is essential and the treatment of choice for MOH. In addition, preventive treatment aimed at the suspected background primary headache disorders should be initiated either during or immediately following withdrawal.4,5 There are various strategies to help with process of medication withdrawal and bridge therapy may be useful during drug withdrawal to provide symptomatic relief. Apart from discontinuation, a combination of pharmacological therapy, non-pharmacological therapy, biofeedback, and targeted physical therapy is needed for improvement in the patients symptoms. Support groups and behavioral techniques have also been found necessary for the success of the treatment in the symptoms.
It is important for the patient to know that when the medication overused is discontinued, they may undergo a period where their headaches will get worse. Some other symptoms caused by the withdrawal of the medication can include nausea, vomiting, insomnia, restlessness or constipation. The headaches eventually will get better.
The physician will decide if the overused medication will be discontinued abruptly or if it needs to be tapered slowly. It may take a couple of months to six months to eventually break the headache cycle.
In certain circumstances, inpatient treatment may be considered so that medication can be tapered in a controlled environment, and prolonged intravenous medications can be used to break the headache cycle.
Financial And Insurance Assistance
If you need financial support to pay for Imitrex, or if you need help understanding your insurance coverage, help is available.
GlaxoSmithKline LLC, the manufacturer of Imitrex, offers a program called GSK for You. For more information and to find out if youre eligible for support, call 888-825-5249 or visit the program website.
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