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   Author  Topic: rebound headaches  (Read 316 times)
Gmkoa
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rebound headaches
« on: Jun 25th, 2005, 4:53pm »
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do you get rebound headacges when using imetrex
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unsolved1
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Re: rebound headaches
« Reply #1 on: Jun 25th, 2005, 5:17pm »
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neurologists (MHNI & Diamond HA Clinics) say you do get rebound HA's from using Trex
 
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Jasen
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Re: rebound headaches
« Reply #2 on: Jun 25th, 2005, 5:49pm »
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I gto them from Imitrex, Relpax, Frova. No I just take O2 and narcotics for a abortive.
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Kiwiinoz58
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Re: rebound headaches
« Reply #3 on: Jun 25th, 2005, 6:13pm »
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I don't usually get rebounds from Imigran (Australian name for Imitrx) if the dose is strong enough. Since I've started only using 1/3 to 1/2 of a dose each time I have occasionally had a very mild rebound but it goes away on it's own.
Cheers,
Jacqs (Kiwiinoz)
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Re: rebound headaches
« Reply #4 on: Jun 25th, 2005, 8:51pm »
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Rebound headaches. "Rebound Headaches--A Review", Au. John S. Warner, M.D., in HEADACHE QUARTERLY, 10:3(1999). (There is some confusion on the board about the meaning of "rebound". There appears to be an emerging consensus in the medical literature to define "rebound" as a headache which is caused by the overuse of any medication used to abort a headache or relieve pain. "Recurrence" [of a headache] is being used to refer to the redevelopment of an attack when its "normal" duration is longer than the useful life of the medication which has been taken. That is, the medication effectiveness is reducing before the headache has come to an end; the pain redevelops.)
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Bob Johnson
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Re: rebound headaches
« Reply #5 on: Jun 25th, 2005, 8:55pm »
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only if i don't split the dose
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hdido
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Re: rebound headaches
« Reply #6 on: Jun 25th, 2005, 9:47pm »
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on Jun 25th, 2005, 8:51pm, Bob_Johnson wrote:
Rebound headaches. "Rebound Headaches--A Review", Au. John S. Warner, M.D., in HEADACHE QUARTERLY, 10:3(1999). (There is some confusion on the board about the meaning of "rebound". There appears to be an emerging consensus in the medical literature to define "rebound" as a headache which is caused by the overuse of any medication used to abort a headache or relieve pain. "Recurrence" [of a headache] is being used to refer to the redevelopment of an attack when its "normal" duration is longer than the useful life of the medication which has been taken. That is, the medication effectiveness is reducing before the headache has come to an end; the pain redevelops.)

Thanks for the post, Bob.  It has become popular, on both sides of the Atlantic, to say that various medications cause "rebound" CH pain, but the article that you posted should, I hope, clear things up:  you can't get a "rebound" CH.  Rebound headaches occur with secondary type headaches, such as tension headaches and overuse of analgesics.  Once the analgesic use stops, although the pain will get worse, it will eventually stop and not return; CH, as we know, is a primary type HA and does not go away.
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bnfreeman
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Re: rebound headaches
« Reply #7 on: Jun 25th, 2005, 10:36pm »
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My neuro says not to take my narcotics more than three times a week to avoid "rebound " headaches. But it's not good to take imitrex every other day either he says. I get a freakin headache no matter if I have been taking something or I dont. No narcotics in 3 weeks, imitrex every other day. Who knows.  Sorry if that isn't much help.
 
BF
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Bob_Johnson
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Re: rebound headaches
« Reply #8 on: Jun 26th, 2005, 10:20am »
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BF, your doc may be giving this advice because---
 
: Headache. 2004 Jul;44(7):713-8.  Related Articles, Links  
 
   
Subcutaneous sumatriptan induces changes in frequency pattern in cluster headache patients.
 
Rossi P, Lorenzo GD, Formisano R, Buzzi MG.
 
Objectives.-To document the relationship between the use of subcutaneous (SQ) sumatriptan (sum) and a change in frequency pattern of cluster headache (CH) in six patients. To discuss the clinical and pathophysiological implications of this observation in the context of available literature. Background.-Treatment with SQ sum may cause an increase in attack frequency of CH but data from literature are scant and controversial. Methods.-Six CH sum-naive patients (three episodic and three chronic according to the International Headache Society (IHS) criteria) are described. Results.-All six patients had very fast relief from pain and accompanying symptoms from the drug but they developed an increase in attack frequency soon after using SQ sum. In all patients, the CH returned to its usual frequency within a few days after SQ sum was withdrawn or replaced with other drugs. Five patients were not taking any prophylactic treatment and SQ sum was the only drug prescribed to treat their headache. Conclusions.-Physicians should recognize the possibility that treatment of CH with SQ sum may be associated with an increased frequency of headache attacks.
 
PMID: 15209695 [PubMed - in process]  
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Bob Johnson
dougW
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Re: rebound headaches
« Reply #9 on: Jun 26th, 2005, 11:32am »
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"Medication Overuse Headache"  is the current term from the IHS, much more descriptive than Rebound.  
 
This is a good summary:
 
http://www.w-h-a.org/wha2/Newsite/resultsnav.asp?idContentNews=684
 
Read carefully the sections of characteristics of MOH and "how much is too much"
 
Doug
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Re: rebound headaches
« Reply #10 on: Jun 27th, 2005, 7:15am »
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WOW!!!!
Thanks for this link.
this is me - in every detail. I think.
trial starting today - Iain is going to stop leaning in the painkillers, and see if the almost continual headache eases off.
watch this space
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