Clusterheadaches.com Message Board
        (http://www.clusterheadaches.com/cgi-bin/yabb/YaBB.cgi)
      

        New Message Board Archives >> 2005 Cluster Headache Specific Posts >> rebound headaches
        
(Message started by: Gmkoa on Jun 25th, 2005, 4:53pm)
Title: rebound headaches
Post by Gmkoa on Jun 25th, 2005, 4:53pm
do you get rebound headacges when using imetrex
Title: Re: rebound headaches
Post by unsolved1 on Jun 25th, 2005, 5:17pm
neurologists (MHNI & Diamond HA Clinics) say you do get rebound HA's from using Trex

Unsolved
Title: Re: rebound headaches
Post by Jasen on Jun 25th, 2005, 5:49pm
I gto them from Imitrex, Relpax, Frova. No I just take O2 and narcotics for a abortive.
Title: Re: rebound headaches
Post by Kiwiinoz58 on Jun 25th, 2005, 6:13pm
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)
Title: Re: rebound headaches
Post by Bob_Johnson on Jun 25th, 2005, 8:51pm
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.)
Title: Re: rebound headaches
Post by maffumatt on Jun 25th, 2005, 8:55pm
only if i don't split the dose
Title: Re: rebound headaches
Post by hdido on Jun 25th, 2005, 9:47pm

on 06/25/05 at 20:51:23, 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.
Title: Re: rebound headaches
Post by bnfreeman on Jun 25th, 2005, 10:36pm
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
Title: Re: rebound headaches
Post by Bob_Johnson on Jun 26th, 2005, 10:20am
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]
Title: Re: rebound headaches
Post by dougW on Jun 26th, 2005, 11:32am
"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
Title: Re: rebound headaches
Post by Iain Nicol on Jun 27th, 2005, 7:15am
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


Clusterheadaches.com Message Board » Powered by YaBB 1 Gold - SP 1.3.1!
YaBB © 2000-2003. All Rights Reserved.