Headache, Rebound
Definition:

Rebound headaches, also known as medication overuse headaches, occur when pain medications (analgesics) are taken too often to relieve headache.


Diagnosis:

The doctor will probably do a physical exam to check for signs of illness, infection or neurological problems. If the cause of the headaches remains uncertain, blood or urine tests may be needed to identify any underlying medical conditions. Sometimes imaging studies — such as an X-ray, computerized tomography or magnetic resonance imaging — are needed.


Treatment:

Before, during or after withdrawal, the doctor may prescribe a daily preventive medication, such as: A tricyclic antidepressant such as amitriptyline or nortriptyline (Aventyl, Pamelor, others); an anticonvulsant such as divalproex sodium (Depakote, others), topiramate (Topamax) or gabapentin (Neurontin); and a beta blocker such as propranolol (Inderal, InnoPran, others).


Symptoms and Signs:

Rebound headaches are also known as medication overuse headaches. These types of headaches tend to occur every day, often waking the person in the early morning. Signs and symptoms may include: nausea, anxiety, restlessness, irritability, difficulty concentrating, memory problems, depression, and trouble sleeping.


Causes:

Almost any pain reliever can contribute to rebound headaches, but some medications are more likely to lead to rebound headaches. These are simple pain relievers, combination pain relievers, migraine medications, and opiates.


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