Medication (drug) headache is a headache caused by headache pills. Headache is probably the most common complaint of patients not only in neurological but also in General practice.
Surprisingly, 20 to 30% of all cases of headaches caused by excessive use of headache pills, the treatment of such cases is simple: a complete rejection of drug therapy. It corresponds to the rule of health "not to do too much". Talk about the types of fluids (drugs), headaches. Headache, caused by taking a variety of pills, called drug (drug) headache.
As well as drug-induced (LIGB) or ubusuna (AGB) headache. It is mainly affects women, smokers and people who abuse alcohol and illicit drugs. Availability, self-medication with overdose of analgesics and ergotamine resulted in the fact that the drug the pain has become an international problem.
A negative effect of drug therapy may be suspected in all patients presenting complaints of daily headaches, especially those who say "I have a headache all the time." The habit of daily taking analgesics several times a day confirms this assumption.
Doctors often not thoroughly collect medical history and diagnose such patients tension-type headache, prescribing the same NSAIDs and paracetamol, which is a disease caused by and. In the end, closed circle, again very profitable for the pharmaceutical market, but a very vicious for your well being. What headache tablets cause?
- derivatives of ergotamine,
- analgin (Metamizole sodium),
- NSAIDs (paracetamol, ibuprofen, aspirin, etc.)
- opioids (including allowed codeine),
- barbiturates (phenazepam),
Previously it was shown that any component of the combined drugs can cause headaches, however, the largest "share of responsibility" lies with the narcotic components (most often we are talking about the codeine). Examples of combination analgesics containing codeine:
Solpadein, Pentalgin, Nurofen-Plus Kaffetin, Sedalgin-Neo. Regular intake of codeine-containing preparations pain develops most rapidly and is particularly difficult to treat. Please note that drinking analginum on the debt in any case be
(serious side effects such as agranulocytosis and peptic ulcer disease), this drug around the world have refused!
From barbiturates in the post-Soviet space consumed phenobarbital. It is part of valokordin, Corvalol and other similar means. I note that headache phenobarbital may appear even without exceeding the dose.
Analysis of 300 case histories of the Clinic of headache (Moscow), showed that most of LIGB called excess intake of tablets (17%), sedalgin (13%), up Pentalgin (10%), caffeine (7%) and combination analgesics (38%). In addition, drug-induced headache may occur in patients treated with vasodilators used in coronary heart disease, hypertension or peripheral vascular diseases. In addition, to trigger migraines can taking oral contraceptives. I especially want to mention caffeine as a cause of headaches.
A missed Cup of coffee can trigger a headache attack dependent coffee people. This can cause a caffeine dose of 15g per month or, if the dose of caffeine a few times a month less than 400 – 500mg (3 to 4 cups of coffee). So do not be surprised that in many of means of a headache is high dose of caffeine. Among the additional factors contributing to the development of drug abuse include:
- receiving analgesic "in store" to prevent the emergence of a GB due to fear /anxiety before the possible pain;
- the emergence of more severe pain when attempting to cancel a painkillers;
- taking pain medications for other indications (e.g., migraine patient was taking analgesics about arthritis or back pain);
- other dependencies (e.g., alcohol or drug abuse).
International diagnostic criteria to determine that the headaches appear after 3 or more months of taking high doses of drugs; the number of days of headache per month is reduced by 50% after 14 days after discontinuation of the drug.
In running the cases, the headache is escalating dramatically after the abolition of the drug, but after 1 month passes. Many people are prone to addiction to pain medication, and a lack of it can lead to "breaking". The symptoms of this can vary greatly.
It is also important that some pain medication the human body gets used, and when to stop, having severe daily headaches, reminiscent of the break-up addicts and people who are prone to alcoholism. Thus, the body of evidence of lack of receipt of narcotic substances that caused the addiction, and therefore rejects any other medicines. Diagnosis medication painMedication headache is very difficult to diagnose.
First, it requires honesty from the patient. Symptoms of headache, caused by taking of drugs are:
The typical clinical feature of the headache caused by the reverse effect of analgesics is its daily character
- headache more than 15 days per month, accompanied by fever and chills;
- regular use of a patient more than 3 months of one or several drugs for the treatment of acute or symptomatic headache;
- increased headache in drug abuse;
- long-term preservation or repeated headaches of the original character later, 2 months after discontinuation of the drugs.
; the pain usually continues throughout the day varying in intensity. It is present already in the moment of awakening, and is described as mild, moderate, dull, bilateral, fronto-occipital or diffuse.
A significant increase in pain may occur with the slightest physical or intellectual exertion, and also if the medication is interrupted. Relief headache from ergotamine or simple analgesics are usually transient and incomplete.
A detailed study of the history of patients with pain finds that in 70% of cases in his youth he suffered from periodic migraines, which later (30 years) transformed into daily headaches. These patients have emotional-affective disorders of depressive character and take large amounts of drugs.
Headache treatmentThe only way to get rid of headaches drug is to stop the uncontrolled intake of painkillers
, which can reduce the frequency and severity of headaches. In running the cases, the headache is escalating dramatically after the abolition of the drug, but after 1 month passes.
The normalization of the state after the abolition of the "guilty" of the drug and treatment can take 12 weeks or more. In most patients, the recovery of the original type of headache occurs in up to 2 months. Unfortunately, most patients after some time to resume taking pain.
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It is shown that the recurrence LIGB over the next 5 years is noted in 40% of patients, this risk is highest during the first year after the drug abuse.
If you suspect drug abuse rapid and complete lifting of analgesics (provided that it is non-narcotic analgesic) is the only effective treatment.
Author: Andrey Blueskin
P. S. And remember, just changing your mind — together we change the world! ©