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Re: Opiods causing rebound headaches?

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Hi !

Did you go to the Diamond HA clinic? It seems everyone who goes there (myself

included) gets told the same thing: it's your analgesic meds causing your

pain, so let's detox you, and put you on MAOIs. Nothing directly against the

docs

at that clinic, but please think this through carefully before getting into

it! They always jump to detox, which is a horrible shock to the system

(especially when dealing with other pain besides HA). And then they jump to

MAOI's,

which can have horrible consequences if mixed with certain other meds...i.e.,

Demerol (ER pain drug of choice around here) on top of MAOIs can actually kill

you. And personally, I question any mode of treatment immediately recommended

for so many diverse people, who all have different pain types, different med

regimens, and different medical histories.

That said, opiods can still cause rebound HAs which trigger even worse

migraines. In my experience, the rebounds are always very different than the

usual

pain...my usual chronic migraine is on my left temple, the rebounds are on my

right and respond to no meds whatsoever. That sort of thing, even a subtle

difference...but usually, the lack of anything working is a good sign of

rebounds.

Tyl 4, which I've also been taking daily for years, has never caused rebounds

in me; neither has morphine. But even two days straight of taking Vicodin or

Percocet will. It's a matter of formulation, I think, and which one your body

can best tolerate. If you feel the pain isn't controlled enough by the opiods

you're on, and you get that feeling of wanting to crawl out of your skin, then

perhaps *slowly weaning* you off of Tyl 4 and Duragesic (and onto different

opiod formulations, or different analgesics altogether) could be a good choice.

Just my two cents (sense?)...

Best wishes for better days,

Raven

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I used to get terrible headaches from the duragesic. I would go to the

hospital and they would give me toradol with an anti-nausea medicine and the

headaches would go away within minutes. They also would add something to

reduce the hyperness from the anti-nausea medicine.

I would recommend that you switch from duragesic to avinza. Your head will

be much clearer and you will feel better. At least I did.

You can write me at conz11@... for more info if needed.

Thanks,

-Jeff

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,

I am on Morphine, Dilaudid, and Vicoden. I was on Duragesic, but my

skin is too thin and I absorb too much... When I was first of the

medicines I had to occassional headache, I was told that was just my

body getting used to the drugs. Now, I get migranes when my pain

gets bad... At a 8/10 light and sound bother me. If my pain ever

reaches a 9/10 I get light sensitive, noise sensitive, temperature

sensitive to the point I need to be in a silent room with lights off

and with several blankets keeping me warm, especially over my

head... At a 10/10, I am ready to cut my own head off... The head

aches were explained to me that because the pain chemicals from my

back cause constriction of the blood vessels all over, but most ...

The blood vessels constricting means not as much oxygen gets to the

tissue and the headache begins...

I am not sure what a " rebound headache " is? Is it like " rebound

pain " where because your body gets used to your pain being under

control, when the pain comes back it seems worse? If that is the

headache, I don't get rebound heaches, but I get rebound pain! BADLY!

My headaches vary based on how much pain I am in. My pain has been

bad for the past almost 3 weeks. I have had 5 migranes... But then

I have gone 3 or 4 months without having one. It all depends on how

under control my pain is!

My doctors have tried detoxing me three times for various reasons

including to see if that would help reuce my migranes. The detox

wasn't bad. The easiest way it was explained to me is you aren't

addicted. You won't go through the cravings and the psychological

sympotms. I did go through temperature changes (freezing one minute,

burning up the next). I didn't experience nausea, vommiting,

diarrhea, or any of the other symptoms. And no, detoxing didn't help

my headaches in fact it made them worse, my theory, is because the

pain was worse! I would ask to speak with a pharmacologist, a and

pharmamcist before you decided to do this detox situation. The

pharacologist will explain what other drugs may be able to help your

pain while not interfering with getting you off opiates and he will

be the one to give you the most common side effects. The pharmacist

will help you make a plan for reacting to the side effects. The rest

of your medical team should be able to make you feel comfortable with

the prognosis. They should also help create a plan for what drugs to

put you back on after your " detox " .

If you have any specific questions or want to hear more about my

story, please feel free to email me privately!

Where in IL are you? What hospital is suggesting this?

Blessed Be

Bekkah in MI

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I have been told I have rebound headaches for pretty much everything I

have tried - ergotamine, imitrex, fioricet, ... - by many doctors.

I think the rebound answer is an easy cop out, and it is a textbook

answer, so many doctors fall back on it. But, I think you will

probably find it will not work. But, it is worth the try, likely.

There is always the possibility it will work, and the downside is small.

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I agree with you Raven. It seems that the doctor should be looking at all

kinds of reasons for your headaches to occur. Have you had a CAT scan of

your head done or at least x-rays of your neck?

There are a zillion reasons why people have headaches. It seems odd that

detox is the first thing they want to do.

Kaylene

Nothing directly against the docs

>at that clinic, but please think this through carefully before getting into

>it! They always jump to detox, which is a horrible shock to the system

>(especially when dealing with other pain besides HA).

>

>Just my two cents (sense?)...

>Best wishes for better days,

>Raven

>

>

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