Headaches rebound

DHE does not appear to cause rebound headache, but dosage restrictions for ergotamine tartrate should be strictly observed to prevent this complication. 

Consequently, a 4-week, medication-free period is recommended after each 6-month treatment period. Dosage should be tapered over 1 week to prevent rebound headaches. 

Caffeine has widespread therapeutic use. It is widely used in headache (migraine) remedies such as aspirin and other analgesics. Caffeine is a mild vasoconstrictor and its ability to constrict blood vessels serving the brain explains its use to relieve headache. Individuals who consume caffeine regularly through medications and food are susceptible to what is known as a rebound headache or caffeine rebound. This occurs when regular caffeine intake is suddenly reduced and the vessels dilate. Caffeine is a common substance in medications to treat apnea in premature infants. Apparently, the area of the brain controlling respiration in premature infants is not fully developed and caffeine helps to stimulate this portion of the... 

A study in 1999 confirmed that rebound headaches will occur if regular caffeine users suddenly cease taking the stimulant. To cut down on heavy caffeine use, it was recommended that all forms of caffeine (including caffeine-containing medications) be temporarily eliminated. 

Faxative abuse in elderly patients results in abdominal pain, as well as fluid and electrolyte imbalance. The chronic misuse of analogs containing large amounts of caffeine may produce rebound headache. Antihistamines may cause sedation and drowsiness, and it is advised that patients do not drive after taking antihistamines. People who are involved in performing skilled jobs should restrict their use of antihistamines and sedatives.99,100... 

Its use is limited by the occurrence of potentially serious retroperitoneal, endocardial, and pulmonary fibrotic complications that have occurred during long-term uninterrupted use. It is reserved for patients with refractory headaches that do not respond to other preventive therapies. Consequently, a 4-week, medication-free period is recommended after each 6-month treatment period. Dosage should be tapered over 1 week to prevent rebound headaches. 

Continued use of some anti-migraine drugs can lead to rebound headache, marked by frequent or chronic headaches, especially in the early morning hours. Rebound headache is avoided by using anti-migraine drugs under a doctor s supervision, with the minimum dose necessary to treat symptoms. Patients with frequent migraines may need preventive therapy. 

This study suggests that codeine dependence may be more common in the general population than has been previously thought. The authors suggested that it is important to identify those with codeine abuse or codeine dependence, since they may be using substantial doses of codeine for apparently little benefit compared to the risks. Furthermore, there are also health risks of associated chronic use of paracetamol and a potential for analgesic rebound headache. 

Vasconcellos E, Pina-Garza JE, Mrllan EJ, Warner JS. Analgesic rebound headache in children and adolescents. J Child Neurol 1998 13(9) 443-7. 

In patients who suffer from recurrent headaches, for example migraine, cluster headache, or tension headache, temporary relief for the constant or intermittent pains is obtained from each analgesic dose, but wears off after a few hours with the arrival of a new episode. The patient gets accustomed to this pattern and may use excessive doses of analgesics. This in turn can cause, worsen, and perpetuate headaches, leading to what is called analgesic-induced or rebound headache. Like... 

The data from these studies are comparable to previous observations reported in adults (SEDA-21, 95) and suggest that daily use of analgesics can cause daily or near daily headaches in children and adolescents. However, additional controlled prospective studies are needed to address the true frequency of analgesics rebound headache among children and to evaluate possible treatments. 

Ergotamine can be an efficacious agent for prophylactic as well as abortive therapy of cluster headaches." A 2-mg bedtime dose is often beneficial for the prevention of nocturnal headache attacks. Daily use of 1 to 2 mg ergotamine alone or in combination with verapamil or lithium may provide effective headache prophylaxis in patients refractory to other agents with little risk of ergotism or rebound headache." - ... 

Moore KL, Noble SL. Drug treatment of migraine Acute therapy and drug-rebound headache. Am Fam Phys 1997 56 2039-2048. 

Medication overuse headaches occur when cKents take headache medication every day. These headaches are also known as rebound headaches or dmg-indnced headaches. The headache will persist for days to weeks after the medication has been discontinned. 

---