• Too many medications used to treat migraine can can lead to rebound headaches
    Medication,  Migraine,  Rebound

    The Vicious Cycle of Rebound

    What is rebound? And how do you tell the difference between rebound or frequent/chronic migraine?  The more commonly used term in the medical community is medication-overuse headache (MOH).  We call it ‘rebound’ as MOH tends to imply patients are to blame for their pain. Rebound happens when prescribed and/or over-the-counter (OTC) meds used to relieve pain, begin to cause pain or “stop working.” Initially, I didn’t know about rebound. And besides, I couldn’t possibly have rebound from medications prescribed by my doctor! My triptan (sumatriptan) had worked beautifully for many years…until it didn’t.  Maybe I just needed a bigger dose? Perhaps I could take it with ibuprofen or another NSAID (non steroidal anti-inflammatory…

  • Medication,  Migraine,  Rebound

    Rebound FAQ’s

    What prescribed meds contribute to rebound? Simple analgesics – Prescribed NSAIDs (i.e. indomethacin, naproxen) Combination pain relievers (i.e. Fioricet) Triptans (i.e. sumatriptan, rizatriptan) and ergotamine medications (i.e. DHE) Opioids (i.e. tramadol, hydrocodone, codeine, oxycodone) What over-the-counter meds cause rebound? Simple analgesics – NSAIDs (i.e ibuprofen, naproxen) acetaminophen, aspirin Combination pain relievers (i.e. Excedrin Migraine, Excedrin, Goody’s Headache Powder) Does Aleve cause rebound? How about Tylenol? Yes, for both medications.  They are simple analgesics. Why would my doctor prescribe meds that would put me in rebound? Doctors want to help their patients feel better. Many are not aware of the risk of rebound, especially if they are general practitioners. Some doctors…

  • 6 Steps To Escape Rebound Headaches #MedicationOveruse #Migraine
    Medication,  Migraine,  Rebound

    6 Steps To Escape Rebound Headaches

    If you are reading this, you suspect or know that you are in rebound and are considering what it might take to escape rebound headaches. I’m not going to sugar-coat it. The process is miserable. If you are in rebound, many attempted treatments may not work to get migraine under control. So, educate yourself about what to expect and how to optimize the process so you can get prepared and find your motivation. You are not alone in this. Many of us have been in a terrible rebound cycle at least once. The good news is that there is a good chance you will go back to your baseline, episodic frequency once you are ‘on the…