• CBD oil on a towel
    Cannabis,  Interview

    Cannabis for Migraine: Interview with Jodie Epstein

    Cannabis for migraine is a popular topic in our private Migraine Strong Facebook Group. It falls under the Misc. category of our Treatment Pie. While not everyone in the United States and beyond has legal access to cannabis for migraine, a larger number of patients are gaining access each year and are finding that cannabis has a place in their treatment plan. Jodie Epstein is a patient advocate and educator from Toronto, Ontario. She is also the Founder of MigraineBuds.com and the private MigraineBuds Chat Facebook Group which discusses all things cannabis and migraine. She created both channels after finding it difficult to obtain information about cannabis that was specific…

  • one football player tackles another like tackling migraine
    Chronic Migraine,  Episodic Migraine,  Medication,  Migraine,  Rebound,  The Bucket Theory

    4 Steps To Tackle Migraine Headaches

    For as long as I could remember, I considered myself a headachy person.  At some point the headaches progressed to migraine.  Fortunately, for most of my life I had infrequent episodic migraine (EM).  An attack would start, I’d treat it with ibuprofen and I was better in an hour.  I sought treatment when I began losing a few days per month to terrible attacks that didn’t respond to over-the-counter (OTC) remedies.  Over time, my frequency of attacks increased and I “chronified” while under the care of my well-intentioned primary care physicians.  Differences Between Chronic and Episodic Migraine I was diagnosed with chronic migraine after seeking help from a headache specialist. …

  • 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…

  • Diet,  Rebound

    Coffee: Friend or Foe? Caffeine and Migraine

    Updated July 2020. This is one of the most common questions people ask me. In general, caffeine helps the average person with headaches and occasional migraine attacks. They may enjoy a rich cup of coffee each morning to get things going as well as an afternoon pick-me-up. And, some people love to relax after a nice dinner and sip an espresso, cappuccino or cup of decaf. They may notice that their occasional tension headache or even migraine attack vanishes after enjoying a strong cup of coffee. Caffeine and migraine is often a hotly debated topic. How Caffeine Works Caffeine acts to constrict blood vessels and speed everything up. It is…

  • 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…