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Medical Forum / Diseases and Disorders / Sinusitis / February 2006

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Medication Overuse Headache

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Annie Gates - 16 Feb 2006 21:53 GMT
Has anyone any experience of this in the context of a long standing sinus
problem that has resulted in daily doses of painkillers for some time. On
days when there are no other specific sinus symptoms, there is a constant
background headache - could this be down to overuse of painkillers and any
advice on how to resolve ?
afisher39 - 16 Feb 2006 22:05 GMT
> Has anyone any experience of this in the context of a long standing sinus
> problem that has resulted in daily doses of painkillers for some time. On
> days when there are no other specific sinus symptoms, there is a constant
> background headache - could this be down to overuse of painkillers and any
> advice on how to resolve ?

Yes, I had this happen. It is called transformed migraine.  Google it.
It is very common with overuse of painkillers as simple as Excedrin,
but is not commonly known by doctors unfortunately. I was diagnosed at
Mayo Clinic. I had to get off the pain medication and break the cycle.
I was given an alternate drug (Amerge) to do this with. Let me know if
you have any other questions.
Annie Gates - 16 Feb 2006 23:14 GMT
>> Has anyone any experience of this in the context of a long standing sinus
>> problem that has resulted in daily doses of painkillers for some time. On
[quoted text clipped - 9 lines]
> I was given an alternate drug (Amerge) to do this with. Let me know if
> you have any other questions.

Thanks for that - I've Googled a little and found that over here in the UK
it is generally referred to as Rebound Headache, but sounds like the same
thing.
Googling foe Excedrin indicates that it is similar to Anadrin Extra over
here -
which is interesting as that is what he has been using a lot for sinusitis,
also
Paracodol (Paracetamol & Coddeine). The info. I've found seems to indicate
that the headache is often worst on waking in the morning and often
increased after
physical exertion which all tallies.

We'll have a chat with the GP to see if he concurs  and see what he
recommends
as an alternate to support getting off the medication.

Thanks again
afisher39 - 17 Feb 2006 01:16 GMT
Yes, rebound headache is actually the more common term. Once the
culprit is eliminated, you'll be amazed how quickly the headache will
subside.  For me, it became a viscious cycle: sinusitis, pain meds,
rebound headache that I thought was sinusitis.  For me, the answer was
surgery, which I had last week, but that's another story.  Good luck.
Shirley Ann - 17 Feb 2006 10:57 GMT
I had an infection and the doctor gave me a cough syrup with codeine- I
was to take it every 4 hours. My headache would start right after I took
a dose then ease up after 3 hours. My head felt like someone was useing
a hammer inside.

No codeine is prescribed for me now.

shirleyann
Murray Grossan - 17 Feb 2006 17:08 GMT
On 2/16/06 1:53 PM, in article
dt2s90$re4$1@nwrdmz02.dmz.ncs.ea.ibs-infra.bt.com, "Annie Gates"
<anne@apmwolf.freeserve.nospam.co.uk> wrote:

> Has anyone any experience of this in the context of a long standing sinus
> problem that has resulted in daily doses of painkillers for some time. On
> days when there are no other specific sinus symptoms, there is a constant
> background headache - could this be down to overuse of painkillers and any
> advice on how to resolve ?

Dear Anne,
It is common to say the sinus headache, the sinus pain, etc. But actually
bad sinus infection is usually NOT painful, compared to a neuralgia,
migraine, disc problem, or even tension headache.. I would suggest you get a
DIAGNOSIS to find out why the pain.
Susan - 17 Feb 2006 17:42 GMT
> Dear Anne,
> It is common to say the sinus headache, the sinus pain, etc. But actually
> bad sinus infection is usually NOT painful, compared to a neuralgia,
> migraine, disc problem, or even tension headache.. I would suggest you get a
> DIAGNOSIS to find out why the pain.

That is not my experience.  Sinus infection triggers migraines with
vomiting for me.

Susan
Johnny1000@webtv.net - 18 Feb 2006 01:52 GMT
>That is not my experience. Sinus infection
> triggers migraines with vomiting for me.

Whoah... Same here. ....The frontals!!
If I get an uprising in my frontals, where I get pain beneath an
eyebrow, it causes nausea.  ..I haven't had the problem for 3 years now,
but when I got an infection that caused a headache, I would start heavy
vomiting that would go on for an hour. ...This was most noticeable if I
drove to a lower altitude. (I live around 3,000 feet)

I know it is Sinus induced, as one of my last big headaches and nausea
spells was about 4 years ago. ...I ended up irrigating and lying face
down on a frozen face cloth. ...I lightly blew my nose in this position,
and a bunch of puss came out. I irrigated again and flushed out huge
masses of material.   ...My headache and nausea instantly disappeared.
..Jon
Murray Grossan - 18 Feb 2006 06:49 GMT
On 2/17/06 9:42 AM, in article 45mg86F77olnU1@individual.net, "Susan"
<nevermind@nomail.com> wrote:

> That is not my experience.  Sinus infection triggers migraines with
> vomiting for me

Actually part of the Migraine is an initial nasal congestion. But sinus
infection doesn't cause migraine. If it did, we could clear the migraine
condition by clearing the sinus problem.
Shirley - 17 Feb 2006 18:53 GMT
> On 2/16/06 1:53 PM, in article
> dt2s90$re4$1@nwrdmz02.dmz.ncs.ea.ibs-infra.bt.com, "Annie Gates"
[quoted text clipped - 13 lines]
> a
> DIAGNOSIS to find out why the pain.

I found it that way last winter when I had a terrible sinus infection.
Everyone said I must have an awful headache, but I did not.
Johnny1000@webtv.net - 18 Feb 2006 01:57 GMT
>I found it that way last winter when I had a
> terrible sinus infection. Everyone said I must
> have an awful headache, but I did not.

Probably has something to do with how close the infection is to the
brain.  ...I had a severe sinus infection back in /83. ...It felt like
an abscess sitting inside my cheek, just below my eye. ...I had green
material coming out my nose.  ..It caused terrible pain, but no
head-ache. ...Jon
 
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