07/22/2017
Rebound Headaches
Also: Over the Counter (OTC) Medication Warning
Something everyone with pain should know:
OTC medications like Ibuprofen, aspirin, and Naproxen (NSAIDS) can cause you extra, unnecessary head pain. They cause what are called "Rebound Headaches."
Rebound headaches are caused by over-the-counter medications. I can't remember what specifically happens- if your body gets too used to it or if the inactive ingredients cause problems, but any person who suffers from chronic head pain needs to know about rebound headaches.
(Occipital Neuralgia is a type of head pain that occurs in the nerves due to injury to the neck or head. Please ask in the comments if you have questions about this condition.)
Rebound headaches are often confused with migraines, Chronic Daily Migraine, and/or Occipital Neuralgia because they are all forms of head pain, but you have to look closer at the pain itself to see it. Rebounds can occur together with other head pain types or separate or a rebound can set off a nerve flare of Occipital Neuralgia. The differences are that the pain of rebound headaches occur in blood vessels like a normal headache or migraine, manifest usually in the temples or forehead, and have an achy pain. Occipital Neuralgia pain occurs in and follows the length of the Greater and/or Lesser Occipital nerves. ON pain is sharp, burning, jolting, stabbing, or zapping.
Bad rebound headaches cause you to take more of them, and it's a neverending cycle.
(I do not endorse taking or not taking medications while pregnant-please consult your doctor first) If you look at the ranking of the danger of medications taken by a pregnant woman, narcotics are one or two levels safer - less harmful than Ibuprofen and Aspirin. Tylenol is ranked as a lesser threat at or above the same level of opioid analgesics, but can cause rebound headaches too.
Most opioids have Tylenol or Ibu in them, in amounts of 325-500 mg or more, so it is best to ask your doctor for Hydrocodone or Oxycodone without the extra NSAIDS. This will allow you to do away with the largest potential for rebound, and you should see improvement in your head pain.
Rebound Headaches aren't the only danger with OTC medications. People incorrectly assume that because they are legal and readily available, that they are safe. As with everything in life, you must take these medications in moderation. There are at least 10,000 deaths associated with OTC pain relievers and tens to hundreds of thousands of cases of organ damage, organ failure, and other dangerous risks like increasing risk of a brain bleed or excessive bleeding from a system overload of developing a tolerance for the pills. Watch your doses carefully and do NOT exceed taking the dosages on the label. If normal doses do not help, please tell your doctor about your inadequate pain control.
If your doctor refuses to prescribe opioid analgesics (even though they truly are safer than OTC medication) do NOT take more than 1000 mg of an OTC drug. Because Tylenol is different from NSAIDs, you can take a normal dose of Tylenol, a regular dose of Ibuprofen/Aspirin/Naproxen, and an antihistamine like Benedryl will help you rest and relax which helps most kinds of pain.
I'm not in the medical field, but have discovered this in my long fight with Occipital Neuralgia and Migraines. My mom once gave me flack for taking narcotics when she said that just an aspirin would do the job. I made a bet with her that she had to watch my little girl if she was wrong, and sure enough, half an hour later I still had the ON pain with a rebound headache on top of it.
Be safe everyone!