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Cluster Headache Help and Support >> Cluster Headache Specific >> Fractured toe - rebounds from opiates? http://www.clusterheadaches.com/cgi-bin/yabb2/YaBB.pl?num=1219176911 Message started by Ungweliante on Aug 19th, 2008 at 4:15pm |
Title: Fractured toe - rebounds from opiates? Post by Ungweliante on Aug 19th, 2008 at 4:15pm
As the title says, I fractured my toe yesterday. I took one mild opioid drug to help being pain-free during night. Today I have had three CHs - normally I have around two or three per day.
My question is, should I worry about the opioids causing rebound hits sometime in the future? Or can I keep taking them now for a while for my fracture? - Best regards, Rosa |
Title: Re: Fractured toe - rebounds from opiates? Post by Linda_Howell on Aug 19th, 2008 at 4:30pm
Rosa,
Narcotics/opioids DO INDEED cause rebounds !!!! You will have to decide if it's worth it to continue them. The head hurts or the toe hurts. Which pain is worse? |
Title: Re: Fractured toe - rebounds from opiates? Post by Lizzie2 on Aug 19th, 2008 at 4:51pm
Generally the rebounds from short-acting opioids don't occur after just one dose. The rule of thumb is generally to restrict their use to up to 1-2 times a day, no more than 2 days a week. That is supposed to avoid rebounds or medication overuse headache from short-acting opiates. Of course, an increase in CH hits is not necessarily a "rebound" headache. Generally the medication overuse headache is a constant (or near-constant) tension-like headache that underlies the other headache pain. This is a definite clue that medication overuse headache may be an issue. You don't want to get into MOH, however, because once you have a MOH, it is often very difficult to get out of. Simply stopping the offending drug will not necessarily break the MOH.
That being said, when in pain from an injury or surgery, the headache docs usually don't say not to take the pain medication - but rather to limit it to as few doses as possible for as short a time as possible. I would ask your headache doc what he or she thinks, if you're up to it. Obviously we cannot give medical advice here. You'll just have to be very judicious if you do continue to use the short-acting opiates for the toe pain. Not everyone will develop MOH, even if they are taking pain-relieving medications more often than the guidelines for avoiding MOH - but some people seem to be more prone to it. But it is still a risk. If you continue to note a correlation between the opioids and increased frequency of attacks or a near-constant tension-like headache pain, then some sort of alarm should start ringing. It wouldn't hurt to give your headache specialist or nurse a call, however. Best of luck! Carrie :) |
Title: Re: Fractured toe - rebounds from opiates? Post by Ungweliante on Aug 19th, 2008 at 5:15pm
Thank you both for the quick answers.
I think I'll take still one for tonight, and see how things are tomorrow. The opiates mess with the head otherwise as well, so I'm not going to use them anyways during daytime. Perhaps tomorrow the toe is already so much better that I won't even have to consider taking one :) - Best regards and PFDAN, Rosa |
Title: Re: Fractured toe - rebounds from opiates? Post by Linda_Howell on Aug 19th, 2008 at 6:47pm
good girl.!!!!!!
Nice choice of an avatar too. ;) |
Title: Re: Fractured toe - rebounds from opiates? Post by Pixie-elf on Aug 19th, 2008 at 7:03pm
I hope you feel better!
After trying it, if you still get the increased clusters, I'd say look at the ingredients. See if it's combined with say, tylenol, or asprin, etc... A lot of people have mentioned those being their triggers, and I found after multiple fractures, they usually GIVE you an opioid combined with these things. If so, it may be another component that's a trigger... |
Title: Re: Fractured toe - rebounds from opiates? Post by Bob P on Aug 20th, 2008 at 7:15am
And don't be confused, a rebound headache and a cluster attack are two completely different animals.
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Title: Re: Fractured toe - rebounds from opiates? Post by Ungweliante on Aug 21st, 2008 at 4:39pm
Linda, thanks! Xena rocks, btw 8-)
Pixie and Bob(s), thank you too. I sort of meant if taking some opiates would lead to an increased CH-frequency on the short term. I'm off them now, anyways. MOH hasn't really been an issue for me and at least isn't now after detoxing :) - Best regards and PFDAN to you, Rosa |
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