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Substance abuse linked to CH (Read 282 times)
Mike NZ
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Substance abuse linked to CH
May 22nd, 2019 at 3:03am
 
My Google alert for new CH results often gives interesting results - Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register

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From 2016 to 2018, 6 males and 1 female aged between 26 and 54 years old, presenting CH criteria and a substance use disorder, were included in our case series. Among substances used, there are: (1) daily use of tobacco and alcohol in 5/7 subjects; (2) daily or almost daily use of cocaine in 5/7 subjects; (3) regular use of cannabis before attacks beginning in 4/7 subjects; and (4) opioids, as a substitutive medication or abused, in 5/7 subjects. The intranasal route administration is reported by all the subjects and precedes the beginning of attacks for 5/7 subjects.


The tobacco and alcohol use doesn't surprise me as there have been multiple research journal articles linking these to CH, however the use of cocaine, cannabis and opiates surprised me until I wondered if they are looking at people who have no "normal" CH treatment and they are self medicating.
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Peter510
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Re: Substance abuse linked to CH
Reply #1 - May 22nd, 2019 at 5:07am
 
Mike,

Thanks for this.

I would say that 7 people, who are presenting with various types of substance abuse, who also have CH, is not a very reliable sample to be extrapolating results from.

Having said that, the connection to smoking may have merit. The other substances seem less likely.

Thanks again.

Peter.
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Mike NZ
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Auckland, New Zealand
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Re: Substance abuse linked to CH
Reply #2 - May 28th, 2019 at 3:23am
 
Another article that Google found linked to this - Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register
nd-migraines/4533/

Quote:
According to the authors of a series of cases, repeated intranasal use may be associated with cluster headaches due to the damage associated with lesions of the Orofacial region.


I'm not sure if the result of this can be classified as a primary headache, which would make their "CH" not be "CH".
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