Some common headache medications can cause rebound headaches if overused or abused. The disease mechanism isn't completely understood, but it's possible that frequent use of headache medicine changes the way the brain receives and interprets pain messages, according to MayoClinic.com. Aspirin, combination pain medications that include aspirin, acetaminophen and caffeine, prescription migraine medications and opiates can all cause rebound headaches. It's best to prevent rebound headaches by taking taking medication only when needed, taking the lowest dose possible and never exceeding the dosage recommended on the label or prescription.
Discontinue Medication
Unfortunately, treating rebound headaches requires discontinuing use of the headache medication responsible for the pain. You can abruptly stop using most headache medications safely, but it may be necessary to taper off others. Always consult a physician before discontinuing use of a prescription medication. Headaches will worsen for a period of time, but gradually begin to disappear after a period of anywhere from two to 16 weeks, according to the University of Maryland Medical Center. During this period your physician may choose to treat your pain with another medication, such as dihydroergotamine , nonsteroidal anti-inflammatory drugs, corticosteroids or valproate. After the rebound headaches subside, physicians usually prescribe abortive or preventative headache medicines to remove the need for frequent use of pain medications.
Hospitalization
Hospitalization is occasionally necessary for the treatment of rebound headaches. Some people suffer withdrawal symptoms when tapering off sedatives or opioids used to treat headache pain. Symptoms of withdrawal include nervousness, restlessness, nausea, vomiting, insomnia and constipation. The chances of hospitalization increase if you've been taking more than the prescribed amount of medication, you've tried unsuccessfully to quit taking the medication before, you've been taking large doses of opiates or sedatives or if you're experiencing anxiety or depression.
Alternative Therapies
Some people find alternative therapies useful to treat the pain and discomfort associated with rebound headache treatment. Evidence suggests that acupuncture may release natural pain killers that can help with headaches. A trained hypnotist may be able to help you deal with the pain and anxiety of treatment, and massage can relax muscles and help reduce stress during the treatment period.
