Q. I have had chronic daily headaches and migraines with aura for years. I also have fibromyalgia, TMJ (temporomandibular joint syndrome) disorder and irritable bowel syndrome (IBS). All of these involve chronic pain. I take Relpax® for the migraines, which helps a lot with the aura and works okay for the headache. I also take Cymbalta® for depression, but haven't noticed any pain relief from it. The only other medication I seem to tolerate is Advil®. Since I have a headache “24-7”, with no beginning or ending, I never really know what causes it. How many pain relievers (like Advil) do you have to take to get a rebound headache? I never take more than two a day, but I wonder if taking them for several days makes my headache worse. I want to do anything I can to prevent an already difficult situation from getting worse.

Headache sufferers who have missed Excedrin®, off the market since a recall last January, will be happy to hear its return to store shelves is expected soon. The company recently announced that it will start shipping Excedrin® and Excedrin®Migraine this month. It does not have a...

While medication overuse headache can develop from too frequent use of either triptans or analgesics alone, taking analgesics and triptans leads to a form of overuse headache that is more complex and difficult to treat. Using the two is associated with "a shift from a pattern of clear-cut headache attacks in patients with triptan overuse headache toward more severe clinical presentation," wrote Christelle Creach, MD, and colleagues in the journal Headache.

Some patients will describe a daily, chronic tension-type headache as well as a recurrent hard or "sick" migraine-like headache. This combination of tension-type and migraine headaches, previously known as the mixed headache syndrome, is now identified as coexisting migraine and tension-type headaches. Other terms used for it include: transformed migraine, chronic migraine and chronic daily headache.

medications-cure-tablets-pharmacy-51004 Analgesic agents are prescription or over-the-counter medications used to control pain including migraine and other types of headaches. When used on a daily or near daily basis, these analgesics can perpetuate the headache process. They may decrease the intensity of the pain for a few hours; however, they appear to feed into the pain system in such a way that chronic headaches may result. The medication overuse headache (MOH) may feel like a dull, tension-type headache or may be a more severe migraine-like headache. Other medication taken to prevent or treat the headaches may not be effective while analgesics are being overused. MOH can occur with most analgesics but are more likely with products containing caffeine or butalbital.

Chronic daily headache (CDH) refers to a broad range of headache disorders occurring greater than 15 days a month — in many cases daily — for a period of at least 3 months. The primary variety of chronic daily headache is further subdivided into two distinct categories: headaches lasting more than 4 hours and headaches lasting less than 4 hours. There may be as many as 5% of the population encountering severe headaches on a daily or near-daily basis, and these individuals make up the majority of consultations to specialists.