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    What is the best treatment for analgesic rebound headaches?

    McPherson, Vanessa
    Leach, Laura
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    [PDF] WhatBestTreatmentAnalgesic.pdf (60.68Kb)
    Date
    2005
    Format
    Article
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    Abstract
    Abrupt discontinuation of the offending analgesic(s), and treating rebound headaches with dihydroergotamine (DHE) as needed, results in significant improvement for most patients (strength of recommendation [SOR]: C; based on case series). Amitriptyline does not affect the frequency or severity of rebound headaches, but it may improve quality of life (SOR: B, low-powered randomized controlled trial). Prednisone or naratriptan (Amerge) lessen acute withdrawal symptoms from analgesics and reduce the need for rescue medications during the first 6 days of treatment; however, they do not affect headache frequency or severity (SOR: B, low-quality randomized controlled trial).
    URI
    http://hdl.handle.net/10355/3335
    Part of
    Journal of family practice, 54, no. 03 (March 2005): 277-278.
    Rights
    OpenAccess.
    This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.
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