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Ask the Clinician with Dr. John Claude Krusz,
recognized expert in the fields of
headache and Migraine treatment and pain management

QUESTION: I had been having a daily headache for several years and was taking 1/2 Percocet tablets twice and sometimes 3 times a day for a total of 1 1/2 Percocet per day. I saw my doctor December 16, 2002 and she said I should try going off the Percocet for 2 to 3 months so I did and the daily headache has just about disappeared. I continue to have a Migraine 1 to 2 per month but I take Imitrex to get rid of the Migraine. One in awhile I will get a moderate headache and take 1 Percocet to ease the pain but it seems to bring on a worse headache and sometimes a Migraine. Why does this happen?

REPLY: Your physician was correct in having you stop the Percocet. She or he probably suspected analgesic rebound headache, which can occur after daily use of opiates and simple analgesics (Tylenol, aspirin or ibuprofen). You usual migraine seems quite treatable with the Imitrex. Good luck
 

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