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Steroids and calcium channel blocker for 2.5 year headache?

From John Claude Krusz, MD, PhD, and Teri Robert, for About.com

Created: July 10, 2006

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Question: Steroids and calcium channel blocker for 2.5 year headache?

Answer:

Full Question:

I have had a headache since Jan. 12, 2004. I previously had regular migraines 2-3 times a month. I have tried multiple different treatments. I most recently been prescribed a protocol of a weeks worth of descending amounts of prednisone and a increase of a calcium blocker. Have the results of this treatment been successful in the past? What kind of headaches have they used this combination of meds to treat? My headache sits on the top of my head and has spikes usually in the front and solid knots of pain in front and back. The level of pain is 7-8 daily. Thank you.
 

Answer:

Hello;

Steroid tapers are often quite helpful in stopping a long-lasting tension-type headache or Migraine attack. Calcium channel blockers are used as a preventive in many types of headaches and Migraine.

An important question is how often have you been taking pain relieving medications for this "headache." If you've been taking them more than two or three days a week, medication overuse/rebound is a possible issue. If, by chance, you've been taking such meds more than two or three days a week, and continue doing so, it's highly unlikely that the steroid taper is going to help. Here's some info on that:

    Medication Overuse Headache: What's a person to do?
    Unfortunately, it seems that any medication we take for headache or Migraine relief has the potential to cause medication overuse headache if used more than two or three days a week. We need to learn as much about it as possible. Let’s take a look at what causes it, how to avoid it, and other important issues.

Good luck,
Teri Robert and John Claude Krusz

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Important Note: Material on this page is for informational purposes only, and should not in any way be construed as medical advice. Always consult your own physician with questions about your headaches or Migraines.

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