05/12/08 #9 - Tension Headache Treatment, Midrin?

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  • Full Question:
    Hello! I've been suffering with headaches off and on for about 8 years. Diagnosed with muscle tension headaches and was prescribed Midrin. Worked GREAT for me until, recently, Midrin was taken off the market! Why? My doc now prescribes Darvocet, but don't like taking narcotics. Tried aspirin, NSAIDS, but they don't work. Also tried muscle relaxants (don't work for back spasms either). Work 10-hou. shifts standing up. Headaches occur 4-6 days per week. Feel miserable sometimes! What else can I do? Thanks, Thomas.





    Dear Thomas;


    There are two issues here...

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    First, Midrin is NOT discontinued. Both Midrin and its twin, Epidrin, are available. They were in short supply for a while, but that seems to have been resolved. Our readers have been reporting that they're once again able to get them.


    The other issue is the frequency of your headaches. Taking Midrin or Darvocet that many days a week puts you at major risk of medication overuse headache, aka rebound. Since they both have acetaminophen, you'd still be at risk even if you took each of them two or three days a week. For purposes of avoiding MOH, they count as the same medication. (See Medication Overuse Headache - When the Remedy Backfires.)


    Have you and your doctor discussed preventive treatment? If not, it's time.


    Good luck,
    John Claude Krusz and Teri Robert


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    Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert.


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    © Teri Robert and J.C. Krusz, 2008.

    Last updated April 27, 2008.



Published On: April 27, 2008