Question: I am about to start withdrawal from zolmitriptan for medication overuse headache. Can I take any other pain relief whilst stopping Zomig such as Paramax (acetaminophen/metoclopramide) or aspirin to ease the pain or an antiemetic such as Buccastem (prochlorperazine) or do I have to just stick it out? Thanks, Hazel.
Answer: Dear Hazel; Nobody online can tell you what you can take because there are additional pieces to the puzzle that must be considered to answer it safely. All the medications you take, including over-the-counter medications and supplements, must be considered as well as your medical history.
That said, we can give you general information that you can discuss with your doctor. When working to get out of a medication overuse situation, in general, patients:
- Stop taking the medication that has caused the problem, for a period of time determined by their doctor.
- Avoid other medications in the same family as the medication that has caused the problem.
- May use other migraine abortive medications, but should use them no more than two or three days per week.
- May use other medications such as antiemetics for symptomatic relief.
Hazel, your doctor may tell you that you may use the Paramax or aspirin during this time, but please keep in mind that they can cause medication overuse headache, so the number of days per week that you use them should be limited.
We hope this information helps you discuss your options with your doctor.
Thank you for your question, Dave Watson and Teri Robert
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If you have a question, please go to our submission form. Accepted questions will be answered by publishing the answers in our column. Due to the number of questions submitted, no questions will be answered privately, and questions will be accepted only when submitted via THIS FORM. Please do not submit questions via email, private message, or blog comments. Thank you.
Please note: We cannot diagnose, suggest specific treatment, or handle emergencies via the Internet. Please do not ask us to diagnose; see your physician for diagnosis. For an overview of how we can help and questions we can and can’t answer, please see Seeking Migraine and Headache Diagnoses and Medical Advice.
We hope you find this general medical and health information useful, but this Q & A is meant to support not replace the professional medical advice you receive from your doctor. For all personal medical and health matters, including decisions about diagnoses, medications, and other treatment options, you should always consult your doctor. See full Disclaimer.
© David Watson and Teri Robert, 2018.
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Do you have questions about Migraine? Reader questions are answered by UCNS certified Migraine and headache specialist Dr. David Watson, and award-winning patient educator and advocate Teri Robert. Questions may be submitted via our submission form. Accepted questions will be answered by publishing the answers in our Ask the Clinician column. For an overview of how we can help and questions we can and can’t answer, please see Seeking Migraine and Headache Diagnoses and Medical Advice.