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Question
Posted by: Me | 2006/02/16

Rebound headaches

I use 32 Sedinols a day. 24/7. Started with only 2, 8 years ago. How long does it take for the drugs to leave your system if you go cold turkey? I please need a referance for a docter in pretoria that knows how to help rebound suffers. It must be pretoria. If its only due to the narcotics, how long before the headache is gone? Everyday is getting worse, please help me...

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Our expert says:
Expert ImageHeadache expert

Dear Me,

One of the main problems with taking painkillers for headaches is that it often leads to Medication Overuse Headache (MOH). MOH is a problem that occurs in headache sufferers who have to take painkillers on a regular basis - the headaches become more frequent and more severe! Because of this, the patient increases the dosage and takes the drugs more often, and a vicious circle is set up, making the headaches worse and worse. This can happen with any of the painkillers, but is far more likely to occur when the medication contains more than one drug, and especially if it contains caffeine or codeine. When the three are combined in one pill, there is an even greater likelihood of MOH developing. Sedinol contains paracetamol + codeine + caffeine, so you can be absolutely sure that you have MOH.

Going cold turkey can give one severe withdrawal symptoms, and the statistics show that most people who succeed in doing so eventually go back to the drugs again, because they still get their original headache. The only way to proceed is to find and eliminate the original cause – if this is done, then there are no withdrawal symptoms when one stops the painkillers.

To get to the root of the problem, you need what is called a “multidisciplinary assessment”. There are so many different structures in the head and neck, all of which can be involved in the headache process, that no single specialist can have all the knowledge necessary to make a comprehensive assessment and diagnosis. For instance, a neurologist will examine the brain and nervous system, a physiotherapist will look at the muscles, a dentist will examine the teeth etc. For this reason, the “multidisciplinary assessment” combines and integrates the expertise of different specialists who would normally treat headache patients in isolation, into a single more comprehensive body of knowledge. This enables the different members of the team to provide a co-ordinated treatment plan, so that all the contributing factors are addressed.

Unfortunately your nearest facility is in Johannesburg, as there is no-one in Pretoria that has this all-important multidisciplinary approach.

This information has been supplied and checked by the multidisciplinary team of specialists at The Headache Clinic, in association with The International Headache Society and the South African Institute of Headache and Migraine Science. For consultation with these specialists, call The Headache Clinic (Cape Town, Durban, Johannesburg) on 0861 678 911.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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