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  #1  
Old 25-02-2010, 02:09
Razorbladekiss Razorbladekiss is offline
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Codeine Tension headaches?

A friend of Swims likes to take codeine recreationally. Typically a 300mg dose once a week only. Very recently she has been getting migraine like headaches that apprently do not stop or die down and are very painful.

She went to the doctors and was told she might be suffering from a tension headache. Apprently these are caused by opioid overdose.

Swim was wondering is it really possible that such a mild one time dose a week could really cause such awful sounding headaches (in any ones opinion).



Ironically, Swim was told by the friend that it was caused by opioid abuse and that the doctor perscribed a codeine based painkiller of some sort. Oh life.


Cheers.
  #2  
Old 25-02-2010, 21:46
Dr_Janus Dr_Janus is offline
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Re: Codeine Tension headaches?

Repeated use of opioids can cause headaches. This is fact.

Also, if the codeine has been used recreationally it's possible that tolerance/addiction has already set in, and these headaches are caused by the onset of withdrawal symptoms.

Taking codeine for headaches can also make them worse in the long run, so they should never be used for long term use in headaches.

But swiy says that she doses only once a week ... so addiction/wd sound unlikely. Maybe swiy just reacts badly to codeine, this is a possibility.

300mg is a high dose for a first-timer. Is swiy experienced with opioid use? What has she taken before?

We might need a little more detail before we can help.
  #3  
Old 25-02-2010, 21:59
RetroHousewife RetroHousewife is offline
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Re: Codeine Tension headaches?

Many people get occasional rebound headaches from opiates. Some people get them more frequently. SWIM has had them herself and she usually takes something for them, usually continuing to take things, such as Ibuprofin and possibly asperin in conjunction with acetophenamin and also even other opiates. Anything to kill that headache because it's pretty bad in SWIM's opinion.

SWIM believes it was diagnosed as a tension headache because it was probably the back of SWIY's friends head, correct? That's what they usually do.

As much as this will suck, SWIM suggests avoiding opiates for SWIY's friend. She also suggests doing some research into "rebound headaches", which have actually caused SWIM to go to the ER before, even when her first headache or whatever pain it was she went for, was taken care of by a shot of opiates in the ER. SWIM's had them when she took opiates after appendix surgery too, so they can happen with legitimate use as well.
  #4  
Old 25-02-2010, 23:23
Razorbladekiss Razorbladekiss is offline
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Re: Codeine Tension headaches?

Quote:
Originally Posted by Dr_Janus View Post
Repeated use of opioids can cause headaches. This is fact.

300mg is a high dose for a first-timer. Is swiy experienced with opioid use? What has she taken before?
Swims friend has been doing codeine recreationally for several months now. A one time a week thing as I say. Going no higher than 300mg via cwe/linctus.

Its also possible the headaches are caused by stress. But the fact her doctor said opioid abuse struck me. Im sure many would agree 2-3 times once a month cant be classed as abuse. But thats my opinion.


Quote:
Originally Posted by RetroHousewife

SWIM believes it was diagnosed as a tension headache because it was probably the back of SWIY's friends head, correct?
Swim isnt sure of the location, hes only being a middle man in this conversation. However swim was told by the said friend she mostly feels it in the front of her head. Then when she stands it moves to the back.

She also has high blood pressure which probley causes the shifts.

I spose swim was just trying to rule anything codeine/opioid based out after the doctors initial diagnosis.

Shes going back to her Doctors so hopfully they will take it a bit more seriously than just a migraine.

Thanks your input.
  #5  
Old 03-03-2010, 22:36
Dr_Janus Dr_Janus is offline
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Re: Codeine Tension headaches?

How is swiOP? Have the migraines got any better?

All the best, The Doc.
  #6  
Old 03-03-2010, 23:47
Razorbladekiss Razorbladekiss is offline
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Re: Codeine Tension headaches?

Thanks for the interest. Swims friend went to her doctor and told the doctor how unmanageable the headaches are. She was given medicine to take in the day then a pill to take when the headaches appear. Havent a clue what the name of the pills are though.

So far this week she hasnt mentioned it so one would assume it wasnt codeine related she hopes. Like I said previous thanks for the interest
  #7  
Old 04-03-2010, 12:55
Dr_Janus Dr_Janus is offline
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Re: Codeine Tension headaches?

Quote:
Havent a clue what the name of the pills are though.
Would swiy care to look on the side of the prescription box and inform us of the names of the medications?

And it's good that it doesn't appear to be codeine related! Congratulations.
  #8  
Old 04-03-2010, 13:04
Burgersoft777 Burgersoft777 is offline
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Re: Codeine Tension headaches?

Swim was for many years a Codeine addict, and suffered from bouts of Migraine headaches. Swim is now stabilized on Methadone and the migraines have pretty much stopped. Swim noticed that a migraine would almost always follow on from a couple of days of lower than average consumption. Swim also noticed that s-he would always suffer a migraine on the 2nd day of detox. Swim tried a number of Migraine treatments, but only improved when s-he stopped taking Codeine daily. Swim finds that if s-he tops up, which s-he does from time to time, s-he often ends the day with a mild headache.
  #9  
Old 04-03-2010, 19:17
[tanarilla.] [tanarilla.] is offline
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Re: Codeine Tension headaches?

My bunny gets awful rebound headaches, but thankfully they don't last long. With a high pain threshold however, these things are easier to deal with. She doesn't think if SWIY actually gets the tension headaches from the codeine, that the therapeutic use will help either...actually it will probably make them worse, thus if SWIY gets addicted to a low daily dose, that isn't any better. There is a warning on the side of the box that the repeated use of painkillers can make headaches worse.
  #10  
Old 07-03-2010, 20:38
Razorbladekiss Razorbladekiss is offline
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Re: Codeine Tension headaches?

Quote:
Originally Posted by Dr_Janus View Post
Would swiy care to look on the side of the prescription box and inform us of the names of the medications?

And it's good that it doesn't appear to be codeine related! Congratulations.

I believe swim said one of the pills were called Propranolol. An the other Migraleave ... Like swim said, Im swims middle man but im pretty sure propranolol is right.


Tanarilla -
Yeah swim thought taking more codeine to combat a protential opiate problem was a bit silly. Thats why I urged swim to get a bit more help.

Swim wasnt aware opiates could cause headaches like that. Thanks for the heads up.
  #11  
Old 07-03-2010, 23:57
Dr_Janus Dr_Janus is offline
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Re: Codeine Tension headaches?

Ah Migralieve, yes swim's first opioid med was migralieve, advised by HIS doc years ago ... useless as it turns out swim suffers from tension headaches too! Very severe ones.

But opioids can definitely cause headaches, swim gets them badly from dihydrocodeine and tramadol.
  #12  
Old 08-03-2010, 21:30
Helene Gold member Helene is offline
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Re: Codeine Tension headaches?

There have been some recent studies that suggest that opiate use can actually interfere with ones ability to achieve pain-free results from non-opiate headache/ migraine medications.

This fact, along with the existence of opiate rebound headaches, seem to contraindicate the use of opiates for headache pain relief. And as for opiate abuse, headaches occurring after a codeine binge fit in with the "rebound headache" suggestion made by RetroHousewife.

A good idea would be to stop taking any and all opiates for a good while, and see if the migraines get better or worse.

H
  #13  
Old 08-03-2010, 21:36
Burgersoft777 Burgersoft777 is offline
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Re: Codeine Tension headaches?

SWIM suffered from awful Migraine like headaches during the years s-he used Codeine daily. No painkillers or Migraine treatments made any impression on the pain. Since SWIM has stabilized on his-her Methadone script, the headaches have disappeared. Swim finds that Tramadol simply do not suit him-her as even at low dosage they trigger nasty muggy headaches.
  #14  
Old 15-03-2010, 07:38
ElliottSmith ElliottSmith is offline
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Re: Codeine Tension headaches?

Quote:
Originally Posted by Razorbladekiss View Post
I believe swim said one of the pills were called Propranolol.
swim was on propranolol from a couple years to help reduce migraines (talking classic migraine...1/2 the head, preceeded by auras, although these days swim doesnt get auras, they now start out like a sinus headache)
The fact it helps with high blood pressure was seen as a bonus since swim has to take HBP meds anyway. However swim began really battling depression and dry eyes. The depression was getting sort of scary bad, (and played a big role in swim beginning codeine abuse. The break in despondency and a few hours of mild euphoria seemed heaven sent!) Eventually swim was desparately researching depression and came upon an article on how propranolol can cause depression and dry eyes.
Swim went to his GP and was weened off Propranolol. Depression is an ongoing problem, but it was dramatically lessened once Swim stopped propranolol. Of course not everyone gets this side effect, most people don't, but just a heads up and something to keep an eye out for.

Swim also ran into heart problems with imitrex, so now just relies on advil migraine and T3's....though tends to save the T3's for less medicinal purposes.
Definitely swim gets occasional headaches from codeine use but is also suspicious of the contribution of the caffeine content in a T1 CWE.

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