Akuzusnaya headache in adults and children: symptoms and treatment
- 18 Jun 10:30
Today we will talk about abusive headache in adults and children. Also, consider the percentage of epidemiology of the population, possible symptoms of the disease, diagnosis and treatment of this type of headache.
When there is excessive use of medicaldrugs, there is a headache that scientists call abuzusnoy. Also, this type of headache is often called medication-induced and rickety headache.
- General Information
- Etiology and pathogenesis
- Headache Symptoms
- Diagnosis of
- Disease Treatment
- Life Expectancy
Abuzusnaya headache is chronic in nature and worries the sick person almost every day. As a rule, there is such a disease as a result of ordinary, more common headaches, such as migraine or headaches of tension.
Quite often, the cause of abusive headache is the excessive use of medications for relieving attacks of primary degree of cephalalgia, primarily such as opiates, ergotamine, caffeine, combined and simple analgesics.
Abuse of one or another drug can develop quite rapidly in those cases where the patient takes them more often than 3-4 times a week.
It is also characteristic that people are accustomed to taking anti-inflammatory drugs even before their own attacks begin.
I would like to note that such a headache will not develop in patients who take the same drugs, but to cure some other diseases.
In the clinical sense, a high level of variability of symptomatic symptoms observed in the context of both anxiety and depressive disorder is typical for azuous headache.
It is also characterized by an increase in frequency consistent with pronounced attacks of severe headache for several weeks, and this is all, despite the fact that the patient starts to take medicines in a much larger number.
Quite often, headache has a peculiar pattern, that is, over the course of the day, characteristic signs of pain have the ability to change from the signs that are inherent in headaches and migraines.
Patients are also often disturbed by serious headaches in the morning, especially during immediate waking hours.
When detecting excessive use of drugs, diagnosis is aimed at detecting the deterioration of the current cephalalgia, as well as changes in its type of character against such abuse of medical products.
In addition, there is a gradual change in the situation after the necessary medical procedures have begun.
The essence of the treatment is to eliminate abusive medications, to apply pharmacological support, and of course, to determine a certain course of preventive measures.
Approximately 25% is abusive pain from all possible headaches. It should be noted that somewhat more likely to suffer from such diseases adults - about 2-3%, but if we talk about children, then there are about 0,5% of the total children.
Among all patients with chronic headaches, the number of those who have an abusive headache is approximately 70-75%.
I would also like to note the fact that women suffer from such a headache about three times more often than men.
Etiology and pathogenesis of
The etiology of azootic headache is primarily considered to be the abuse of some drugs, namely, caffeine, ergotamine, combined and simple analgesics, tryptans.
Much less likely to be headaches such as excessive use of antihistamines, barbiturates, and medications that affect the expansion of various blood vessels.
May also cause corticosteroids such as headache, antibacterial drugs, oral contraceptives, but this is already very rarely observed.
The following factors may be attributed to the development of drug use:
- There are strong head-to-head attacks due to the cancellation of drugs that were used solely for the purpose of lowering.
- Abuse of drugs, cigarettes or alcoholic beverages.
- Related illnesses of a mental nature, for example, anxiety or deep depression.
- The desire to significantly relieve headaches, fear or anxiety in anticipation of possible pain.
While discussing the pathogenesis problem, it can be assuredly asserted that today it has practically not been studied. The main reason is probably that for each individual case, there are somewhat different signs that primarily concern pharmacological and biochemical properties.
Significant point is the chronization of the initially available, usually primary headache, by means of its transition to a virtually chronic extent of the disease.
According to official statistics, roughly 75% of patients with azootic headache often suffered from frequent migraine attacks, which eventually transported to headaches on a daily basis, as there was a significant impact of excessive use of medications.
Much less common akuous headache is observed in patients who have managed to receive treatment for symptomatic and secondary headaches. In some cases, abuzusnaya cephalalgia develops as a result of a patient's transition to a preventive course of drug administration.
In situations where a person consumes too much ergotamins, such a medicinal product is excreted from the body for a long period of time, and thus, it is well mastered in it.
There may also be peculiar rebound pain that is considered as a recurrence of migraine headaches. If you take ergotamine again, it will lead to a decrease in the period between the use of drugs and recurrence of headache, and therefore the patient is convinced that such use of drugs will necessarily remove already new pain attacks.
When it comes to tryptan abuse, their treatment is directly associated with recurrence of pain in the head after a rather acute and serious migraine attack has been taken, although such tryptans do not even accumulate in the human body.
At present, scientists still can not explain the cause of such a phenomenon.
According to statistics, a certain category of people is using medicines to rescale primary cephalalgia up to 35-40 doses for one week, and take about 5 different dasgs during this period.
It would be desirable to note that in order to begin to actively develop abuzusnaya headache is enough to take and twice as low doses of such drugs.
The frequency of taking these substances is very important, since excessive frequency of use leads to the fact that the possibility of developing not only akuzusnoy headache, but also other diseases increases.
Azootic headache, like any other illness, has certain symptoms, in particular, the most important ones are:
- The frequency of the development of attacks, as well as the nature of their severity, is constantly increasing, despite this, which was the treatment of primary pain. Episodic headaches begin to become chronic and manifest almost every day.
- The most common headache transformation occurs within just a few weeks. The patient starts to use analgesics even before an illness develops.
- Quite often, people with this form of headache describe it as bilateral, oppressive and burdensome. Especially often such a disease develops in the area of the nape and forehead. Strong headaches occur during the period of human awakening.
- Headaches are accompanied by the following symptoms: general weakness of the body, memory impairment and forgetfulness, state of anxiety and incomprehensible anxiety, vomiting and nausea, it is difficult to concentrate attention on certain subjects, strong irritability.
- There are emotional and affective disturbances of anxiety and depression. Most often pain intensifies, if a person makes heavy physical activity or in cases where the process of taking medications is interrupted.
- Various type of pain, that is, during the day, a person feels pains of different nature.
During acupunctural headache, patients often take analgesics in advance of the appearance of the first signs of such pain. In this case, the necessary medicines are taken on a daily basis.
After the analgesic ceases to work, the so-called, rectal headache begins to develop, and therefore a person starts taking other medical preparations, while constantly increasing the dose.
Diagnosis of the disease
It is worth noting that it is difficult to diagnose headaches of this kind for the reason that no procedure will be able to give one hundred percent result until the patient fully refuses to admit abusing the medications.
Thus, we can conclude that the correct diagnosis of abuzusnoy head disease is considered retrospective, and in the initial diagnosis - more likely.
Criteria for diagnosis:
- Headaches appear approximately 15-20 days in a month.
- There are certain drugs at a systematic level for three or more months.
- Headaches significantly deteriorate as a result of taking medications.
- During a headache begins to return to the original pattern.
The main goals for the treatment of azure headache are:
- to do its utmost to prevent the patient from taking the drug;
- restoration of the patient after the complete cancellation of the medication;
- to check the diagnosis of primary cephalalgia, during which the disease itself began to develop;
- to prevent the recurrence of drug abuse.
It is worth noting that if a person continues to take the same drugs, then in 45% of cases there is a risk that the disease will begin to manifest itself again.
Treatment consists of preventive measures, abolition of an abused drug, adequate treatment of initial headache and includes medication therapy.
At present, there is no specific algorithm through which to treat abususnaya headache. As a matter of fact, the abolition of analgesics is not effective in every case.
As a rule, an immediate ban on an abusive drug is used, because in a similar situation, the effect seems to be more significant. Although, some experts prefer to gradually reduce the dose of a medical product.
As a preventive measure, people are generally informed about what can lead to the development of abuse headache. Also, he timely appoint the necessary medicines, which are aimed at preventing the possibility of the onset of the disease.
Typically, signs of abandonment remain in place within 5-10 days of the discontinuation of drugs. It should be noted that this period is primarily influenced by the type of drug that is considered abusive.
If you talk about a complete restoration of the body, this process can take about 10 weeks, and in some cases even more.
A doctor may prescribe abusive medicines anew, but only if the specialist sees it necessary.
It is also used in the treatment of pharmacotherapy, which includes not only prevention but also the abolition of all the signs present.
For this purpose, the following medical products or certain combinations thereof are prescribed:
An adequate liquid intake is provided, as the patient should avoid dehydration, and if this is not enough, then a solution of normotonic sodium chloride is also introduced.
- Naproxen 240 mg must be taken twice a day or 500 mg per month. In some cases, physicians strongly recommend taking this drug twice a day for 14 days.
- "Amitriptyline" 10-75 mg to be taken before bedtime for 5-6 months as a means for long-term prophylaxis.
- "Prednisolone" is desirable to take 60 mg daily for the first three days after the abolition of an abusive drug.
It is also often prescribed for the drug "Topomax", which helps to prevent the appearance of a court of varying degrees. Scientists have long been able to prove a high level of its effectiveness as a means for preventive measures.
In addition, more conventional methods of treatment, there are no medicinal treatments for the treatment of this disease. Non-medical treatment of abuse headache is carried out along with its adequate therapy.
In most cases, a professional psychiatrist takes care of some processes. As a rule, in practically every situation a patient is prescribed a relaxation therapy course, as well as cognitive-behavioral therapy courses.
Apply also methods using the so-called reverse biological link.
I would also like to point out that abolishing abusing drugs does not always affect the patient's full recovery.
If the chronic pain continues to occur. And while it becomes even more unbearable, it is necessary to immediately undergo a re-diagnosis.
Thus, the patient is sent for examination to a doctor who is competent in this matter, that is, to a neurologist.
But, most importantly, regardless of the situation, it is imperative to stop using unnecessary drugs, which in fact influenced the development of abuse headache.
In some situations, the prevention of combined cephalalgia, ie a special type of migraine, when the main illness is accompanied by headaches of a tension is compelled to become.
If a person wants to fully and reliably find out his own diagnosis, then it is necessary to undergo a sufficiently long course of examination in a specialized hospital.
The largest group of people at risk is migraine patients, as well as those who often suffer severe headaches.
The factors that significantly deteriorate the prognosis include the following: a low degree of patient motivation, a dependence on medications over five years, excessive use of barbiturates, tranquilizers, and the presence of a complex degree of depression.
In addition, serving as a cause of the development of azubusnoy headache may be a variety of violations of personal and mental character. Akutic headache also develops at a rapid pace in situations where the patient is taking too much alcoholic beverages.
There is a risk of repeated abuse, which is approximately 45% over 5 years, but the highest risk is present during the first year after the abusive drug was completely abolished.