Rebound headaches

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Symptoms

By Mayo Clinic staff

Rebound headaches tend to:

  • Occur every day, often waking you in the early morning
  • Improve with pain-relief medication but then return as your medication wears off
  • Persist throughout the day
  • Worsen with physical or mental exertion

Other signs and symptoms may include:

  • Neck pain
  • Anxiety
  • Restlessness and difficulty concentrating
  • Memory problems
  • Irritability
  • Depression
  • Unrestful sleep
  • Stuffy nose

When to see a doctor
Occasional headaches are common. But it's important to take your headaches seriously. Some types of headaches can be life-threatening.

Seek immediate medical care if your headache:

  • Is sudden and severe
  • Accompanies a fever, stiff neck, rash, confusion, seizure, double vision, weakness, numbness or difficulty speaking
  • Follows a head injury
  • Gets worse despite rest and pain medication
  • Is a new type in someone over 50
  • Wakes you from sleep

Consult your doctor if:

  • You usually have two or more headaches a week
  • You take a pain reliever for your headaches more than twice a week
  • You need more than the recommended dose of over-the-counter pain remedies to relieve your headaches
  • Your headache pattern changes
  • Your headaches are getting worse
References
  1. Headache: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/headache/detail_headache.htm. Accessed Aug. 21, 2011.
  2. Evers S, et al. Clinical features, pathophysiology and treatment of medication overuse headaches. The Lancet Neurology. 2010;9:391.
  3. Cupini LM, et al. Medication overuse headache: Neurobiological, behavioural and therapeutic aspects. Pain. 2010;150:222.
  4. Bigal ME, et al. Overuse of acute migraine medications and migraine chronification. Current Pain and Headache Reports. 2009;13:301.
  5. Felice MD, et al. Update on medication-overuse headache. Current Pain and Headache Reports. 2011;15:79.
  6. Tepper SJ, et al. Breaking the cycle of medication overuse headache. Cleveland Clinic Journal of Medicine. 2010;77:236.
  7. Rapoport AM. Medication overuse headache: Awareness, detection and treatment. CNS Drugs. 2008;22:995.
  8. Sun-Edelstein C, et al. Alternative headache treatments: Nutraceuticals, behavioral and physical treatments. Headache Currents. 2011:469.
  9. Loder E, et al. Evaluation for secondary causes of headache: The role of blood and urine testing. Headache Currents. 2011:338.
DS00613 Dec. 9, 2011

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