The best means of withdrawing the use of these painkillers depends on the types of medicines being used and the person’s general health. The treatment is to stop the medicines that are being taken at a high level and to manage the underlying migraine attacks differently. The overuse of painkillers may also reduce the effectiveness of preventive migraine medications. Eventually a pattern develops with headaches on most days and migraine attacks on top of that background pain. In medication-overuse headache, a dull constant headache is present on most days or a part of every day. pain, nausea, vomiting, sensitivity to light and sound), but they go back to being symptom-free between attacks. People with migraine will usually experience episodic attacks consisting of several symptoms (e.g. After a while the painkillers stop helping the original pain and start causing more pain. The need to relieve these withdrawal symptoms, and still treat the pain, leads to further use of painkillers and a cycle of medicine overuse starts. When this happens, pain returns as each dose of medicine wears off and even if the medicine is stopped, withdrawal symptoms are common. However, a high-level use of painkillers on a regular basis increases the risk of MOH and a vicious cycle can develop. It is also safe to use painkillers on extra days, on the occasional month or two. Painkillers are generally safe to use on a limited number of days each month (fewer than the number stated above).
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