*)Experts say rebound headaches can be caused when people with migraine overmedicate with cannabis. Catherine Falls Commercial/Getty Images
This article was originally published on Healthline
by Tony Hicks
- Fact checked by Jennifer Chesak
- March 1, 2021
Researchers say people who use cannabis to help treat migraine are more likely to experience rebound headaches.
- They say the reason that is main the follow-up headaches is basically because individuals overmedicate with cannabis.
- They urge people with migraine to begin with low doses of cannabis and increase the dosage eventually.
- People using cannabis for migraine relief can have rebound headaches, similar to overuse headaches experienced by people who use too much pain that is migraine.
That’s in accordance with research released today.
The research will likely to be presented during the United states Academy of Neurology’s 73rd meeting that is annual which is being held virtually during the week of April 17.
“Many people with chronic migraine are already self-medicating with cannabis, and there is some evidence that cannabis can help treat other types of chronic pain,” said Dr. Niushen Zhang, a study author and director of the Headache Fellowship Program at Stanford University in California.
“However, we found that people who were using cannabis had significantly increased odds of also medication that is having frustration, or rebound frustration, in comparison to individuals who weren’t making use of cannabis.”
Just What is migraine?
Migraine is a condition that is neurological’s often accompanied by nausea, vomiting, and extreme sensitivity to light and sound.
Migraine attacks can last for hours to days, the pain of which can be so severe it interferes with daily activities.
Something called an “aura” often comes as a warning sign, involving disturbances that are visual as flashes of light, blind spots, tingling using one part of this face or in an arm, and trouble with speaking.
Medication is a good idea, frequently along with self-help treatments and changes that are lifestyle
About 39 million people in the United States have migraine. It’s estimated that 12 percent of U.S. women and 6 percent of U.S. men have this condition.
Everything from pain medication to yoga has been prescribed for relief, often with mixed results.
What the cannabis study revealed
The study published today looked at records of 368 people who experience chronic migraine for at least a year — chronic being defined as at least 15 headache days per month.
Of the subjects, 150 were cannabis that are already using relief.
Of the 368 individuals, 212 had medicine overuse headaches.
Researchers stated that individuals cannabis that are using migraine were six times more likely to also have medication overuse.
Previous research showed opioids and cannabis both influence part of the brain called the periaqueductal gray, which is also linked to that is migraine
The idea of rebound headaches is not not used to some physicians whom frequently prescribe cannabis as medication.
“Cannabis may cause rebound headaches,” Dr. Dustin Sulak, an medicine that is integrative and co-founder of Healer, a medical cannabis brand, told Healthline. “The two most reasons that are common dehydration and overuse, specially through the inhaled route of distribution. Cannabis may cause the mucous membranes to be more dry while increasing the depth for the mucous*)“ that is, Plus water that is inadequate, frequently outcomes in rebound frustration which comes on whilst the cannabis is using down,” he added.
How to correctly utilize cannabis
Sulak stated cannabis that are inhaling tolerance faster, which often prompts users to increase dosage.
“The effectiveness of the treatment diminishes, and rebound headaches are more common,” Sulak said. “For chronic headaches especially and for more frequent migraine, the best approach is to take cannabis by mouth to prevent headaches and reserve inhalation for rescue from more severe episodes only. Many patients can effectively take a dose that is low of before going to sleep and a moderate dosage of CBD (cannabidiol) in the day for prevention.”
Stacia Woodcock is a clinical cannabis pharmacist and manager that is dispensary Massachusetts-based Curaleaf. She told Healthline when people describe rebound headaches, “usually it is a result of a patient increasing their dose too fast or using more than the recommended dose.”
“Also, if patients who have been using cannabis regularly for more than a month discontinue their use for some reason, that can also cause a rebound headache that is secondary to withdrawal that is mild,” she said. “Those are the most typical circumstances by which we encounter rebound headaches with clients.”
Woodcock said every person responds differently to cannabis, that makes it tough to recommend a dose that is standard
“This is why we always recommend starting with a low dose and titrating slowly upward to the desired effect, to avoid any adverse side effects such as rebound headaches,” she said.
“Generally speaking, healthy lifestyle choices like maintaining good sleep habits, a healthy diet free of triggering foods, and limited alcohol intake, go a long way to help prevent occurrences of migraine and rebound headaches,” Woodcock said.
Authors of the study wrote one of its limitations was that it was retrospective, and that “longitudinal” studies will be necessary to further explore causes, and the effect, of cannabis on rebound headaches.
“Stay very hydrated — a idea that is good everyone with chronic frustration,” Sulak stated. “Always avoid building threshold to cannabis, specially THC (the compound that is psychoactive cannabis) and, if it seems like this happens, reset the tolerance with a 48-hour period of cannabis abstinence, followed by a 25 percent to 50 percent dose reduction.”
“Some migraineurs report that if they wait too long, cannabis can actually make the migraine worse,” Sulak said if they catch the migraine very early, inhaled cannabis helps, but. “I constantly encourage migraineurs to utilize cannabis during the earliest indication a migraine is beginning.”