Skip to main content

The Slippery Slope of Medication Overuse



Medicine Overuse. Dependency. A never ending, hard to break, cycle, pushed by medical professionals without considering the risks.

Wednesday I was diagnosed with potential medicine overuse headache, or rebound headache.

Can I say that I am at all shocked? No. Is this something I worried about every second of every day? Absolutely.

We've replaced on of my daily meds with something less potent, with a longer wait time between taking doses.

We're working to reduce how often I need to run to grab my abortive medications.

Next week, I'll be admitted to the hospital every day for 5 days, to receive IV injections of DHE, Benadryl, anti-nausea medicine, and something else. This measure is intended to stop this migraine that's been dragging on since September dead in it's tracks.

In turn, I should be able to reduce the frequency of abortive medications.

Then, I'll start my first round of Botox injections.

But, how did I get here? Me, of all people? I religiously watch the amount of medication I consume. I monitor the time between doses down to the minute to ensure medications won't interact with each other or overlap. I pay close attention to the quantity I take in a day.

I don't run out of pills to quickly. Yes, I often am due for my refill when it says I'm due for a refill and typically have other problems with pharmacies and insurance, but not because I'm requesting a refill too soon.

And yet, here I am. Victim to the very system that is meant to help me.

There are drugs out their where you can only receive x amount of pills in a month. But those aren't the medications I'm on.

So, having an intractable migraine for seven months, you end up taking pain medication. You take a dose when you wake up. Sometimes it works, sometimes it doesn't. Say it works: you may be good for the rest of the day, even if a little pain comes back, you may not take anymore medication. Say it doesn't work: you wait until x-amount of time goes by, and you take a different type of medication, because meds are a guessing game and you probably just didn't guess right on your first try.

Then you're in this cycle.  This never ending cycle where you're taking some sort of pain medication every day, sometimes twice even three times (that's the max amount you can take) a day.

But the doctors all left an important piece of information out.

These medications that have 90 days worth of medication for your 90 day supply, aren't intended to be taken every day.

These medications shouldn't be taken more than 9-10 times in a month.

9 to 10 times.

I've taken 9-10 doses this week.

Why would a medical professional give me more pills for a 90 day supply, than I'm supposed to take? Why does the prescription bottle put a daily limit but not a weekly or monthly limit on the instructions?

Thank god for my headache specialist for noticing that the amount of drugs being consumed could be having negative impacts on my health.

Thank god I keep a diary down to the minute with all this information.

But now, here I am, afraid to take any meds. I've portioned out my medication to fit into the "no more than 10 doses in a month" which equals about 2 doses a week, with an emergency dose every other week.

So my theory is that if I stop taking the medication, with the exception of my daily preventative, that after a while, the pain will go down.

I've always hated every ounce of medicine I've had to consume. I've always hated trying new medications. I've always hated counting down the minutes until I could take my next dose in hope of some relief.

So I guess I'll have to enjoy relying on blends of essential oils, coffee, and icepacks as my go to's, as for now, I don't want to touch medication.

Here's hoping next week's round of IV's and extra rest will put an end to this misery for a while.

-A

If you are using any sort of pain medicine, even regular over the counter medications such as Advil, Tylenol, or Excedrin, and you are using them more than 9 or 10 times each month, you are at risk for medication overuse as well and I would recommend reaching out to your doctor immediately.

Comments

Popular posts from this blog

Defining "Normal"

I'd be crazy to think that "normal" in terms of life as a disabled migraine patient should look anything like your "normal"... When I say this, I want you to think about your week. For the most part, you work your scheduled days, enjoy your weekends, and absolutely dread waking up on a Monday morning. That's your routine. Even as a student, Monday's are dreadful and suddenly you're halfway through the semester wondering how on Earth you've gone this many weeks and how this new semester's routine became so normal so fast. Each day brings a new attitude, because each day is closer to the weekend or a fun event. I have to admit, with football season pretty much being over, I don't know what day it is 99% of the time. That's crazy right? I think it is. My "days" exist in a bubble of I took medicine two days ago, so even though I need some today, I have to wait until tomorrow. I leave my medication on my counte...

It Hurts

To say I feel less than human, is probably a bit of an understatement. But I do. I've been home for a week. I've managed to pretty much lay in bed in agonizing pain the whole time. I had a half-assed attempt to see a friend that resulted in me rushing home as the nausea and aphasia set in. I successfully made it to massage therapy today. Which meant even after sleeping for roughly 2 hours, I got up at 7:30 and sat in traffic for hours to get to a less than expected appointment. Mind you, my previous massage therapist was so wonderful I'm most likely spoiled to other techniques. This lady was late, she sat in the same god awful traffic I did. We spent more time going over the woes of her morning, than we did discussing why I was there and what I hoped to achieve through various massage techniques. The massage room wasn't dimly lit, and even as the massage started, lights were still on. I found this odd, but decided to just keep my eyes closed. Then she started ...

I Know I Look Fine

Let's all take a moment to be very honest with ourselves. If we looked the way we felt 99% of the time none of us would look all too great. This isn't something that is specific to my condition. This is something anyone can deal with. Got arthritis? Got a UTI? Getting over a cold? No one is going to proudly display the dark circles under their eyes, and lots of makeup companies have perfected concealer to hide just that. But I'll put up with your looks. Your confused faces. Your attempted sympathetic "well I hope you feel better" as I rush away from work. Why? Because there's no way you can ever SEE the pain and the symptoms I'm experiencing. Sure my pupil is literally taking over the entire blue part of my eye... but hey I'm probably just stoned or something. I don't know how you'd be able to see that my body is saying hey if you don't get into a dark room right now, lay down, and try and consume some food I'm goin...