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Let’s Talk About Headaches and Substance Abuse

Let’s Talk About Headaches and Substance Abuse
By
Natalie Baker profile
Natalie Baker
Natalie Baker profile
Natalie Baker
Author
Updated June 6, 2023

If you’re reading this, you’ve probably experienced them: headaches. And if you’re in recovery, you’ve more than likely encountered them as either a side effect to substance abuse or as an effect of withdrawal.

But did you know different types of substances can produce different types of headaches?

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Headaches and Their Causes

Read on to learn what causes these painful conditions and what you can do to alleviate them:

Alcohol Abuse

It may come as no surprise that knocking back a few may trigger migraine-type headaches in some people. I, for one, can clearly remember the splitting head pain I dealt with the morning after a wild and crazy night out. Unsurprisingly, studies have found that alcohol use leads to an increase in headache severity and/or frequency. One such study investigated the rate of alcohol abuse in 81 patients with migraine-type headaches (one of the most prevalent headache types, often associated with specific ‘triggers’) and 62 with tension-type headaches (a more severe form associated with considerable disability). They found those suffering from tension-type headaches drank alcohol at a significantly higher rate, leading one to believe that alcohol was a contributing factor in causing the more severe form of headache.

Drug Use

It’s not just alcohol that contributes to a pounding head. Abusing over-the-counter and prescription medication can also be associated with the onset or risk of headaches. In fact, estimates suggest that up to 50 percent of medication-overuse headaches are caused by abusing conventional medications recommended to treat such pain, such as Ibuprofen.

Smoking

Regular smoking can also lead to headaches, namely during nicotine withdrawal. Interestingly enough, using Chantix, a drug often used as a nicotine-replacement therapy, can also cause headaches as a side effect.

Illicit Drugs

Illicit drugs, such as cocaine, marijuana and amphetamines, are a contributing factor for headaches. In fact, a study of 210 people reporting cluster headaches (a type characterized by a number of headaches occurring in quick succession and known to be extremely debilitating) found that nearly 72 percent of this group used drugs before the onset of this condition.

Alternative Headache Therapies

The good news is, some headaches can be treated with over-the-counter medications, such as Advil or Aleve. But if this is not enough, or you’re afraid of over-medicating, look into meditation or acupuncture. There’s also treatment for more severe headaches, such as a nerve block, which involves numbing the area with a local anesthetic or corticosteroids, or diagnostic imaging.

But if none of these relief methods work, there is one surefire way to avoid substance-induced headaches: abstinence.

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FAQs

A: Substance abuse can trigger headaches both during active use and as a consequence of the body’s response to chemicals in drugs or alcohol. Some substances like alcohol and cocaine can cause immediate or delayed headaches by affecting blood vessels and brain chemistry, and chronic use or medication overuse can lead to headache disorders classified in neurology as substance-related headaches.

A: A hangover headache usually happens after drinking alcohol and is tied to dehydration, inflammation, and chemical effects on the brain a few hours after consumption and generally resolves within a day. In contrast, an alcohol withdrawal headache begins when someone who regularly drinks stops or reduces intake, often 6–24 hours later, and can last several days as the brain adjusts to the absence of alcohol.

A: Yes, taking pain relievers too often can cause medication overuse headaches, also known as rebound headaches. This happens when frequent use of analgesics such as opioids or combination painkillers paradoxically increases headache frequency, and stopping the overused medication is often needed for improvement.

A: Alcohol is a well-known trigger for migraine-like and hangover headaches, and other substances including some drugs and stimulants can also provoke headaches by altering blood flow or brain chemistry. Repeated exposure or withdrawal from these substances increases the likelihood of chronic headache conditions in susceptible individuals.

A: If headaches are frequent, severe, or associated with substance use or withdrawal, seeking evaluation by a healthcare professional is important, as they may indicate underlying neurological issues or withdrawal complications. Managing the underlying substance use disorder with medical support, hydration, rest, and appropriate treatment can help reduce headache severity and improve recovery outcomes.

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