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Posts Tagged ‘migraine pain’

I promised Parin that I would address this topic again and explain my point a bit clearer. It all comes down to semantics of the words dependence and addiction. I hope that it is sufficient to say that some medical websites use the words interchangeably, referring to the physiological need for a particular drug. For instance, here is the definition of dependence taken from the e-Medicine Health (a part of WebMD.com) website:

Drug dependence is the body’s physical need, or addiction, to a specific agent. Over the long term, this dependence results in physical harm, behavior problems, and association with people who also abuse drugs. Stopping the use of the drug can result in a specific withdrawal syndrome.

The Mayo Clinic also uses these words interchangeably. I think that for consistency, dependence should refer to physiological need and addiction should add the characteristics of psychological need and drug seeking behaviors.

To answer Parin’s question, no I would not consider someone taking insulin or thyroid medicine addicted or dependent because neither are drugs, but rather replacements for a hormone that is missing.

Getting back to the article. The author’s headline is down-right WRONG on 2 points. First, neither of these drugs (Fiorinal and Percocet) are Migraine drugs. The FDA has not approved their use in the treatment of acute Migraine, although some physicians prescribe them as Migraine rescue drugs.

As I stated in the original post, these medications carry with them a double whammy. Not only can unwary Migraineurs develop medication overuse headaches (MOH), but they also run the risk of becoming dependent on the butalbital in Fiorinal or the oxycodone in Percocet.


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Bright Light invades brain piercing right eye

hammering pain; I’d rather die

Dark Room don’t move

Hours pass

I see pretty flowers under glass

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