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Excedrin is an over-the-counter drug that contains aspirin and acetaminophen. It is also habit-forming. Commonly used to treat headaches and migraines, Excedrin can cause dependence both as a pain reliever and because it contains caffeine. It is important to act if you start to develop a habit of taking this drug. Take steps on your own or with medical help to kick the addiction while reducing your intake of caffeine.
Steps
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Note telltale signs. Most people start taking Excedrin to control headaches. But you can develop a dependency very quickly. What happens is that Excedrin shuts off pain receptors in your brain, and these receptors become more sensitive the more you use the drug. This means that you get “rebound” headaches without the drug. [1] X Research source
- You can develop a dependence on Excedrin by using it as little as 15 days a month.
- Excedrin also contains about as much caffeine as coffee. So, with regular use, you can develop a caffeine addiction, as well. [2] X Research source You may, therefore, have two addictions: one to Excedrin as a pain reliever and another to caffeine.
- Do you get headaches most days and often in the morning? Do these headaches go away with medicine but return once the medicine wears off? These are common signs of dependence on a pain reliever.
- Listlessness, nausea, memory or concentration problems, and irritability are also symptoms.
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Try to wean yourself. Nip your habit in the bud if you notice you are becoming dependent on Excedrin. There are different ways to go about this. You do not have to stop taking the drug entirely, as your body will need to adjust and can slowly wean yourself. There is also the harder “cold turkey” method.
- To go cold turkey, just stop taking the drug. You’ll be able to kick the habit quickly this way and will see just how much your body craves Excedrin.
- The cold turkey method is very hard, though. Prepare for severe withdrawal headaches lasting days or even weeks. You may experience a loss of productivity because of them. Many people give up under these circumstances.
- To wean yourself slowly, reduce the Excedrin dosage you take daily. The idea is to do this gradually so that your body becomes used to less and less until you are no longer taking the medication. While the process will last longer than cold turkey, your withdrawal will not be as bad.
- Expect your rebound headaches to improve 6 to 12 weeks after you’ve stopped taking medication entirely. [3] X Trustworthy Source Cleveland Clinic Educational website from one of the world's leading hospitals Go to source
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Ask family members for help. Ask family, friends, or your partner for help if you are having trouble reducing your dosage of Excedrin. Their help might be for moral encouragement or more practical, like if you are in withdrawal. They will be more than happy to do so.
- For example, you might have a family member or friend be your “pharmacist.” They can hide the pills and only allow you a set amount for that day.
- Kind words and encouragement from family and loved ones is a great boost. It also helps them know what you’re experiencing and why you might be irritable or not your usual self.
- Loved ones can also help you with the weaning process. You may be in bad shape for a few days with withdrawal. Ask family or friends if they can provide food, for example, or pitch in with your errands.
- People who take prescription headache medicines like Imitrex often receive just 10 pills for the whole month, so you might consider having a family member "dispense" Excedrin to you in this way or limit yourself to 10 per month.
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Avoid Excedrin in the future. To prevent a relapse, stay away from the drug in the future once you’ve successfully detoxed and weaned yourself. There are alternative over-the-counter medications that are less likely to cause addiction, such as Ibuprofen.
- Talk to your doctor about other possible painkillers if you continue to have headaches or migraines. She should be able to suggest an alternative.
- Read drug labels in the future to see if they have addictive qualities, as well.
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Set up an appointment with a doctor. Breaking an addiction is hard. Talk to your doctor about options if you have trouble cutting out Excedrin alone or prefer medical help. She can set up a plan to break your habit and mitigate your symptoms. This is called “bridge” or transition therapy. [4] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
- Your doctor can prescribe a short-acting and non-habit-forming painkiller, for example. She may also give you meds to alleviate your withdrawal symptoms, like anti-inflammatory drugs or corticosteroids.
- Your doctor may also put you on a detoxification program.
- Mostly like you will not need a hospital visit. However, in some cases, you may be admitted for a short stay, particularly if you aren’t able to stop on your own, are abusing other drugs along with Excedrin, or have limited family support.
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Begin a detox program if you have other addictions as well. Your doctor may put you in an outpatient treatment plan for addiction if you have other addictions along with your addiction to Excedrin, such as addiction to prescription painkillers or illegal substances. This will involve a detoxification process to remove the drug from your system, helping you to be less dependent on it.
- Good outpatient centres can cater to specific addictions and tailor your plan. They can also provide resources like counselling and prepare you to cope with any mental obstacles.
- Take into account the services that each prospective program offers. Also, consider location. Some may want to be close to family and friends. However, people with unhealthy or co-dependent relationships may need to put distance between themselves and loved ones, at least for a time.
- Your doctor can most likely recommend a drug addiction centre to guide you through the detox process.
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See a headache specialist or neurologist. If you have been suffering from headaches for a long time and self-medicating with Excedrin, then seeing a specialist may be necessary. A doctor who specializes in headaches or a neurologist can assess your symptoms and run tests to determine if there is an underlying cause.
- A specialist can also prescribe a treatment plan that will help to prevent you from becoming dependent on Excedrin again.
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Seek counselling. Some people suffer from both psychological and physical addiction to Excedrin. This means that you become mentally dependent on the drug and, without it, can experience anxiety, a feeling of being unable to cope, a mental obsession with it, mood swings, or insomnia. If you think you are experiencing psychological addiction, set up an appointment with a psychologist who can work with you to kick it.
- Your therapist will be able to alleviate any concerns that you or your family may have. You can also set up a group family therapy session if needed.
- To offer you coping strategies, a psychologist may also recommend a course in Cognitive Behavioral Therapy. CBT aims to teach you how to identify and stop problematic behaviour.
- CBT techniques can include discussing the positive and negative effects of your habit, teaching you how to monitor your cravings, and developing ways to deal with cravings and avoid “high-risk” situations when you might relapse.
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Consider alternative medicine. Some people find that alternative therapies relieve headaches and can complement other treatments. Since not all of these treatments have proven medical benefits, talk with your doctor before starting one.
- Acupuncture is one alternative treatment. There is some evidence that this ancient Chinese practice can help to bring headaches under control. [5] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
- “Biofeedback” is a technique that teaches you better control over your body. You are first hooked to devices that monitor your breathing, heart rate, and other functions and give feedback. The idea is to slowly learn your natural bodily response to pain and how to reduce muscle tension, control your breathing and heart rate, and deal with pain.
- Some herbs and “natural” medicines claim to alleviate headaches, like butterbur and feverfew. However, the medical benefits of these herbs are unclear. Talk to a doctor before taking any dietary supplements, especially since they can interact with other drugs you are taking. [6] X Trustworthy Source PubMed Central Journal archive from the U.S. National Institutes of Health Go to source
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Cut caffeine out of your diet. Excedrin contains caffeine and can lead to (or worsen) caffeine dependence. Excedrin Migraine, for instance, contains 65 mg of caffeine, or nearly as much as a cup of regular coffee (about 80 mg). Drinking coffee while taking it can also increase your addiction.
- Reducing your caffeine intake will help to address a possible source of headaches – caffeine withdrawal headaches – that are unrelated to your normal headaches and to “rebound headaches.”
- Besides coffee, limit your consumption of other caffeinated substances like colas, black tea, energy drinks, and chocolate.
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Follow a plan to detox from caffeine. You might find cutting coffee and caffeine out of your life painful. However, you do not have to eliminate them from your life entirely. The aim is only to reduce your intake so you are no longer dependent. People can safely consume coffee two or three times per week without building up a tolerance.
- As with Excedrin, you can choose to go cold turkey or slowly wean yourself. Cold turkey will be faster but involve worse headaches and poorer concentration.
- If you decide to go slow, your schedule might look like this. On Day 1, you drink your usual amount. On Days 2-5, make coffee that is half caffeinated and half decaf. On Day 6, blend 25% caffeinated coffee with 75% decaf coffee. At this stage, your body will get used to having less coffee. On Day 7, drink purely decaf coffee.
- Decaf coffee still has a small amount of the drug, about 2-12 mg. [7] X Research source If you want to go fully without caffeine, switch over to a grain or plant alternative like chicory root.
- Teas are a great, lower-caffeine option. Black and green tea have modest amounts (between 14-70 mg depending on the type and how long you steep it) and will work to “cut” your withdrawal symptoms. Herbal teas are usually totally caffeine-free. [8] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
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Drink plenty of water. Stay hydrated while you wean yourself off coffee. Some people think the less thirsty you are, the less likely you will be to crave coffee. Gulp an 8 oz. glass of water first thing in the morning and stay well-watered throughout the day. [9] X Research source
- According to the Mayo Clinic, adult men should try to drink at least three liters of water per each day. [10] X Trustworthy Source Mayo Clinic Educational website from one of the world's leading hospitals Go to source
- Women should try to drink about 2.2. litres each day.
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Expert Q&A
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QuestionI stopped taking Excedrin cold turkey on 4/6/16 after taking 3-4 tablets a day for the past 5 years. I was taking it so I would not take so many Imitrex. I am now taking Nortriptylin 10mg at Hs but I have a headache everyday. Ibuprofen does not help. What else can be ordered for the headaches?Dr. Litza is a Board Certified Family Medicine Physician based in Racine, Wisconsin. With over 25 years of educational and professional experience, she has extensive experience providing full-spectrum Family Medicine, including obstetrics, newborn care, and hospital medicine. She is currently the Residency Program Director for Family Medicine at Ascension. Dr. Litza received her MD from the University of Wisconsin-Madison School of Medicine and Public Health and has completed additional fellowship training in Integrative Medicine through the University of Arizona.There are a number of different classes of medication that can be tried for preventive treatment of headaches such as what you are taking, tricyclic antidepressants, verapamil or a beta blocker, which are blood pressure medications, or topiramate, which is a seizure medication. Continue to work with your doctor on dose adjustment and different medications until you find what works best for you.
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QuestionHow long will it take for me to overcome an Excedrin withdrawal? I've been taking 4-8 Excedrin pills since 1986 and I drink a lot of coffee.Dr. Litza is a Board Certified Family Medicine Physician based in Racine, Wisconsin. With over 25 years of educational and professional experience, she has extensive experience providing full-spectrum Family Medicine, including obstetrics, newborn care, and hospital medicine. She is currently the Residency Program Director for Family Medicine at Ascension. Dr. Litza received her MD from the University of Wisconsin-Madison School of Medicine and Public Health and has completed additional fellowship training in Integrative Medicine through the University of Arizona.It should normally take just a couple of days to a week for the most uncomfortable symptoms and milder symptoms may last longer.
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References
- ↑ http://abcnews.go.com/2020/story?id=123769&page=1
- ↑ https://www.drugs.com/excedrin.html
- ↑ https://my.clevelandclinic.org/health/diseases_conditions/hic_Overview_of_Headaches_in_Adults/hic_headache_medications
- ↑ http://www.mayoclinic.org/diseases-conditions/rebound-headaches/basics/treatment/con-20024096
- ↑ http://www.mayoclinic.org/diseases-conditions/rebound-headaches/basics/alternative-medicine/con-20024096
- ↑ http://www.ncbi.nlm.nih.gov/pubmed/23030536
- ↑ https://www.ncausa.org/Decaffeinated-Coffee
- ↑ http://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/caffeine/art-20049372
- ↑ https://health.usnews.com/health-news/articles/2012/04/05/easy-ways-to-reduce-caffeine-intake?page=2
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