Caffeine Withdrawal Headaches

Caffeine can be a wonderful headache and migraine abortive. Use it too much and the withdrawal headache can be an unspeakable hell. Good thing I was in need of a post topic for today when the caffeine headache fairy visited me last night.

As with all of my abortives, I use caffeine no more than twice a week. Less than once a month I indulge when I need energy or really want coffee and the only decaf available is chemically processed. I stretch these rules when I’m traveling or have something big going on. Like when my niece was here last week.

I’ve been testing my caffeine boundaries in the last couple months anyway. I noticed in May that it didn’t seem to be working as well as it used to (and neither was Advil, my other abortive of choice). Before I realized I had a headache disorder, I drank caffeine when I felt a headache coming on, thinking that I was staying on top of caffeine withdrawal. Hart maintains — and I’ve come to agree — that the caffeine aborted migraines, not treated caffeine withdrawal headaches.

So I haven’t been as strict with my rules in the last couple months. Then when my niece was here, I was even more lax with my caffeine intake. After she left, the old guidelines didn’t kick in. And last night I had a horrendous caffeine withdrawal headache.

I assumed it was a migraine, even though it felt different than migraines that have been plaguing my sleep for the last year. I tried to sleep it off, but felt worse each time I woke up — not characteristic of my migraines at all. At 12:45 this afternoon, I finally acknowledged that I had a caffeine headache and dragged myself out of bed to medicate.

90 minutes later, I’ve finished my cup of tea. It took the edge off, but the dramatic soothing that caffeine brings to a withdrawal headache was absent. Maybe it was a migraine all along. In any case, I have a post written and now I can go back to being like the man who has been hiccuping for 45 years: