the Link Between Headaches and Mental Health Medications

Headaches require psychiatric medication, while coughing necessitates gastrointestinal medication?

I suddenly find myself in a strange situation and want to vent a little.
I have been experiencing headaches that require psychiatric medication, and I have a cough that necessitates gastrointestinal medication.
Several years ago, I took medication for stomach pain, which led to headaches and mental discomfort.
After trying various stomach medications without success, I ultimately needed to combine them with psychiatric medication to function normally.
I took the stomach medication for several months and then stopped, but I couldn't stop the psychiatric medication; if I do, the headaches return.
I've been on psychiatric medication for several years now.

Due to work, I moved and switched hospitals, but continued with the same medications.
I finally managed to taper down to two medications: one at one pill and the other at half a pill.
Recently, the half-pill medication changed manufacturers, and I feel like its effectiveness has diminished.
My doctor switched my medication, and as the weather got colder, I spent a morning outside and developed a headache and persistent cough during meals.
I visited a nearby clinic, and the doctor said my lungs were fine and suggested I see a gastroenterologist and a neurologist.

I took gastrointestinal medication for over a month, but the cough only slightly improved; I still cough with every meal.
I have changed neurologist medications several times, but I still have headaches.
I realized that these headaches are similar to the ones I experienced before, and the psychiatric medication hasn't alleviated them.
The doctor is not available during the New Year, but I have an appointment scheduled for next week with the psychiatrist.
However, I still want to ask other doctors for their opinions on my unusual situation.

Do I need to continue taking psychiatric medication for my headaches? The neurologist's medication hasn't helped with the headaches; should I keep taking it? Given my past experiences, could my constitution mean that gastrointestinal medication causes headaches? Should I stop taking it? Many doctors don't specify what illness I have; they just conduct tests and prescribe medication.
My primary complaint to the psychiatrist is headaches, but I noticed once that the diagnosis on the bill was depression.
The neurologist said my EEG was normal, but there is some degeneration in my cervical spine, so I should try the medication first.
So, I still haven't figured out whether my headaches are due to physical issues or mental health problems.

Mei Mei Zi, 40~49 year old female. Ask Date: 2022/02/08

Dr. Wu Enliang reply Psychiatry

Hello, regarding your three questions (Do I need to continue taking psychiatric medication for my headache? I still have headaches despite taking neurology medication; should I continue taking it? Based on my previous experiences, my constitution may cause stomach medication to trigger headaches; should I stop taking it?), since the e-hospital in Taiwan cannot replace an in-person consultation, I recommend that you return to your doctor for further advice.
Thank you! Dr.
Wu En-Liang

Reply Date: 2022/02/08

More Info

Your situation is indeed complex and highlights the intricate relationship between physical health, mental health, and medication. Headaches can stem from a variety of causes, including tension, migraines, and even side effects from medications. In your case, it seems that your headaches may be linked to both your gastrointestinal issues and the psychiatric medications you are taking.

Firstly, it's important to understand that many medications, especially those used in psychiatry, can have side effects that include headaches. For instance, some antidepressants and antipsychotics can lead to changes in neurotransmitter levels, which may trigger headaches in susceptible individuals. Additionally, if you have been on these medications for an extended period, your body may have developed a dependency on them, making it difficult to discontinue without experiencing withdrawal symptoms, which can include headaches.

Your experience with gastrointestinal medications causing headaches is also not uncommon. Some medications used to treat stomach issues can lead to side effects that affect the central nervous system, potentially resulting in headaches or exacerbating existing headache disorders. This could explain why you felt the need to take psychiatric medications to manage your headaches after starting gastrointestinal treatment.

The fact that you have been able to reduce your medication dosage is a positive sign, but it also indicates that your body is still adjusting to these changes. It's crucial to work closely with your healthcare providers, particularly your psychiatrist and neurologist, to find a balance that minimizes your headaches while addressing your mental health needs.
Regarding your question about whether you should continue taking psychiatric medications, this is a decision that should be made in consultation with your psychiatrist. If you find that your headaches significantly improve when you are on these medications, it may be worth continuing them. However, if the headaches persist or worsen, it may be necessary to explore alternative treatments or adjust your current regimen.

As for the neurological aspect, since your brain wave tests have returned normal and you have some cervical spine degeneration, it might be beneficial to consider physical therapy or other non-invasive treatments that can help alleviate tension in your neck and shoulders, which could be contributing to your headaches. Stress management techniques, such as mindfulness, yoga, or cognitive behavioral therapy, can also be effective in managing both headaches and mental health symptoms.

In summary, your headaches may be influenced by a combination of factors, including medication side effects, underlying physical conditions, and mental health issues. It is essential to maintain open communication with your healthcare providers, explore all potential treatment options, and consider a holistic approach that addresses both your physical and mental health needs. Regular follow-ups and adjustments to your treatment plan may help you find a more effective solution to your headaches while ensuring your overall well-being.

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