darkhorse
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A 35-year-old businessman has a six-year history of twice weekly headaches which have increased to almost daily. They are usually non-throbbing and occur towards the end of the day. He has tried many off-the-shelf medications, but finds himself taking a handful of pills without much relief. His friend gave him a prescription drug that worked. He would like for you to give him some. There are no other symptoms or neurologic findings.
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| neuroblastoma
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tesion headache
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| drdg
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| cool doctor
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tension HA
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| darkhorse
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This is the more classic "rebound" or analgesic induced chronic tension-type headache. He should change his lifestyle somewhat, participate in exercise and stress reduction activities, stop the daily butalbital and perhaps get on a more stabilizing preventive such as amitriptyline
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