Cocaine-Induced Headache

Cocaine-Induced Headache

Article
Brain & Nerve
Teen Health
+1
Contributed byKrish Tangella MD, MBAAug 16, 2021

What are the other Names for this Condition? (Also known as/Synonyms)

  • Headache from Cocaine Abuse

What is Cocaine-Induced Headache? (Definition/Background Information)

  • Cocaine-Induced Headache is described as a form of headache that develops secondary to cocaine use. The onset of the headache is typically within 60 minutes of cocaine intake, and a spontaneous resolution is noted within 3 days
  • Cocaine is an illegal drug stimulant and a highly addictive substance derived from the leaves of the erythroxylon coca plant. Cocaine drug is a powerful stimulant and users may feel happy, energetic, and talkative following intake via inhalation, snorting, chewing, or intravenously
  • Cocaine-Induced Headaches may be mild-to-moderate in intensity, involve both sides of the head, and present a pulsating quality. In some individuals, physical activity or exercise may worsen the condition

The criteria for diagnosis of Cocaine-Induced Headache as outlined by the International Headache Society (IHS) is given below:

  • Cocaine has been administered by any route
  • Any headache fulfilling all the criterion below

Evidence of causation demonstrated by all of the following:

  • Headache has developed within 1 hour of cocaine administration
  • Headache has resolved within 72 hours after cocaine administration
  • Headache has at least one of the following four characteristics:
    • Bilateral
    • Mild to moderate intensity
    • Pulsating quality
    • Aggravated by physical activity
  • Not better accounted for by another ICHD-3 diagnosis

(Source: International Headache Society Classification ICHD-3, London, United Kingdom)

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Krish Tangella MD, MBA

Pathology, Medical Editorial Board, DoveMed Team

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