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Doxycycline induced intracranial hypertension?

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andyp

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Doxycycline induced intracranial hypertension?
Posted: 06-08-08 14:57pm

I have been taking doxycycline 100mg 2x/day for 12 weeks for bacterial prostatitis which is no longer symptomatic.

Four days ago at around 2pm while at my desk I noticed a brief painful stabbing sensation from the right side of my head, approx. 2 inches above the top of my temple. The pain lasted 10-15 seconds and faded away, returning every 3-5minutes. This lasted for about an hour and did not recur.

Yesterday, two days after the first experience, the pain returned early in the day at the same location. It has persisted ever since coming at varying intervals between 5 minutes and an hour. I can discern my pulse in the pain. It does not feel deep, as if it is just inside my skull. I have not noticed any problems with vision, coordination, or memory. I have not had any problem falling asleep or staying asleep. I experienced the first pain of the day this morning shortly after waking at my normal time, prior to putting my glasses on. There is no pain in my eye. Aspirin 400mg and acetaminophen 500mg together have had no notable effect. I am 25 and in average to good condition with a good diet. I don't drink or use tobacco, but I do smoke cannabis on the weekends. Cannabis raises my blood pressure shortly after ingestion and this action has no effect on pain severity or frequency. My BP the day before the first experience was 120/60.

I have read that doxycycline can cause elevated intracranial pressure or intracranial hypertension. On the possibility that this headache is the only symptom I am experiencing I have stopped taking the antibiotics.

Is this consistent with elevated ICP and if so is there any other step I need to take or should this resolve on its own? If not, what else could this be? Is this history typical of cluster headaches? Thank you.
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MandMs

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Posted: 06-11-08 03:36am

Headache due to increased cranial pressure has different quality than the one you have experienced.
Also, it would be accompanied with other prominent symptoms like nausea, vomiting, altered level of consciousness.

Were you experiencing other symptoms?
Did the following attacks of pain vary in frequency?
Are you suffering from other types of headaches, too?
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andyp

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Joined: 08 Jun 2008
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Posted: 07-16-08 08:09am

A couple days after my opening post I started experiencing visual symptoms. Blurred vision at times with changes in color perception. I could describe it as everything getting "cartoonish," like the onset of a psychedelic. The pain was still present, pulses varying in frequency and just as debilitating. At this point I tried caffeine as a diuretic with mild relief of symptoms. I then read a study showing that aescin, found in horse chestnuts, was successful in treating elevated ICP in well over half of patients studied. I found a horse chestnut seed extract with 60mg aescin per dose, three times what was used in the study. My symptoms started improving within a few hours and were completely gone in two days. I continued to take the horse chestnut extract every 8 hours for as I found if I stopped taking it I would start to feel the headaches again. After about three weeks I stopped treatment and have not had any recurrence of symptoms.
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MandMs

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Posted: 07-25-08 05:46am

The headache or head pains, you have been experiencing, in clinical medicine is known as idiopathic (without known cause or reason) stabbing headache.
It's not related to increased cranial pressure.
This headache is characterized by brief, sharp, severe jabbing pains about the head that occur either as single episodes or as brief repeated volleys.
Typically, lasts for seconds, having the shortest duration of all known headaches.
The frequency of attacks varies immensely, ranging from 1 attack per year to 50 attacks per day.
These pains are usually unilateral, occurring mainly around the orbit or the temple.
Although most of the cases are unprovoked, rapid alterations in posture, physical exertion, bright light, and head motion during migraine attacks, are recognized as triggers in some individuals.
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