People who take acid-reducing drugs
may have a higher risk of migraine and other severe
headache than people who do not take these medications,
according to a new study. The acid-reducing drugs
include proton pump inhibitors such as omeprazole and
esomeprazole, histamine H2-receptor antagonists, or H2
blockers, such as cimetidine and famotidine, and antacid
supplements. The study does not prove that acid-reducing
drugs cause migraine; it only shows an association. Acid
reflux is when stomach acid flows into the esophagus,
usually after a meal or when lying down. People with
acid reflux may experience heartburn and ulcers. People
with frequent acid reflux may develop gastroesophageal
reflux disease, or GERD, which can lead to cancer of the
esophagus. These drugs are often considered to be
overprescribed, and new research has shown other risks
tied to long-term use of proton pump inhibitors, such as
an increased risk of dementia. For the study,
researchers looked at data on 11,818 people who provided
information on use of acid-reducing drugs and whether
they had migraine or severe headache in the past three
months. A total of 25% of participants taking proton
pump inhibitors had migraine or severe headache,
compared to 19% of those who were not taking the drugs.
A total of 25% of those taking H2 blockers had severe
headache, compared to 20% of those who were not taking
those drugs. And 22% of those taking antacid supplements
had severe headache, compared to 20% of those not taking
antacids. When researchers adjusted for other factors
that could affect the risk of migraine, such as age, sex
and use of caffeine and alcohol, they found that people
taking proton pump inhibitors were 70% more likely to
have migraine than people not taking proton pump
inhibitors. Those taking H2 blockers were 40% more
likely and those taking antacid supplements were 30%
more likely. It's important to note that many people do
need acid-reducing medications to manage acid reflux or
other conditions, and people with migraine or severe
headache who are taking these drugs or supplements
should talk with their doctors. The study looked only at
prescription drugs. Some of the drugs became available
for over-the-counter use at non-prescription strength
during the study period, but use of these
over-the-counter drugs was not included in this study.
Other studies have shown that people with
gastrointestinal conditions may be more likely to have
migraine, but relationship is not likely to fully
explain the tie between acid-reducing drugs and migraine
found in the study. A limitation of the study is that a
small number of people were taking the drugs, especially
the H2 blockers.
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