It would be ideal if you were not on medication at all, but neither do we want to submit you to increased pain in the build-up to your visit. If you are on medication that is safely helping your headaches, then please stay on it – if you feel however that your present medications are not benefiting you, then it would be preferable to wean yourself off them. If you are still on medication when you arrive, it should not prove a problem – the only medication that you should come off are any blood-thinning meds, including aspirin. This should be done in consultation with your medical practitioner.
With that in mind, certain medications have been found to have an important impact on our diagnosis and treatment, specifically those in the class of opiates (codeine, morphine, oxycondone and hydrocondone).
Regular high or low dosage use of these pain killers can, and will most likely, cause rebound headache pain, which can be confused with the actual pain we wish to diagnose and treat. Safe and structured weaning off of these medications should be done in consultation with a medical practioner or through a rehabilitation facility before treatment.