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Does Adderall Cause Pain In Temple, Neck Pain And Muscle Tightness?

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Posted on Tue, 2 Dec 2014
Question: OK so I have had a pain in my left temple for,hours now today . I take Adderall 20mg I'm not adhd but I get it anyways . I usually over do my meds so I can get a high so I do about 4 pills a day today I only took two like I'm suppose to . I take 200mg advil daily like up to six a day if needed . I have been taking advil for about two years now almost daily . I'm 37 and I have neck pains anyways I have tight mucels I have been getting checked up for years for it . I smoke about a pack a day . less 8f I'm off my Adderall . I'm really scared about my pain in my head . I've taken a half 500mg vico den and two advil nothing it feels some what a little better but the pain is still off and on . could it be a brain annerizum or something really serious I have some neck pain too but I haven't got a lot of sleep,for a couple days
doctor
Answered by Dr. Geldon Fejzo (1 hour later)
Brief Answer:
might me adderal side effect or Horton Arteritis

Detailed Answer:
Hello, I have been through your question and understand your concern.

I think there are two possibilities.
1. I dont know what is the reason of taking adderall, because it has very few indications, mainly adhd, but headache is a very common side effect, reported to be more than 10%. So you can stop taking it if there is no contraindication, and see How does the headache behave.

2. Since it is localized in the temporal muscle, I would check for a possible Horton temporal arteritis, which is a blood vessel inflammatory disease. You should first do a CBC and check for the ESR and do a physical exam to palpate on the temporal artery.

Other cause might me an atypical migraine, which explaines why the treatment you are taking is not effective.

Hope this answers your question, please feel free for further questions.

Wishing you good health.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Geldon Fejzo (25 minutes later)
so do you think I need to go to docs tonight . I'm really scared it's not a headache all over its just that throbbing pain that happens oh it could happen every so minutes or every hour . I have had so much stress my neck has been so tight that I cracked it tonight and then the pain hurt even more. but now it's a lite throbbing pain now could it be a annurizum or a clot or something serious,like that . I also threw all pills away cause I'm a x addict so I was abusing them .but my temple feels like it's bruised and when I bite down it hurts by my cheek bone and kind of behind my ear and right above my ear were the soft part is
doctor
Answered by Dr. Geldon Fejzo (17 minutes later)
Brief Answer:
No aneurysm or blood clot

Detailed Answer:
Hello.

I would exclude the blood clot because it is not associated with headache. The aneurysm does not neither cause headache, unless it is ruptured, which is of course an emergency. The type of headache which leads to a probable aneurysm rupture is a hyperacute hyperintense headache. Basically a headache you never felt before and installed immediately, with no precursors sign. The only sign you report having anything to with it, is the neck pain, which in aneurysm rupture the neck is very stiff and painful. Basically you can not bend forward your neck.

You should have a physical neurologic exam, for deciding if you need a cranial CT, but to my opinion no need for emergency consult, unless the headache has the characteristics explained above. Otherwise I recommend following the steps explained in the previous answer.

Hope this answers your concern, please feel free for further questions.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Geldon Fejzo (52 minutes later)
okay great and another too is,my neck is,not stiff but it does,hurt when I look to the left and I can bend it back and forward but it's painful in my neck not stiff stiff . and with the Adderall so with all that much taken can it affect my muscles and I just threw them away today so it is the end of my addiction as of today . I take klodipins for my severe anxiety I don't know if that is harmful but I'm wondering if I can have serious withdrawal symptoms.
doctor
Answered by Dr. Geldon Fejzo (12 minutes later)
Brief Answer:
adderall can cause anxiety

Detailed Answer:
Hello.

I would definitely exlude blood clot and aneurysm. Adderall can cause anxiety up to 8%. So I expect some benefits from not taking adderall anymore. Klodipin can help with this, so I recommend to continue taking this for at least one month. If you want to take it longer you should consult your gp or specialist.

Neck pain may have different causes. The most probable is muscle tensive type which can also explain the temple headache which I would expect to be bilateral. This normally would last up to three days. None of the drugs you are taking helps with this kind of headache, which is benign.

Still, persistence of headache needs further evaluation, including cbc, physical exam and CT.

Wish you good health
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Geldon Fejzo

Neurologist, Surgical

Practicing since :2009

Answered : 337 Questions

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Does Adderall Cause Pain In Temple, Neck Pain And Muscle Tightness?

Brief Answer: might me adderal side effect or Horton Arteritis Detailed Answer: Hello, I have been through your question and understand your concern. I think there are two possibilities. 1. I dont know what is the reason of taking adderall, because it has very few indications, mainly adhd, but headache is a very common side effect, reported to be more than 10%. So you can stop taking it if there is no contraindication, and see How does the headache behave. 2. Since it is localized in the temporal muscle, I would check for a possible Horton temporal arteritis, which is a blood vessel inflammatory disease. You should first do a CBC and check for the ESR and do a physical exam to palpate on the temporal artery. Other cause might me an atypical migraine, which explaines why the treatment you are taking is not effective. Hope this answers your question, please feel free for further questions. Wishing you good health.