Usually the concern with this is when you have chronic daily headache and it comes back when the meds wear off.IF you take medication daily that is a pain killer and have daily headaches often one of the things they try is stopping the daily pain meds and moving to something like amitryptaline to get at the headaches from another mechanism.Hard to know if you need a second opinion, but if things are not under control as they are, or the primary doctor doesn't seem to have much knowledge it may be worth seeing a specialist (or if you are seeing a specialist getting a second opinion). I don't have enough info to know if you are in the need to see someone else stage or not.K.PS. When I first went to the doctor for the headaches I actually made sure I didn't take any painkillers for several weeks before I saw anyone just to check, and so that this would not be the first thing they told me to do.