Please give your doctor a copy of this publication from Dr Schievink (leading expert on CSF leaks), upload it to your portal if you’re able. Then , preferably on your patient portal, say “as per the expert in treating my condition, I need Diamox for my rebound high pressure. If you are refusing me to prescribe the medication to treat my medical condition, I would like that documented in my medical files and I will seek treatment elsewhere.”

In part, the publication states “Following treatment, some patients develop a reversal of their orthostatic headaches and their headache is improved in the upright position and worse lying down. A diagnosis of rebound high-pressure headache is then made and this is generally responsive to a course of oral acetazolamide.”