title: Headache with medication overuse: treatment strategies and proposals of relapse prevention.
abstract: The diagnosis of medication overuse headache (MOH) is clinically important, because patients rarely respond to preventive medications whilst overusing acute medications. Properly treating medication overuse and preventing relapse require recognition of the different factors that contribute to its development and perpetuation, including some behaviours and psychological elements that are important in sustaining the overuse of medication. This article reviews current clinical experiences of MOH patients treated with different approaches. Moreover, initial outcomes and long-term durability of treatments are discussed.
authors.affiliation: Headaches and Cerebrovascular Disorders Unit, C. Besta National Neurological Institute, Via Celoria 11, 20133, Milan, Italy. liciagrazzi@mac.com
authors.forename: Licia
authors.initials: L
authors.lastname: Grazzi
authors.forename: Frank
authors.initials: F
authors.lastname: Andrasik
authors.forename: Susanna
authors.initials: S
authors.lastname: Usai
authors.forename: Gennaro
authors.initials: G
authors.lastname: Bussone
mesh_terms: D000700:Analgesics / Q000009:adverse effects*; D001521:Behavior Therapy / Q000379:methods / Q000592:standards; D004334:Drug Administration Schedule; D051271:Headache Disorders, Secondary / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D006801:Humans; D010353:Patient Education as Topic / Q000379:methods / Q000592:standards; D055502:Secondary Prevention; D012651:Self Medication / Q000009:adverse effects* / Q000523:psychology; D012944:Social Support; D013375:Substance Withdrawal Syndrome / Q000503:physiopathology / Q000517:prevention & control / Q000628:therapy
chemical_list: D000700:Analgesics