Headache with medication overuse: treatment strategies and proposals of relapse prevention.
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.
Grazzi
Licia
L
Headaches and Cerebrovascular Disorders Unit, C. Besta National Neurological Institute, Via Celoria 11, 20133, Milan, Italy. liciagrazzi@mac.com
Andrasik
Frank
F
Usai
Susanna
S
Bussone
Gennaro
G
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
D000700:Analgesics