Behavioral plus pharmacological treatment versus pharmacological treatment only for chronic migraine with medication overuse after day-hospital withdrawal.
Chronic migraine with medication overuse is a difficult problem to manage. Different withdrawal approaches have been tried, with different results. Withdrawal in a day-hospital setting is a recent modality. Results obtained from this last approach have been encouraging. Behavioral techniques combined with pharmacological therapies are effective to enforce the clinical improvement in chronic migraine patients with medication overuse. In this study, a clinical experience where day-hospital withdrawal is followed by pharmacological treatment and on the other side pharmacological treatment is combined with behavioral approach is discussed.
National Neurological Institute C. Besta, Via Celoria 11, 20133, Milan, Italy. licia.grazzi@istituto-besta.it
Licia
L
Grazzi
Susanna
S
Usai
Anna
A
Prunesti
Gennaro
G
Bussone
Frank
F
Andrasik
D000553:Ambulatory Care; D000700:Analgesics / Q000009:adverse effects; D001521:Behavior Therapy; D002908:Chronic Disease; D004185:Disability Evaluation; D005500:Follow-Up Studies; D051271:Headache Disorders, Secondary / Q000188:drug therapy* / Q000628:therapy*; D006760:Hospitalization; D006801:Humans; D008881:Migraine Disorders / Q000188:drug therapy* / Q000628:therapy*; D013375:Substance Withdrawal Syndrome; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome
D000700:Analgesics