title: What future for treatment of chronic migraine with medication overuse?
abstract: Chronic headaches have increasingly become a focus within the field of head pain. Most of the patients with frequent headache eventually overuse their medications, and if it happens [the percentage is approximately 4%], the diagnosis of chronic migraine with medication-overuse headache is clinically important, because patients rarely respond to preventive medications while overusing acute medications. This kind of headache is recognized as a biobehavioral disorder, a complex condition wherein emotion and pain are intermingled. Properly treating medication overuse with adequate strategies by different and specific steps are essential components for helping these patients to improve and for preventing relapses. The clinical experience performed at our Headache Unit, the necessity of withdrawal, different treatment schedules, and different treatment strategies of our center were discussed.
authors.affiliation: Department of Neurological Sciences, Headache Unit, Neurological Institute C.Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy. grazzi.l@istituto-besta.it
authors.forename: Licia
authors.initials: L
authors.lastname: Grazzi
authors.forename: G
authors.initials: G
authors.lastname: Bussone
mesh_terms: D000700:Analgesics / Q000009:adverse effects; D002908:Chronic Disease; D005544:Forecasting; D006801:Humans; D008881:Migraine Disorders / Q000628:therapy*; D019966:Substance-Related Disorders / Q000628:therapy*
chemical_list: D000700:Analgesics