title: Proposal of a model for multidisciplinary treatment program of chronic migraine with medication overuse: preliminary study.
abstract: The treatment of patients with chronic migraine associated with medication overuse is challenging in clinical practice; different strategies of treatment have been recently developed, multidisciplinary treatment approaches have been developed in academic headache centers. Education and support of patients are necessary to improve patients' adherence to pharmacological treatments as well as to non-pharmacological therapies. This study reports a clinical experience conducted at our Headache center with a group of female patients, suffering from chronic migraine complicated by medication overuse, treated by a multidisciplinary approach and followed for a period of 1 year after withdrawal. Results confirm the efficacy of a multifaceted treatment to manage this problematic category of patients.
authors.affiliation: Headache Center, C. Besta Neurological Institute and Foundation, Via Celoria 11, 20133, Milan, Italy, grazzi.l@istituto-besta.it.
authors.forename: L
authors.initials: L
authors.lastname: Grazzi
authors.forename: A
authors.initials: A
authors.lastname: Prunesti
authors.forename: G
authors.initials: G
authors.lastname: Bussone
mesh_terms: D000328:Adult; D000700:Analgesics / Q000009:adverse effects*; D002908:Chronic Disease; D006233:Persons with Disabilities; D005260:Female; D006801:Humans; D058025:Interdisciplinary Studies; D008875:Middle Aged; D008881:Migraine Disorders / Q000188:drug therapy* / Q000209:etiology*; D000067490:Prescription Drug Overuse / Q000145:classification; D019966:Substance-Related Disorders / Q000628:therapy*
chemical_list: D000700:Analgesics