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Medication overuse headache.

H C Diener1, Z Katsarava

  • 1Department of Neurology, University of Essen, Germany. h.diener@uni-essen.de

Current Medical Research and Opinion
|December 5, 2002
PubMed
Summary
This summary is machine-generated.

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Frequent medication use for acute migraine attacks, especially triptans, ergots, and analgesics, can lead to medication overuse headache. Treatment involves drug withdrawal and initiating prophylactic migraine therapy.

Area of Science:

  • Neurology
  • Pharmacology

Background:

  • Medication overuse headache (MOH) is a common complication of frequent acute headache treatment.
  • Overuse is defined as >15 days/month of medication use for acute migraine attacks.

Purpose of the Study:

  • To describe the relationship between medication intake and the development of medication overuse headache.
  • To outline the treatment strategies for medication overuse headache.

Main Methods:

  • Review of existing literature on medication overuse headache.
  • Analysis of the time delay between medication initiation and headache development.

Main Results:

  • Frequent use of analgesics, opioids, ergot alkaloids, and triptans can cause medication overuse headache.

Related Experiment Videos

  • The time to develop MOH is shortest for triptans (1-2 years), intermediate for ergots (3-5 years), and longest for analgesics (5-10 years).

    • Conclusions:

    • Medication overuse headache is a significant concern in migraine management.
    • Treatment requires drug withdrawal, structured acute therapy, and prophylactic treatment initiation.