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Headache with medication overuse: treatment strategies and proposals of relapse prevention
Licia Grazzi1, Frank Andrasik, Susanna Usai
1Headaches and Cerebrovascular Disorders Unit, C. Besta National Neurological Institute, Via Celoria 11, 20133, Milan, Italy. liciagrazzi@mac.com
Abstract:
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.
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