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Medication-overuse headache: a review.

Espen Saxhaug Kristoffersen1, Christofer Lundqvist2

  • 1Research Centre, Akershus University Hospital, Lørenskog, Norway ; Department of Neurology, Akershus University Hospital, Nordbyhagen, Norway ; Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.

Journal of Pain Research
|July 26, 2014
PubMed
Summary
This summary is machine-generated.

Medication-overuse headache (MOH) is a common, severe headache condition. Withdrawal of overused medication is key, with primary care managing initial treatment and follow-up for most patients.

Keywords:
chronic headachedependencemedication-overuse headachemigraine

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Area of Science:

  • Neurology
  • Public Health

Background:

  • Medication-overuse headache (MOH) affects 1-2% globally, characterized by chronic headache and medication overuse.
  • It often follows a long history of headaches and failed treatments, posing a significant health burden.

Purpose of the Study:

  • To review the epidemiology, diagnosis, pathogenesis, prevention, and treatment of MOH.
  • To emphasize the importance of patient education and a clear management strategy for MOH.

Main Methods:

  • This review synthesizes current knowledge on MOH, drawing from expert opinion and available evidence.
  • It focuses on practical aspects of prevention and treatment strategies.

Main Results:

  • Withdrawal of overused medication is the primary treatment for MOH.
  • Successful treatment leads to reduced headache frequency and intensity for most patients.
  • Primary care physicians can manage initial detoxification and follow-up for uncomplicated cases.

Conclusions:

  • MOH is a preventable and treatable condition requiring an early, focused treatment approach.
  • Information and education on MOH risks are crucial for prevention.
  • Referral to specialists is necessary for complex cases, while primary care manages most patients effectively.