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Assessing and managing medication overuse headache in Australian clinical practice
Tissa Wijeratne1,2,3,4, Bronwyn Jenkins5, Richard J Stark6,7
1Department of Neurology, Sunshine Hospital, St Albans, Victoria, Australia.
BMJ Neurology Open
|June 12, 2023
Summary
Medication overuse headache (MOH) affects over 250,000 Australians, causing significant burdens. Effective management involves patient education and preventive treatments to reduce acute medication use and improve migraine control.
Area of Science:
- Neurology
- Clinical Pharmacology
Background:
- Medication overuse headache (MOH) affects over 250,000 Australians, contributing to substantial personal, societal, and economic burdens.
- MOH significantly impairs daily functioning, including work, study, and self-care, leading to a reduced quality of life.
Discussion:
- Accurate diagnosis and timely intervention are crucial for managing MOH, given high rates of withdrawal failure and relapse.
- Current treatment strategies focus on ceasing overused acute medications and reducing monthly migraine days, aiming for well-controlled episodic migraine.
Key Insights:
- Patient education is paramount in supporting individuals through the withdrawal process from acute migraine medications.
- Preventive treatments play a vital role in aiding patients during MOH management and preventing relapse.
Outlook:
- This article reviews the management of MOH within Australian clinical practice.
- Emphasis is placed on integrating patient education and preventive therapies for successful MOH treatment outcomes.
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