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Published on: June 2, 2014
A Descriptive Review of Medication-Overuse Headache: From Pathophysiology to the Comorbidities
Srdjan Ljubisavljevic1, Marina Ljubisavljevic1, Radomir Damjanovic1
1Department for Neurology, University Clinical Centre of Nis, 18000 Nis, Serbia.
Medication-overuse headache (MOH) is a global issue. Limiting acute medications is crucial for prevention, though poorly controlled headaches may also contribute to increased use.
Area of Science:
- Neurology
- Pharmacology
Background:
- Medication-overuse headache (MOH) presents diagnostic challenges and global health concerns.
- Understanding MOH requires a comprehensive review of its multifaceted aspects.
Purpose of the Study:
- To review risk factors, comorbidities, pathophysiology, clinical presentation, management, and prognosis of MOH.
- To synthesize findings from over 15,000 studies conducted between 2010 and 2023.
Main Methods:
- Systematic review and integration of existing literature.
- Analysis of studies from the University Medical Library database (2010-2023).
Main Results:
- All acute migraine treatments may contribute to MOH, with varying propensities.
- Triptans and other acute painkillers might be exceptions, but awareness remains low.
- Practitioners and the public show limited awareness of medication overuse issues and consequences.
Conclusions:
- Restricting acute medication use is necessary for MOH prevention.
- Increased medication intake could reflect underlying poorly controlled headaches.
- Further research is needed for precise MOH management mechanisms and understanding its evolution.
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