medication overuse headache
Medication-overuse headache MOH is a pattern of chronic daily headaches in a patient with a pre-existing headache condition caused by regular and excessive use of symptomatic and acute headache medications for 3 months or more. This type of secondary headache is referred to as medication overuse headache MOH.
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Medication-overuse headache is defined as headache occurring on more than 15days in a month in people with pre-existing primary headache and developing as a consequence of regular overuse of acute headache treatments.
. Medication-overuse headache MOH is a debilitating condition in which frequent and prolonged use of medication for the acute treatment of pain results in the worsening of the headache. The objective of this review is to provide an evidence-based discussion of different treatment strategies for medication-overuse headache MOH. MOH occurs by definition on more days than not is oppressive persistent and often at its worst on awakening. Most patients have a.
Since chronic migraine derives from the progression of originally episodic migraine the fundamental therapeutic strategy is prevention. To prevent a recurrence of medication-overuse headache as a general rule. We searched PubMed for articles discussing the treatment and prognosis of MOH published between 2004 and August 2014. The excessive use of migraine abortive medications aka.
It usually develops in people with migraine or tension-type headache. Medication-overuse headache MOH MOH is caused by chronic and excessive use of medication to treat headache. Medication overuse headache MOH develops and gets worse with frequent use of any medication treatment for headache or migraine. Chronic migraine and MOH are serious and disabling disorders.
Medication overuse headache is a chronic headache that occurs 15 daysmonth in patients who regularly overuse headache drugs for 3 months. Medication-overuse headache MOH is a chronic daily headache and a secondary disorder in which acute medications used excessively causes headache in a headache-prone patient. In the absence of consensus about the duration of use amount and. Titles abstract and articles were reviewed systematically.
Medication overuse is common amongst people with frequent headaches. Medication-overuse headache is common in general neurology clinics and can be difficult to manage. Among those with a previous primary headache diagnosis most have 1. Chronic migraine is often complicated by medication-overuse headache MOH a headache due to excessive intake of acute medications.
Medication-overuse headache MOH is one of the most common chronic headache disorders and a public health problem with a worldwide prevalence of 12. It is also known as rebound headache. 82 Medication-overuse headache is an interaction between a therapeutic agent used excessively and a susceptible patient. Approximately ½ of patients seen in headache specialty clinics have medication overuse and about ½ of people from the general population who have chronic migraine also have medication overuse.
Medication overuse headache is a chronic headache that occurs 15 daysmonth in patients who regularly overuse headache drugs for 3 months. Combined withdrawal and early preventive medication was the most effective treatment for medication overuse headache MOH within the first 6 months in a previous study but results from a longer follow-up period are lacking. What is medication overuse headache. Treatment consists of stopping the overused headache drug managing withdrawal symptoms and using drugs to prevent the underlying.
Some drugs such as naproxen diclofenac and indometacin can cause medication overuse headache when used as and when required but the same medications taken absolutely regularly three times a day can be helpful for medication overuse headache. Previously used terms include rebound headache and drug-induced headache. Consider using preventative prophylactic treatment to stop the headaches or migraine attacks. If you develop a headache or migraine attack it is OK to take two or three doses over a day or so.
Medication overuse headache is defined as a preexisting primary headache that has worsened significantly or has evolved into a new type of headache in association with medication overuse. It is a widely accepted idea that medications taken to relieve acute headache pain can paradoxically worsen headache if used too often. Medication overuse headache MOH is a headache that results from the frequent use of acute medicines or painkillers such as triptans ergotamines opiates non steroidal anti-inflammatory drugs NSAIDs and paracetamol. The purpose of this paper is to review the most recent literature on MOH and discuss future avenues for research.
It usually develops in people with migraine or tension-type headache. It may affect up to 5 of some populations women more than men. It is a condition characterized by chronic headache and overuse of different headache medications and withdrawal of the overused medication is recognised as the treatment of choice. 14 MOH is clinical diagnosis and a history of analgesic use more than two to three days per week in a patient with chronic daily headache is indicatory of this diagnosis.
MOH is the most common secondary headache disorder. Medication overuse headache occurs at least 15 days per month and the patient must have overused medication for a minimum of three months.
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