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Neurological Sciences

, Volume 30, Supplement 1, pp 85–88 | Cite as

Treatment of chronic migraine with medication overuse: is drug withdrawal crucial?

  • Licia GrazziEmail author
  • Frank Andrasik
  • Susanna Usai
  • Gennaro Bussone
Symposium

Abstract

Chronic headaches have increasingly become a focus within the field of head pain. For the most part patients with frequent headaches eventually overuse their medications, and if it happens (the percentage is approximately 4%), the diagnosis of chronic migraine with medication overuse headache is clinically important, because patients rarely respond to preventive medications whilst overusing acute medications. Properly treating medication overuse with adequate strategies is an essential component for helping these patients to improve and for preventing relapses. The necessity of withdrawal performed by different treatment schedules, outcomes, and the long-term durability of treatment are discussed.

Keywords

Chronic headache Medication overuse headache Withdrawal protocols 

Notes

Conflict of interest statement

The authors declare that they have no conflict of interest related to the publication of this manuscript.

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Licia Grazzi
    • 1
    Email author
  • Frank Andrasik
    • 2
  • Susanna Usai
    • 1
  • Gennaro Bussone
    • 1
  1. 1.Neurological Institute C. BestaMilanItaly
  2. 2.Department of PsychologyUniversity of West FloridaPensacolaUSA

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