Treatment of chronic migraine with medication overuse: is drug withdrawal crucial?
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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.
KeywordsChronic headache Medication overuse headache Withdrawal protocols
Conflict of interest statement
The authors declare that they have no conflict of interest related to the publication of this manuscript.
- 2.Headache Classification Subcommittee of the International Headache Society (2004) The International Classification of Headache Disorders. Cephalalgia 24:Suppl 1Google Scholar
- 3.Diener HC, Mathew NT (2000) Drug induced headache. In: Diener HC (ed) Drug treatment of migraine and other frequent headaches, vol 17. Karger Press, Basel, pp 347–356Google Scholar
- 23.Andrasik F, Grazzi L, Usai S, D’Amico D, Kass S, Bussone G (submitted) Disability in chronic migraine with medication overuse: treatment effects through 5 yearsGoogle Scholar