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What future for treatment of chronic migraine with medication overuse?

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Abstract

Chronic headaches have increasingly become a focus within the field of head pain. Most of the patients with frequent headache 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 while overusing acute medications. This kind of headache is recognized as a biobehavioral disorder, a complex condition wherein emotion and pain are intermingled. Properly treating medication overuse with adequate strategies by different and specific steps are essential components for helping these patients to improve and for preventing relapses. The clinical experience performed at our Headache Unit, the necessity of withdrawal, different treatment schedules, and different treatment strategies of our center were discussed.

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Conflict of interest

The authors declare that there is no actual or potential conflict of interest in relation to this article.

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Authors and Affiliations

  1. Department of Neurological Sciences, Headache Unit, Neurological Institute “C.Besta” IRCCS Foundation, Via Celoria 11, 20133, Milan, Italy

    Licia Grazzi

  2. Department of Neurological Sciences, Headache Unit, Neurological Institute “C.Besta” IRCCS Foundation, Milan, Italy

    G. Bussone

Authors
  1. Licia Grazzi
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  2. G. Bussone
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Correspondence to Licia Grazzi.

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Grazzi, L., Bussone, G. What future for treatment of chronic migraine with medication overuse?. Neurol Sci 32 (Suppl 1), 19–22 (2011). https://doi.org/10.1007/s10072-011-0553-0

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  • DOI: https://doi.org/10.1007/s10072-011-0553-0

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