Prevention and management of medication overuse headache.

Abstract:

PURPOSE OF REVIEW:This review provides an update on our knowledge regarding prevention and management of medication overuse headache (MOH). RECENT FINDINGS:The prevalence of MOH is 1-2% in the general population worldwide, and because of the tremendous socio-economic cost, it is likely to be the most costly neurological disorder known. MOH has similarities with traditional drug addiction. Use of a brochure on medication overuse can prevent MOH. The Severity of Dependence Scale (SDS) score is a significant predictor of medication overuse among headache patients. Withdrawal of medication is essential in the management of MOH, and simultaneous initiation of prophylactic medication may alleviate this process. Short advice on medication overuse by a physician reduced mean medication days from 22 to 6 days; 76% no longer had medication overuse and 42% no longer had chronic headache. SUMMARY:A brochure and/or the SDS should be used to prevent MOH. Withdrawal is the cornerstone of MOH management. Short advice on MOH is the current most cost effective management method, a method that can be applied anywhere including third world countries.

journal_name

Curr Opin Neurol

authors

Russell MB,Lundqvist C

doi

10.1097/WCO.0b013e328352c431

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

290-5

issue

3

eissn

1350-7540

issn

1473-6551

pii

00019052-201206000-00012

journal_volume

25

pub_type

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