Breaking the cycle of medication overuse headache

@article{Tepper2010BreakingTC,
  title={Breaking the cycle of medication overuse headache},
  author={Stewart J. Tepper and Deborah E Tepper},
  journal={Cleveland Clinic Journal of Medicine},
  year={2010},
  volume={77},
  pages={236 - 242}
}
When patients who have frequent, disabling migraines take medications to relieve their symptoms, they run the risk that the attacks will increase in frequency to daily or near-daily as a rebound effect comes into play. This pattern, called medication overuse headache, is more likely to happen with butalbital and opioids than with migraine-specific drugs, as partial responses lead to recurrence, repeat dosing, and, eventually, overuse. Breaking the cycle involves weaning the patient from the… 

Treatment of Medication Overuse Headache

A worsening and transformation of episodic migraine into daily or near-daily headache, associated with overuse of acute anti-migraine medications, is defined.

Clinical Aspects of Medication Overuse Headaches

Medication overuse headache (MOH) is a subset of chronic daily headache, occurring from overuse of 1 or more classes of migraine abortive medication. Acetaminophen, combination analgesics (caffeine

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  • Medicine, Psychology
    Journal of pain & palliative care pharmacotherapy
  • 2016
ABSTRACT Questions from patients about pain conditions and analgesic pharmacotherapy and responses from authors are presented to help educate patients and make them more effective self-advocates.

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    The Medical clinics of North America
  • 2013

The treatment of migraine headaches in children and adolescents.

  • M. BrennerD. Lewis
  • Medicine, Psychology
    The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG
  • 2008
There is limited controlled data to provide a comprehensive, evidence-based guideline, however, the most rigorously studied agents for acute treatment are ibuprofen, acetaminophen, and "triptan" nasal spray forms of sumatriptan and zolmitriptan; all of these have shown safety and efficacy in controlled trials.

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  • M. Bigal
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    Arquivos de neuro-psiquiatria
  • 2011
The issue of causality is discussed and evidence suggesting that specific medications, at critical doses, are risk factors for chronic migraine (CM) is reviewed, and the concept of critical dose of exposure for different classes is presented.

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Medical Treatment of Refractory Daily Headaches, Including Interdisciplinary Management

This chapter explores the medical treatment of chronic daily headache and suggests that successful treatment of refractory chronic headache patients is possible with an interdisciplinary approach.

MIGRAINE - A COMPREHENSIVE REVIEW

Migraine may bring a suffering phase in an individual's schedule yet it can be handled with the familiarity of some self-care remedies and by making simple modifications in the routine lifestyle, which may facilitate to pave the clear way to recovery and make things easier for migraine management.
...

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