User:Mr. Ibrahem/Medication overuse headache
| Medication overuse headache | |
|---|---|
| Other names | Rebound headache, drug overuse headaches, drug-induced headache, medication misuse headache, painkiller headaches[1][2] |
 | |
| The condition may be brought on by pain medications, including acetaminophen | |
| Specialty | Neurology |
| Symptoms | Whole head pain > 15 days per month[1] |
| Complications | Side effects from medication[1] |
| Duration | > 3 months[3] |
| Causes | Frequent triptans, opioids, barbiturates, NSAIDs, or paracetamol use[1][3] |
| Risk factors | Smoking[1] |
| Diagnostic method | Based on symptoms after excluding other potential causes[1] |
| Differential diagnosis | Migraines, tension headaches, cluster headaches, hemicrania[4] |
| Treatment | Stopping the excessively used medication, starting preventative medications, counselling[1] |
| Medication | Topiramate, valproic acid, CGRP receptor antagonists[1] |
| Frequency | 1-2% of adults (50 to 100 million)[1] |
Medication overuse headache (MOH), also known as a rebound headache, are headaches that occur as the result of frequently taking pain medication.[3] The pain may involve the whole head.[1] Onset is over months to years.[3] Other health problems may include anxiety or depression.[1] Complications may include side effects from medication.[1]
Generally it occurs in people with migraines or tension-type headaches following the use of excessive acute headache relief medications.[1] The most commonly associated medications are triptans, opioids, and barbiturates; though, it may also occur with NSAIDs or paracetamol (acetaminophen).[1][3] Other risk factors include smoking.[1] Those affected have at least 15 headache days per month.[1] Diagnosis is based on symptoms after excluding other potential causes.[1]
Treatment involves reducing or stopping the excessively used medication together with starting preventative medications.[1] Preventative medications may include topiramate, valproic acid, or CGRP receptor antagonists.[1] Counseling may also be useful.[1] With treatment, the majority of people get better.[1]
Medication overuse headache affects about 1-2% of adults (50 to 100 million people).[1] Females are more commonly affected than males.[1] The condition may represent up to 70% of cases of chronic daily headaches (CDH).[3] It was first described in 1951.[1]
References[edit]
- ^ a b c d e f g h i j k l m n o p q r s t u v w x Ashina, S; Terwindt, GM; Steiner, TJ; Lee, MJ; Porreca, F; Tassorelli, C; Schwedt, TJ; Jensen, RH; Diener, HC; Lipton, RB (2 February 2023). "Medication overuse headache". Nature reviews. Disease primers. 9 (1): 5. doi:10.1038/s41572-022-00415-0. PMID 36732518.
- ^ "Medically unexplained symptoms". nhs.uk. 19 October 2017. Archived from the original on 29 September 2017. Retrieved 29 March 2021.
- ^ a b c d e f Wakerley, Benjamin R (October 2019). "Medication-overuse headache". Practical Neurology. 19 (5): 399–403. doi:10.1136/practneurol-2018-002048. PMID 31273078.
- ^ Yancey, Joseph R.; Sheridan, Richard; Koren, Kelly G. (15 April 2014). "Chronic Daily Headache: Diagnosis and Management". American Family Physician. 89 (8): 642–648. Archived from the original on 25 March 2023. Retrieved 9 August 2023.