Abstract

MARTINEZ, José David. Patient with medication-overuse headache in the emergency department. Acta Neurol Colomb. [online]. 2020, vol.36, n.4, suppl.1, pp.29-32.  Epub May 14, 2021. ISSN 0120-8748.  https://doi.org/10.22379/24224022314.

Medication-overuse headache (MOH) is an endemic and disabling neurological condition that affects between 1-2 % of the general population, which helps chronify a previous underlying headache, usually migraine. It is defined as a headache that appears 15 or more days a month in a patient with pre-existing primary headache as a consequence of habitual abuse of acute or symptomatic headache medication (for 10 or more, or 15 or more days a month, depending on the drug) in a period of more than three months. Usually, but not always, remit when stopping medication abuse. Treatment requires several steps: education, withdrawal of excess medication, detoxification, and initiation of prophylactic management.

Keywords : analgesic overuse; headache (MeSH).

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