|Analgesic Overuse Headache
|Headaches in General
- Patients with migraine or other headache over treated with analgesia
- Continuous low-grade headache, even in the morning.
- Reduced with analgesia but headache persists. Headache most of the time.
- The person has headache occurring on at least 15 days per month and a pre-existing headache disorder.
- The person has regularly overused, for more than 3 months, one or more drugs that can be taken for acute and/or symptomatic treatment of headache
- Drugs such as ergotamines, triptans, simple analgesics or opioids
- Reduction of analgesic medications
- If background migraine then starting prophylaxis e.g. beta-blockade
- Tricyclic antidepressants may be useful
- Prognosis depends on patient compliance and ability to reduce analgesic usage