Medication-overuse Headache: Diagnostic Criteria, Epidemiology, and Treatment

Regular and frequent use of acute or symptomatic medications can worsen headaches cause chronification headache medication-overuse (MOH). Although MOH is a burdensome medical condition because disability in individual socioeconomic aspects, difficulty treatment, recurrence, even epidemiologic research insufficient. Educating patients, general population, healthcare providers about important the first step to reducing burden MOH. In addition, preventing occurrence essential for management patients with primary disorder. Physicians should educate counsel stop at least reduce intake medications. Withdrawal symptoms such as headache, nausea, vomiting be manageable bridging therapy using steroid anti-emetic agents during after discontinuation overused The promising efficacy botulinum toxin A calcitonin gene-related peptide monoclonal antibodies treatment have been published past few years. Evidencebased preventive therapies might helpful both medication prevention relapse. comprehensive multidisciplinary approach would improve outcome