Liječnički vjesnik, Vol. 142 No. 7-8, 2020.
Review article
https://doi.org/10.26800/LV-142-7-8-38
Medication-overuse headache
Zlatko Hucika
; Odjel neurologije, Opća bolnica Zabok i bolnica hrvatskih veterana
Damir Petravić
; Odjel za glavobolje, neurogenu bol i spinalne poremećaje, Klinika za neurologiju, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb
Abstract
Medication-overuse headache (MOH) is defined as a secondary headache in patients with previous primary headache, mostly migraine or tension headache, present for 15 or more days per month due to the overuse of acute symptomatic therapy for headache (10 or more or 15 or more days per month, depending on the medication used) and persisting for more than 3 months. Based on the papers published in the past 15 years on the topic, identified by searching the PubMed database, definition, epidemiology, pathophysiology,clinical picture, diagnosis, therapy, prognosis and prevention of MOH are discussed. The aim of this review is to make physicians aware of the fact that MOH is a frequent diagnosis among patients with primary headaches, which needs to be treated appropriately but the development of which can be prevented at the primary healthcare level.
Keywords
HEADACHE DISORDERS, SECONDARY – chemically induced, diagnosis, physiopathology, prevention and control; ANALGESICS – adverse effects, therapeutic use; TENSION-TYPE HEADACHE – drug therapy; MIGRAINE DISORDERS – drug therapy; COMORBIDITY; PROGNOSIS
Hrčak ID:
243291
URI
Publication date:
24.8.2020.
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