Display options
Share it on

Curr Treat Options Neurol. 2001 Mar;3(2):181-188. doi: 10.1007/s11940-001-0053-2.

Medication Overuse Headache.

Current treatment options in neurology

William B. Young

Affiliations

  1. Department of Neurology, The Thomas Jefferson University Hospital, Jefferson Headache Center, 111 South Eleventh Street, Gibbon Building, Suite 8130, Philadelphia, PA 19107, USA. [email protected]

PMID: 11180755 DOI: 10.1007/s11940-001-0053-2

Abstract

Medication overuse headache is common and affects 2% of the United States population. Simple analgesics, caffeine-containing analgesics, butalbital-containing analgesics, opioids, ergotamine, and triptans may cause medication overuse headache. The recidivism rate is higher after detoxification from butalbital and opioids than after detoxification from other substances. Treatment venues have included the patient's home, an infusion center, or a hospital setting. No consensus exists to determine the setting that is most appropriate. Patients with analgesic overuse headache have a different psychologic substrate than psychiatric substance abusers. Most should not be treated in psychiatric detoxification facilities, although, psychiatric assessment and support may be beneficial.

References

  1. Neurol Clin. 1990 Nov;8(4):903-12 - PubMed
  2. Headache. 1998 Mar;38(3):229-30 - PubMed
  3. N Engl J Med. 1992 Oct 15;327(16):1109-14 - PubMed
  4. Headache. 1988 Nov;28(10):662-5 - PubMed
  5. J Neurol. 1989 Jan;236(1):9-14 - PubMed
  6. Adv Neurol. 1982;33:335-41 - PubMed
  7. J Epidemiol Community Health. 1992 Aug;46(4):443-6 - PubMed
  8. Neurol Clin. 1990 Nov;8(4):891-901 - PubMed
  9. Headache. 1992 Jul;32(7):325-9 - PubMed
  10. Dtsch Med Wochenschr. 1984 Mar 9;109(10):369-73 - PubMed
  11. Neurology. 1993 Sep;43(9):1644-9 - PubMed
  12. Neurology. 1996 Oct;47(4):871-5 - PubMed

Publication Types