10
Views
0
CrossRef citations to date
0
Altmetric
Review

Treatment of chronic overmedicated headache patients

&
Pages 293-300 | Published online: 10 Jan 2014
 

Abstract

The effective treatment for chronic headache with analgesic overuse is examined in this review. The first step of treatment is how to stop daily use of the analgesic, supporting the withdrawal syndrome and the worsening headache. In this phase there are different strategies from no treatment to antimigraine drugs. This step is followed by preventive antimigraine treatment sometimes followed or accompanied by antidepressant drug treatment. The most widely used drug in this class is amitriptyline [Tryptizol®, Merck & Co, NY, USA. However, newer selective serotonin reuptake inhibitor antidepressants are also proposed. Unfortunately, few good clinical practice studies with long-term follow-up are available. In conclusion, there are no definite guidelines to treat these headaches and probably the main aim of the therapy for these patients should be to enable them to feel in control of their migraine, rather than feeling that migraine or analgesic drugs control them.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.