Document of revision and updating of medication overuse headache (MOH) Documento de revisión y actualización de la cefalea por uso excesivo de medicación (CUEM)
González-Oria, Carmen (Hospital Universitario Virgen del Rocío (Sevilla, Andalusia))
Belvís, Roberto (Institut d'Investigació Biomèdica Sant Pau)
Cuadrado, María Luz (Universidad Complutense de Madrid. Departamento de Medicina)
Díaz-Insa, Samuel (Hospital Universitari i Politècnic La Fe (València))
Guerrero-Peral, Ángel Luis (Hospital Clínico Universitario de Valladolid)
Huerta Villanueva, Mariano (Hospital de Viladecans)
Irimia, Pablo (Clínica Universidad de Navarra)
Lainez Andres, Jose Miguel (Hospital Clínic Universitari (València))
Latorre, Germán (Hospital Universitario de Fuenlabrada ( Madrid))
Leira, Rogelio (Hospital Clínico Universitario (Santiago de Compostela, Galícia))
Oterino, Agustín (Instituto de Investigación Sanitaria Valdecilla (Santander, Cantàbria))
Pascual Gómez, Julio (Instituto de Investigación Sanitaria Valdecilla (Santander, Cantàbria))
Porta-Etessam, Jesús (Universidad Complutense de Madrid)
Pozo-Rosich, Patricia (Hospital Universitari Vall d'Hebron)
Sánchez del Río, Margarita (Clínica Universidad de Navarra)
Santos Lasaosa, Sonia (Instituto de Investigación Sanitaria de Aragón)
Universitat Autònoma de Barcelona

Date:	2021
Abstract:	Introduction: Medication overuse headache is a secondary headache in which the regular or frequent use of analgesics can increase the frequency of the episodes, causing the transition from episodic to chronic headache. The prevalence of medication overuse headache is approximately 1-2%, with higher rates among women aged 30-50 years and with comorbid psychiatric disorders such as depression or anxiety, or other chronic pain disorders. It is important to be familiar with the management of this disease. To this end, the Spanish Society of Neurology's Headache Study Group has prepared a consensus document addressing this disorder. Development: These guidelines were prepared by a group of neurologists specialising in headache after a systematic literature review and provides consensus recommendations on the proper management and treatment of medication overuse headache. The treatment of medication overuse headache is often complex, and is based on 4 fundamental pillars: education and information about the condition, preventive treatment, discontinuation of the drug being overused, and treatment for withdrawal symptoms. Follow-up of patients at risk of recurrence is important. Conclusions: We hope that this document will be useful in daily clinical practice and that it will update and improve understanding of medication overuse headache management.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Castellà
Document:	Article ; recerca ; Versió publicada
Subject:	Medication overuse headache ; Detoxification ; Preventive treatment ; Triptans ; Ergot derivatives ; Opioids
Published in:	Neurología, Vol. 36 Núm. 3 (abril 2021) , p. 229-240, ISSN 1578-1968

DOI: 10.1016/j.nrl.2020.04.029
PMID: 32917437

12 p, 949.5 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles