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Medication Overuse Headache

Chronic headache caused by regular and excessive use of pain relievers.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Nöroloji department. Book Appointment →

What is Medication Overuse Headache?

Medication overuse headache (MOH) is a secondary headache type that develops in people with primary headache disorders due to excessive and regular use of medications taken for treatment. It should be considered when there are 15 or more headache days per month for over three months.

Risk arises when simple analgesics are used more than 15 days a month, and triptans and opioids more than 10 days a month. Over time, the headache becomes chronic and intensifies when the medication is reduced.

The mainstay of treatment is gradual withdrawal of the offending medication, initiation of alternative preventive therapy, and patient education. The process can be difficult for patients, but the prognosis is generally good.

Symptoms

Headache almost every day
Headache present upon waking in the morning
Pain that intensifies as the medication wears off
Increasing medication need
Difficulty concentrating and fatigue
Insomnia and anxiety
Depressed mood

Risk Factors

History of chronic migraine or tension-type headache
Use of triptans, opioids, combined analgesics
Use of pain relievers more than 10-15 days per month
Chronic pain conditions
Anxiety and depression
Stressful life events
Insomnia and physical inactivity

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If headache is experienced more than 15 days a month
  • If medication is needed increasingly often
  • If previous treatments are ineffective
  • If headache persists upon waking
  • If mood and sleep patterns are disturbed

Treatment Methods

01
Gradual withdrawal of the responsible medication
02
Bridge therapy (short-term steroids, NSAIDs)
03
Long-term preventive treatment (beta blockers, antiepileptics, antidepressants)
04
Patient education and headache diary
05
Cognitive behavioral therapy
06
Regular sleep and exercise habits

Which Department to Visit?

You can visit our Nöroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.