Medication overuse headache (MOH): treatment

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Medication overuse headache (MOH): treatment. Avoid triggers, Mindfulness, Cognitive behaviour therapy (CBT). Fully referenced neurology checklist.

Non-drug treatments

  • Avoid triggers
  • Mindfulness
  • Cognitive behaviour therapy (CBT)
  • Exercise
  • Biofeedback

Drug treatments

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Treatment of co-morbidities

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Detoxification: benefits

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Detoxification: indications for in-patient care

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Relapse: risk factors

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Relapse: prevention

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Patient education

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References

  1. Evers S, Jensen R. Treatment of medication overuse headache-guideline of the EFNS headache panel. Eur J Neurol 2011; 18:1115-1121.
  2. Diagnosis and management of headache in adults. SIGN Guideline 107. November 2008.
  3. Halker RB, HastriterEV, Dodick DW. Chronic daily headache: an evidence-based and systematic approach to a challenging problem. Neurology 2011; 76:S37.
  4. Chiang CC, Schwedt TJ, Wang SJ, Dodick DW. Treatment of medication-overuse headache: a systematic review. Cephalalgia 2016; 36:371-386.
  5. Diener HC, Antonaci F, Braschinsky M, et al. European Academy of Neurology guideline on the management of medication-overuse headache. Eur J Neurol 2020; 27:1102-1116.
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