Spotlight on Migraine®
Understanding Medication Overuse Headache (Rebound Headache)
Dec 5, 2023
Dr. Sait Ashina discusses Medication Overuse Headache (Rebound Headaches), including causes, risk factors, diagnostic criteria, symptoms, prevention, and breaking the headache cycle. They explore the mechanisms behind this condition, the role of gene variations and neuroimaging studies, and the importance of awareness and limitation in medication usage. The podcast also covers challenges and benefits of detoxing from medication overuse, treatment approaches, and potential long-term effects and risk factors for relapse.
23:10
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Quick takeaways
- Medication overuse headache (MOH) occurs when pain relieving medications or anti-migraine drugs are used excessively and can be distinguished from prophylactic treatments used to prevent headaches.
- Risk factors for medication overuse headache include lower socioeconomic groups, women in their 30s and 50s, and those with higher pain sensitivity.
Deep dives
Medication Overuse Headache: Definition and Diagnostic Criteria
Medication overuse headache (MOH) is a secondary headache disorder that occurs when pain relieving medications or anti-migraine drugs are used too frequently or excessively. The diagnostic criteria for MOH require at least 15 or more days per month with headaches, along with the use of specific acute headache medications exceeding certain thresholds for a minimum of three months. MOH can be distinguished from prophylactic treatments, which are taken daily to prevent headaches. Common symptoms of MOH include nausea, vomiting, sensitivity to light and sounds, irritability, difficulty concentrating, insomnia, restlessness, and constipation.
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