Presentation
Nausea, irritability, and difficulty concentrating may be present. Location and characteristics of the pain vary. [msdmanuals.com]
Entire Body System
- Pain
Biofeedback enables people to control the pain. NOTE: This is the Consumer Version. [msdmanuals.com]
Biofeedback enables people to control the pain. [merckmanuals.com]
Pain. 2007;128(1-2):111-27. 3. Nestoriuc Y, Rief W, Martin A. Meta-analysis of biofeedback for tension-type headache: efficacy, specificity, and treatment moderators. J Consult Clin Psychol. 2008;76(3):379-96. 4. Hermann C, Blanchard EB. [passeportsante.net]
Neurologic
- Seizure
Transitional drugs include NSAIDs Corticosteroids Dihydroergotamine Prochlorperazine Clonidine (preferred if the overused drug was an opioid) Phenobarbital (used to prevent withdrawal seizures if the overused drug was a barbiturate) After medication overuse [msdmanuals.com]
- Irritability
Nausea, irritability, and difficulty concentrating may be present. Location and characteristics of the pain vary. [msdmanuals.com]
- Difficulty Concentrating
Nausea, irritability, and difficulty concentrating may be present. Location and characteristics of the pain vary. [msdmanuals.com]
Treatment
With treatment, medication overuse headache is probably in remission in about 50% of patients after 10 years. Fewer headache days/month after 1 year of treatment predicts longer remission. [msdmanuals.com]
Behavioral headache treatment: history, review of the empirical literature, and methodological critique. Headache. 2005;45 Suppl 2:S92-109. 7. Andrasik F. Behavioral treatment of migraine: current status and future directions. [passeportsante.net]
Prevention
Transitional (bridge) drugs are used to help prevent withdrawal headache symptoms if withdrawal of the overused drug, use of the rescue drug, and preventive drugs are unlikely to be successful. [msdmanuals.com]