药物过量使用性头痛

Medication overuse headache.

作者信息

Ward Thomas N

机构信息

Section of Neurology, Dartmouth Hitchcock Medical Center, Dartmouth Medical School, Hanover, NH 03756, USA.

出版信息

Prim Care. 2004 Jun;31(2):369-80, vii. doi: 10.1016/j.pop.2004.02.008.

DOI:10.1016/j.pop.2004.02.008

PMID:15172512

Abstract

Medication overuse headache may complicate any type of headache and occurs in young people, adults, and even elderly patients. Overuse of acute medications may change intermittent or self-limited headaches into chronic daily headache. Migraineurs seem particularly prone to analgesic rebound headache/ transformed migraine/chronic migraine. Prophylactic therapies are often ineffective in the setting of medication overuse. Recognition of this condition allows appropriate clinical intervention that includes cessation of the offending medications.

摘要

药物过度使用性头痛可能使任何类型的头痛复杂化，在年轻人、成年人甚至老年患者中都可能发生。急性药物的过度使用可能会使间歇性或自限性头痛转变为慢性每日头痛。偏头痛患者似乎特别容易出现止痛药物反弹性头痛/转化型偏头痛/慢性偏头痛。在药物过度使用的情况下，预防性治疗往往无效。认识到这种情况后可进行适当的临床干预，包括停用引起问题的药物。