علاج الصداع الناجم عن الإفراط في تناول الأدوية في حالات الإفراط في الأفيونات أو الباربيتورات أو المهدئات

References

DOI: 10.1111/ene.14268

• Advice alone is not appropriate for patients who overuse opioids, tranquilizers or barbiturates or who have experienced previous relapses into overuse or who failed to stop overuse following advice.
• In patients with long-lasting abuse of opioids, barbiturates or tranquilizers, slow tapering of these drugs is recommended.
• These patients need to be referred to a headache specialist or to specialized care.
• Topiramate, onabotulinum toxin A or a monoclonal antibody targeting CGRP or the CGRP receptor are effective in patients with chronic migraine and medication overuse.
• Topiramate should not be used in women of childbearing potential.