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- Page navigation anchor for RE: MOHRE: MOH
Patients don’t start taking analgesics or triptans for no reason. There is almost always an underlying chronic migraine condition. Once MOH has been eliminated, you still need to find and treat the cause(s) of the underlying headache for the patient to improve.
Competing Interests: None declared. - Page navigation anchor for RE: Medication Overuse HeadacheRE: Medication Overuse Headache
I have a hard time attributing so many patient's chronic headaches to medication overuse.
I definitely have a group of patients who take analgesics daily or nearly so, and have persistent headaches, and have been labelled as medication overuse causing their headaches.
I have an almost similar group of patients who have infrequent headaches , but they do have back pain for which they take analgesics daily, yet these patients who take analgesics daily for another reason have not had their intermittent headaches turn into daily headaches from analgesic rebound.
So why blame the first group's daily headaches on analgesic rebound or overuse. The other group didn't get rebound headaches from daily analgesics.
Other factors may be causing the daily headaches for these patients. Analgesic rebound or overuse seems to be the preferred diagnosis of many clinicians , when its not necessarily etiologic.Competing Interests: None declared.