药物过度使用头痛——不同治疗策略综述。

IF 2.5 Q2 CLINICAL NEUROLOGY Frontiers in pain research (Lausanne, Switzerland) Pub Date : 2023-10-10 eCollection Date: 2023-01-01 DOI:10.3389/fpain.2023.1103497
Abouch Krymchantowski, Carla Jevoux, Ana Gabriela Krymchantowski, Luiza Barbosa Ramos, Jackeline S S Barbosa, Raimundo Pereira Silva-Neto
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引用次数: 0

摘要

药物过度使用性头痛(MOH)可由原发性头痛发展而来。MOH通常是过度使用有症状的药物的结果。这是一个值得注意的个人和社会负担。识别和治疗有MOH风险的患者是MOH管理的重要组成部分。药物过度使用是可以改变的,可以从发作性偏头痛发展为慢性偏头痛。卫生部的治疗是复杂的,该领域的专家对卫生部最合适的治疗策略有不同的看法。本综述的目的是为卫生部的管理提供一个全面的文献概要。戒毒和预防等治疗策略是有争议的问题。停药是管理的基础。现有文献建议采用预防性方法进行早期管理。桥接疗法可能有助于缓解戒断症状。事实证明,多学科的选择对支持戒断和预防复发是有益的。在世界范围内,终止过度使用药物已被视为一种标准的治疗策略;然而,应该采取针对患者的方法。
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Medication-overuse headache-a review of different treatment strategies.

Medication-overuse headache (MOH) can develop from primary headaches. MOH is usually the result of overuse of symptomatic medications. It is a noteworthy personal and societal burden. The identification and treatment of patients at risk for MOH is an essential component of MOH management. Medication overuse can be modifiable and can advance from episodic to chronic migraine. Treatment for MOH is complex, and experts in the field have varied views on the most appropriate strategy for MOH treatment. The objective of this review is to give a comprehensive synopsis of the literature for the management of MOH. Treatment strategies, such as detoxification and prevention, are the debatable issues. Medication withdrawal is the foundation for management. The available literature suggested abrupt withdrawal with preventive approaches for early management. Bridging therapy could be useful to get relief from withdrawal symptoms. Multidisciplinary choices proved beneficial in supporting withdrawal and preventing relapse. Worldwide, the termination of overused medications has been observed as a standard treatment strategy; however, patient-specific approaches should be taken.

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审稿时长
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