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Titolo:
Headache induced by chronic overuse of antimigraine drugs and antalgesics
Autore:
Taimi, C; Navez, M; Perrin, AM; Laurent, B;
Indirizzi:
CHU St Etienne, Ctr Antidouleur, St Etienne Du Rouvray, France CHU St Etienne St Etienne Du Rouvray France Etienne Du Rouvray, France
Titolo Testata:
REVUE NEUROLOGIQUE
fascicolo: 10, volume: 157, anno: 2001,
pagine: 1221 - 1234
SICI:
0035-3787(200110)157:10<1221:HIBCOO>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
FRE
Soggetto:
ANALGESIC REBOUND HEADACHE; INDUCED REFRACTORY HEADACHE; MEDICATION-INDUCED HEADACHE; TENSION-TYPE HEADACHE; ERGOTAMINE WITHDRAWAL; CLINICAL-FEATURES; ABUSE HEADACHE; SUMATRIPTAN; MIGRAINE; MANAGEMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
63
Recensione:
Indirizzi per estratti:
Indirizzo: Taimi, C Ctr Hosp Roanne, F-42328 Roanne, France Ctr Hosp Roanne Roanne France F-42328 e, F-42328 Roanne, France
Citazione:
C. Taimi et al., "Headache induced by chronic overuse of antimigraine drugs and antalgesics", REV NEUROL, 157(10), 2001, pp. 1221-1234

Abstract

These daily or near-daily headaches result from the chronic overuse of allimmediate relief antimigraine drugs: ergotamine, analgesics, and/or more recently triptans. Like for much chronic daily headaches, the International Headache Society diagnostic criteria for drug abuse headaches are difficultto apply. Generally, patients confuse primary headaches (usually migraines) with interparoxysmal tension-type headaches called "rebound headaches". Psychosocial factors may play a role. insidiously, a compulsive automedication results, often in anticipation of headache. This headache syndrome resists symptomatic and prophylactic treatment. These headaches are frequent very disabling and socioeconomically costly. They are still largely underdiagnosed. Drug-induced headaches may be restricted to those patients who are already headache sufferers. The pathogenesis is not clearly understood. it may involve a deficience of inhibitory pain modulation, a hyperactivation of nociceptive facilitatory systems, and the peripheral and central effects ofthe incriminating drugs. The withdrawal of all offending analgesic drugs and a multimodality approach are indispensable, but the therapeutic protocoles are actually very heterogeneous and poorly estimated. Non-drug means could be very helpful. Effective education of headache sufferers and regular follow-up are essential to avoid relapses, Prognosis factors have been evoked, but may not be significant for the long term outcome. The rate successfull of is actually estimated at 60p. cent at five years. The benefits of an adequate management encourage early recognation of drug-induced headaches. This article has in view to take stock of the literature at the end of 1999, and to help physicians become mora aware of this problem and develp a more preventive attitude.

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Documento generato il 26/09/20 alle ore 05:44:56