Day-hospital withdrawal for chronic migraine with medication overuse: results at 3 years follow-up.

Abstract

Patients with chronic headache and medication overuse are particularly difficult to treat, with no one approach being universally accepted. Some type of withdrawal program, however, is typically implemented before beginning a pharmacological prophylaxis treatment. Different withdrawal modalities have been performed for managing these patients: at first step, in-patient withdrawal has been confirmed effective in preceding clinical experiences. In recent years, new modalities for withdrawal have been developed as day-hospital setting. Purpose of this study was to determine the clinical course of a sample of chronic migraine patients with medication overuse 3 years after day-hospital withdrawal. A group of 202 patients were treated. Patients were suffering from chronic migraine with medication overuse according with IHS criteria. All patients were submitted to a day-hospital withdrawal and then they were followed with meetings every 3 months until the first year and then every 6 months until the last follow-up 3 years after withdrawal. Eighty patients achieved the last follow-up meeting 3 years after withdrawal. Patients clinically improved, significantly, both for days of headache per month and consumption of medications per month. From these results, the day-hospital setting for withdrawal, followed by periodic clinical meetings, seems to be effective for this category of patients to improve significantly at long-term headache frequency and analgesics intake.

• Authors: L Grazzi, F Andrasik, S Usai, G Bussone
• Journal: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology (Neurol Sci) Vol. 34 Suppl 1 Pg. S167-9 (May 2013) ISSN: 1590-3478 [Electronic] Italy
• PMID: 23695072 (Publication Type: Clinical Trial, Journal Article)

Chemical References

• Analgesics

Topics

• Analgesics (adverse effects)
• Chronic Disease (drug therapy)
• Day Care, Medical (methods)
• Follow-Up Studies
• Humans
• Migraine Disorders (chemically induced, drug therapy)
• Substance Withdrawal Syndrome
• Substance-Related Disorders (therapy)