Kopfschmerz bei Medikamentenübergebrauch

Zusammenfassung

Der Kopfschmerz durch Medikamentenübergebrauch (MOH) ist eine weltweit verbreitete und beeinträchtigende Erkrankung, die durch übermäßige Einnahme von Akuttherapie entsteht und die Lebensqualität erheblich beeinträchtigen kann und das obwohl z.B. einfache Informationen über Ursachen und Folgen der Erkrankung dazu beitragen können, den MOH zu verhindern oder zu beenden. In den letzten Jahren konnten viele neue Erkenntnisse zum Kopfschmerz durch Medikamentenübergebrauch generiert werden. Zudem haben sich die Diagnosekriterien und die Leitlinienempfehlungen umfassend gewandelt. Dieser Artikel bietet einen umfassenden Überblick über die Klinik, Definition/Klassifikation, Epidemiologie, Risikofaktoren, Pathophysiologie, Kontroversen, Prävention und Behandlung des MOH.

Abstract

Medication overuse headache (MOH) is a globally prevalent and debilitating condition that results from excessive use of acute therapies and can significantly affect quality of life, despite the fact that simple information about the causes and consequences of the condition can help prevent or stop MOH. In recent years, many new insights have been gained into headaches caused by medication overuse. In addition, the diagnostic criteria and guideline recommendations have changed considerably. This article provides a comprehensive overview of the clinic, definition/classification, epidemiology, risk factors, pathophysiology, controversies, prevention, and treatment of MOH.

Schlüsselwörter

Chronischer Kopfschmerz - Kopfschmerz bei Medikamentenübergebrauch - Migräne - MÜKS - Kopfschmerz vom Spannungstyp

Keywords

Chronic headache - Medication-overuse headache - Migraine - Tension-type headache (TTH) - MOH

Publication History

Received: 20 November 2023

Accepted after revision: 15 May 2024

Article published online:
18 July 2024

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