Detoxification for medication overuse headache is not necessary

Cephalalgia | December 01, 2011

Diener HC – Authors propose to educate patients on the mechanisms of medication overuse and motivate them to reduce intake frequency. Patients who fail should be offered either topiramate or onabotulinum toxin A in combination with behavioural therapy and regular exercise. If this approach fails, patients should be offered withdrawal therapy.

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