Medications That Make Migraine Worse
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Key Questions
- What is the definition of medication overuse headache (MOH)?
- Can pain medication make migraine worse?
- Which migraine drugs are most likely to contribute to MOH?
- Can MOH be caused by non-migraine-related drugs?
- Which non-migraine drugs contribute to MOH?
- Can MOH be caused by over-the-counter medications like NSAIDs or cold medications?
- Can MOH be caused by an overuse of a combination of different drugs?
- Are there any drugs that do not contribute to MOH?
- Can MOH contribute to someone developing chronic migraine?
- Are there risk factors outside of medication that contribute to MOH?
- How might MOH differ from a regular migraine attack, if at all?
- How do you know if you have MOH?
- Does caffeine contribute to MOH?
- Should butalbital be taken off the market?
- Does undertreatment of migraine increase MOH?
- How do you strike a balance between undertreatment and overtreatment?
- What has changed in the past three years in the MOH treatment space?
- How have the new CGRP drugs changed the outlook for MOH?
- How can advocacy help reduce the occurrence of MOH across the population?
- Are there any nonpharmacological ways to break MOH?
- Does proper acute treatment of episodic migraine reduce the probability of having MOH?
Interview Notes
- Dr. Stewart J Tepper
- The International Headache Society
- Opioid Use and Dependence Among Person With Migraine: Results of the AMPP Study
- Adherence to Oral Migraine Preventive Medications Among Patients with Chronic Migraine: Analysis of a Large US Health Insurance Claims Database (S41.009)
- Migraine prevalence, disease burden, and the need for preventive therapy
Stewart Tepper, MD, FAHS
Vice President
The New England Institute for Neurology and Headache
Stewart Tepper, MD, FAHS, is vice president of the New England Institute for Neurology and Headache (NEINH) in Stamford, Connecticut, and professor of neurology at the Geisel School of Medicine at Dartmouth in Hanover, New Hampshire.
Dr. Tepper has published more than 520 peer-reviewed articles, online features, chapters, and books on headache medicine. He serves on the executive board of directors for the American Headache Society and on the governance committee of the American Migraine Foundation.
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We support research for better treatments and a cure while advocating to improve the lives of those struggling with cluster headaches.
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