Chronic headache is particularly prevalent in migraineurs and it can progress to a condition known as medication overuse headache (MOH). MOH is a secondary headache caused by overuse of analgesics or other medications such as triptans to abort acute migraine attacks. The worsening of headache symptoms associated with medication overuse (MO) generally ameliorates following interruption of regular medication use, although the primary headache symptoms remain unaffected. MO patients may also develop certain behaviors such as ritualized drug administration, psychological drug attachment, and withdrawal symptoms that have been suggested to correlate with drug addiction. Although several reviews have been performed on this topic, to the authors best knowledge none of them have examined this topic from the addiction point of view. Therefore, we aimed to identify features in MO and drug addiction that may correlate. We initiate the review by introducing the classes of analgesics and medications that can cause MOH and those with high risk to produce MO. We further compare differences between sensitization resulting from MO and from drug addiction, the neuronal pathways that may be involved, and the genetic susceptibility that may overlap between the two conditions. Finally, ICHD recommendations to treat MOH will be provided herein.

Medication overuse and drug addiction: a narrative review from addiction perspective / Takahashi, T. T.; Ornello, R.; Quatrosi, G.; Torrente, A.; Albanese, M.; Vigneri, S.; Guglielmetti, M.; Maria De Marco, C.; Dutordoir, C.; Colangeli, E.; Fuccaro, M.; Di Lenola, D.; Spuntarelli, V.; Pilati, L.; Di Marco, S.; Van Dycke, A.; Abdullahi, R. A.; Maassen van den Brink, A.; Martelletti, P.. - In: THE JOURNAL OF HEADACHE AND PAIN. - ISSN 1129-2369. - 22:1(2021), p. 32. [10.1186/s10194-021-01224-8]

Medication overuse and drug addiction: a narrative review from addiction perspective

Di Lenola D.;Spuntarelli V.;Martelletti P.
Ultimo
2021

Abstract

Chronic headache is particularly prevalent in migraineurs and it can progress to a condition known as medication overuse headache (MOH). MOH is a secondary headache caused by overuse of analgesics or other medications such as triptans to abort acute migraine attacks. The worsening of headache symptoms associated with medication overuse (MO) generally ameliorates following interruption of regular medication use, although the primary headache symptoms remain unaffected. MO patients may also develop certain behaviors such as ritualized drug administration, psychological drug attachment, and withdrawal symptoms that have been suggested to correlate with drug addiction. Although several reviews have been performed on this topic, to the authors best knowledge none of them have examined this topic from the addiction point of view. Therefore, we aimed to identify features in MO and drug addiction that may correlate. We initiate the review by introducing the classes of analgesics and medications that can cause MOH and those with high risk to produce MO. We further compare differences between sensitization resulting from MO and from drug addiction, the neuronal pathways that may be involved, and the genetic susceptibility that may overlap between the two conditions. Finally, ICHD recommendations to treat MOH will be provided herein.
2021
Dependence; Drug abuse; Migraine; Substance abuse; Vulnerability; Analgesics; Humans; Prescription Drug Overuse; Tryptamines; Headache Disorders, Secondary; Migraine Disorders; Substance-Related Disorders
01 Pubblicazione su rivista::01g Articolo di rassegna (Review)
Medication overuse and drug addiction: a narrative review from addiction perspective / Takahashi, T. T.; Ornello, R.; Quatrosi, G.; Torrente, A.; Albanese, M.; Vigneri, S.; Guglielmetti, M.; Maria De Marco, C.; Dutordoir, C.; Colangeli, E.; Fuccaro, M.; Di Lenola, D.; Spuntarelli, V.; Pilati, L.; Di Marco, S.; Van Dycke, A.; Abdullahi, R. A.; Maassen van den Brink, A.; Martelletti, P.. - In: THE JOURNAL OF HEADACHE AND PAIN. - ISSN 1129-2369. - 22:1(2021), p. 32. [10.1186/s10194-021-01224-8]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1579087
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