Management of Headache
Publication Date: October 1, 2023
Last Updated: October 12, 2023
Medication Overuse Headache Screening and Other Considerations
We suggest providers assess for and consider the following high-risk factors for medication overuse headache in patients with headache (in order of relative impact):
- Headache frequency (greater than or equal to 7 days per month)
- Migraine diagnosis
- Medication use: frequent use of anxiolytics, analgesics (for any condition, including use of opioids or non-opioid analgesics for acute treatment of migraine), or sedative hypnotics
- History of anxiety or depression, especially in combination with musculoskeletal complaints or gastrointestinal complaints
- Physical inactivity
- Sick leave of greater than 2 weeks in the last year
- Self-reported whiplash
- Smoking (tobacco use)
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Pharmacotherapy
Headache - Preventive
There is insufficient evidence to recommend for or against coenzyme Q10, feverfew, melatonin, omega-3, vitamin B2, or vitamin B6 for the prevention of headache. (Neither for or against)
315659
Overview
Title
Management of Headache
Authoring Organization
Veterans Health Administration / Department of Defense
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