Natural healing can be as effective as a prescription pain reliever, and it has the advantage of not having any side effects. If you have a headache, or if you are having a headache, here are some of the ways to introduce it today.
However, it is not necessarily limited to such patients. Diagnosis can be any patient who complains of frequent headaches because it accounts for 30 to 60% of chronic daily headaches.
According to the definition of Silverstein and Lipton (SL criteria) For more than 1 month, take simple analgesics such as aspirin or acetaminophen for more than 1000mg per day for more than 5 days a week Complex painkillers containing caffeine or barbiturate If you take more than 4 tablets per day for more than 3 days a week, or If you take drugs, take 2 tablets per day for more than 2 days a week If you use ergotamine more than 1mg orally per week, or more than 0.5mg as a suppository, it is said to be overdose. .
Therefore, in order to check the drug overdose condition in patients, it is necessary to check the overdose, the dose used, the number of days per week, and the total period overdose, and describe the reaction phenomenon that occurs when the drug is stopped.
Drugs that cause MOH well include ergotamine, tryptan, simple analgesics, opioids, and complex analgesics. Interestingly, tryptan causes MOH faster even when taken at a lower frequency than single analgesics such as ergotamine and aspirin and paracetamol (Neurology 2002; 59: 1011).
Meanwhile, caffeine, codeine, and barbiturates and painkillers are known to be easier to progress to MOH when used in combination with caffeine and ergotamine, capelgot (Novatis). Therefore, the role of the primary medical institution that faces headache patients the most is emphasized. This is because prescription and medication guidance considering MOH risk factors play a decisive role for prevention.
the primary treatment for MOH is discontinuation of overdose. If you stop overdose for a long period of time, you will experience severe headache, nausea, vomiting, excitement, irritation, sweating, tachycardia, and insomnia due to withdrawal symptoms. It usually lasts about 2 to 10 days, but may take up to a month depending on the patient. have.
Therefore, along with discontinuation of the dose, bridge therapy for withdrawal headache should be started along with symptomatic therapy. Nonsteroidal anti-inflammatory drugs (NSAIDs), prednisone, and prochlorperazine intravenous injection are used as bridge therapy.
Of the NSAIDs, naproxen is the most commonly used. In particular, it has been reported that in the case of ergotamine-based MOH patients, if 500 mg of naproxen is started twice a day from the day before the overdose is discontinued, and 8 days of dosing is stopped while the overdose is stopped, the pain due to headache is much less than those who just stop.