Evidence map›Paper›PMID 39337929›Full record

ReviewLife (Basel, Switzerland)2024

Medication-Overuse Headache: Update on Management.

Prut Koonalintip, Katherine Phillips, Benjamin R Wakerley

Registry-linked trialAbstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07568496 (Greater Occipital Nerve Block for Migraine With Medication Overuse Headache), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07568496 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Greater Occipital Nerve Block for Migraine With Medication Overuse Headache

TypeinterventionalSponsorMahidol UniversityRan2026 to 2028Enrolled130ConditionsMigraine Disorders, Medication Overuse Headache, Greater Occipital Nerve BlockArmsLidocaine 2% and Methylprednisolone 80 mg, Placebo
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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  7. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Prut KoonalintipDivision of Neurology, Department of Internal Medicine, Prince of Songkla University, Hatyai 90110, Songkhla, Thailand.ORCID 0000-0001-9741-2578
Katherine PhillipsInstitute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.ORCID 0000-0003-0674-605X
Benjamin R WakerleyDepartment of Neurology, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2GW, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Long-term frequent use of acute pain medication for the treatment of headaches has paradoxically been shown to increase the frequency of headaches. So-called medication-overuse headache (MOH) is particularly problematic in patients with migraine who overuse triptans and opioids. Prevention through education remains the most important management strategy. Once established, MOH can be difficult to treat. Although complete or near-complete withdrawal of acute pain medication for 8-12 weeks has been shown to benefit most patients, this can be hard to achieve. The use of OnabotulinumtoxinA and drugs that target the calcitonin gene-related peptide system for the prevention of migraines have been shown to benefit patients with MOH. Furthermore, the use of novel acute pain medication for migraines, including Gepants and Ditans, which do not cause MOH, are likely to improve patient outcomes. In this review article we examine the following: the burden of MOH; who develops MOH; the pathophysiological mechanisms; and the treatment strategies.

Indexed as

chronic migrainemedication-overuse headacherebound headache

Identifiers

PMID39337929
PMCPMC11432938

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.