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CONy 2024 | The value of switching analgesics in medication overuse headache treatment

Morris Levin, MD, University of California San Francisco, San Francisco, CA, discusses the value of switching from an overused acute medication to another type of analgesic in patients with medication overuse headache (MOH). The findings of several studies suggest that in the situation where the overused acute medication cannot be discontinued, it may be sufficient to swap to a different type of acute medication. Prof. Levin believes that there is a hierarchy of acute medications in the context of MOH, with certain acute medications being substantially more likely to cause MOH than others, and that this means there are many treatment options available for clinicians to swap to when treating MOH. Consideration should be taken as to where the overused medication is on the hierarchy described by Prof. Levin and which type of preventative medication could be prescribed alongside the acute medication to try to manage the condition. This interview took place at the 18th Annual Congress on Controversies in Neurology (CONy 2024) in London, UK.

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