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Medication-overuse headache — GPhC CRA MCQ

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ModerateCNS TherapeuticsMedication-overuse headacheGPhC CRA

A patient asks to buy co-codamol for headaches. He reports using codeine-containing analgesics on most days for the past 2 months because the headaches keep returning. What is the most appropriate action?

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Correct answer: DExplain possible medication-overuse headache and refer for structured withdrawal advice

Regular use of opioids or combination analgesics can cause medication-overuse headache. The scenario needs assessment and a supported plan to withdraw the overused medicine. Supplying larger quantities or adding further analgesics is likely to perpetuate the problem. The patient should be signposted to appropriate medical review, especially if red flags are present.

Reference: NICE CKS; BNF