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Migraine medication overuse — GPhC CRA MCQ

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EasyCNS TherapeuticsMigraine medication overuseGPhC CRA

A patient buys sumatriptan and co-codamol frequently for headaches occurring most days. She says she takes pain relief on about 20 days each month. What is the most appropriate action?

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Correct answer: ARefer for review of possible medication-overuse headache

Frequent use of acute headache medicines can contribute to medication-overuse headache. Regular opioid-containing analgesics are particularly problematic and should be avoided where possible. The patient needs review and a plan for withdrawal and prevention where appropriate.

Reference: NICE CKS; BNF