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Medication overuse headache — GPhC CRA MCQ

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EasyCNS TherapeuticsMedication overuse headacheGPhC CRA

A 44-year-old patient buys co-codamol and ibuprofen frequently for headaches. They report headache on most days and use analgesics more than 15 days each month. Neurological symptoms are absent. What is the most appropriate action?

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Correct answer: D — Refer for review of medication overuse headache

Frequent analgesic use can perpetuate medication overuse headache. The patient needs review and a plan to reduce overused medicines with support. Escalating analgesic supply or adding codeine can worsen the problem.

Reference: NICE CKS; BNF