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Medication-overuse headache — GPhC CRA MCQ

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ModerateCNS TherapeuticsMedication-overuse headacheGPhC CRA

A 36-year-old woman taking sumatriptan for migraine asks for advice because she has needed it on 12 days this month. She also buys co-codamol frequently. What is the most appropriate action?

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Correct answer: B — Refer for review because of possible medication-overuse headache

Frequent use of triptans and analgesics can contribute to medication-overuse headache. The patient needs review of diagnosis, acute treatment frequency and preventive options. Regular opioid-containing analgesics are generally discouraged in migraine because they can worsen overuse and dependence risk.

Reference: NICE CKS; BNF