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Medication-overuse headache — GPhC CRA MCQ

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ModerateCNS TherapeuticsMedication-overuse headacheGPhC CRA

A patient with migraine uses co-codamol on 20 days each month and sumatriptan on 12 days each month. Headaches are now almost daily. What is the most appropriate action?

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

Frequent use of opioids, combination analgesics and triptans can contribute to medication-overuse headache. The patient needs structured review, withdrawal planning where appropriate and consideration of migraine prevention. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: NICE CKS; BNF