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Medication-overuse headache — GPhC CRA MCQ

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ModerateCNS TherapeuticsMedication-overuse headacheGPhC CRA

A 44-year-old woman has taken sumatriptan on 12 days this month and co-codamol on another 10 days for migraine. She asks for a stronger OTC painkiller because headaches now occur most mornings. What would you advise the patient?

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Correct answer: D — Discuss possible medication-overuse headache and refer for GP review

Frequent use of triptans and opioid-containing analgesics can contribute to medication-overuse headache. Morning headaches and escalating use suggest the need for clinical review and a structured withdrawal/prevention plan. Codeine-containing products can worsen the problem and carry dependence risk. Preventive migraine treatment should be assessed by a prescriber.

Reference: NICE CKS Headache; BNF