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Medic-All Headache Team, Taipei VGH 〉 Detoxication of Medication Overuse Headache

Detoxication of Medication Overuse Headache

Detoxication of Medication Overuse Headache

1.Comprehensive investigation of medication overuse headache, including clinical, neuroimaging, psychiatry.
2.Integrated treatment by experienced and world-renowned experts.
3.Tailored treatment protocol to reduce adverse events & headach recurrence

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Overview
Medication overuse is the most important risk factor for headache chronification, and detoxification of the analgesics overused is pivotal for the success of the treatment of chronic headache. We provide an intensive and integrated treatment protocol for detoxification of medication overuse headache. The whole protocol involves clinical assessment, diagnostic workup, psychiatric consultation, nursing evaluation, inpatient treatment, response monitoring and management of possible adverse events. After detoxification, it is expected that patients with chronic headache will get improvement in headache frequency, severity, functional disability and life quality.
Features
In a previous study published by our group (Headache 2000; 40:724-729), 90% of the 136 enrolled headache patients achieved a 50% or greater reduction of headache intensity after intravenous prochlorperazine treatment, including 63% who became headache-free. The mean hospital stay was 6.2 ± 2.7 days, and mean total prochlorperazine used was 98 ± 48 mg. One hundred twenty-four patients (92%) were successfully followed up, with a mean duration of 14.3 ± 7.5 months. Compared with pretreatment status, 93 patients (75%) considered their headache intensity decreased, and 86 patients (69%) considered their headache frequency decreased, although 40 (32%) still had a daily headache.
Service Procedure
Notification
Patients have to keep headache preventive treatment for ~ 3 months after discharge. If acute headache recurs, follow the instructions to take abortive agents as soon as possible. Keep a headache diary and consult your doctor if headache worsened. It is also recommend to keep a healthy lifestyle, regular exercise, adequate sleep and avoid caffeine overintake.
Estimated Cost
(Prices listed below are for reference. Actual cost may be according to the real expense during the hospitalization.)
~2000-5000 USD
 
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