Analgesic abuse headache: risk factors and causes of poor adherence in the detox process
DOI:
https://doi.org/10.48208/HeadacheMed.2021.21Keywords:
medication overuse headache, risk factor, Comorbidities, Poor adherence, Dependence, Headache DisordersAbstract
Background
Medication overuse headache (MOH) is characterized by a pre-existing primary or secondary headache associated with medication overuse.
Aims
To identify the clinical, epidemiological, and therapeutic profiles associated with MOH and poor adherence to treatment.
Methods
A cross-sectional, comparative, descriptive, analytical study was carried out to assess the characteristics of patients with MOH treated at the Hospital Geral de Fortaleza (HGF).
Results
103 patients participated, 95 (92.2%) women and 8 (7.8%) men. Of these, 55 (53.4%) patients answered that had already been instructed about the MOH, however they continue to abuse medication for many reasons i.e.: difficulty in bearing pain, and fear of worsening the pain. When asked about what could be done to improve adherence to treatment, in a general way, 28 (27.2%) were unable to inform, 37 (35.9%) answered that most frequent consultations could help. Furthermore, 19 (18.4%) believe that psychological counseling wound bring benefits.
Conclusion
The lack of guidance or interest in the guidelines provided are real and important obstacles to treat MOH. Changes in the care model that include effective communication, more frequent return, family and psychotherapy support and close monitoring by the physician or nurses are factors that should be considered in headache clinics.
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