Introduction 

-Medication Overuse headache occurs when long-term use of analgesics is interrupted for a few hours. 

-The prevalence is higher in women than in men 

– Most common primary headache associated is migraine 

-the risk is high with butalbital, tylenol, aspirin, triptans,opioids, ergotamines, NSAIDS 

Symptoms & Signs 

-Patient experiences headaches when he or she goes a certain period of time without taking analgesics

Diagnosis 

-a history of analgesic use averaging more than two to three days per week (15 or more days per month) in association with chronic daily headache

Treatment 

-Discontinuation of the offending medication 

-Patient education