RecommendationIn patients overusing acute treatment, medication overuse should be addressed.

The choice of strategy to address medication overuse should be tailored to the individual patient and may be influenced by comorbidities. Strategies include:

  • abrupt withdrawal alone and considering preventative treatment after a delay
  • abrupt withdrawal and immediately starting preventative treatment
  • starting a preventative treatment without withdrawal.

Good practice point tickConsider withdrawing regular opioids gradually.

RecommendationPrednisolone should not be used routinely in the management of patients with medication-overuse headache.