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Retrospective chart review at a headache clinic seeing adolescent concussion patients
70.1% met criteria for probable medication-overuse headache
Once culprit over the counter medications (NSAIDs, acetaminophen) were discontinued,
68.5% of patients reported return to their preinjury headache status
Take home: Excessive use of OTC analgesics post concussion may contribute to chronic post-traumatic headaches
If you suspect medication overuse, consider analgesic detoxification
References
Heyer and Idris., 2014. Pediatr Neurol. Does analgesic overuse contribute to chronic post-traumatic headaches in adolescent concussion patients?