Background
MOH in historical perspective
Current definitions
8.2 Medication-overuse headache (MOH) A. Headache occurring on ≥15 days/month in a patient with a pre-existing headache disorder B. Regular overuse for > 3 months of one or more drugs that can be taken for acute and/or symptomatic treatment of headache C. Not better accounted for by another ICHD-3 diagnosis. 8.2.1 Ergotamine-overuse headache A. Headache fulfilling criteria for 8.2 Medication- overuse headache B. Regular intake of ergotamine on ≥10 days/month for > 3 months. 8.2.2 Triptan-overuse headache A. Headache fulfilling criteria for 8.2 Medication- overuse headache B. Regular intake of one or more triptans,1 in any formulation, on ≥10 days/month for > 3 months. 8.2.3 Non-opioid analgesic-overuse headache 8.2.3.1 Paracetamol (acetaminophen)-overuse headache A. Headache fulfilling criteria for 8.2 Medication- overuse headache B. Regular intake of paracetamol on ≥15 days/ month for > 3 months. 8.2.3.2 Non-steroidal anti-inflammatory drug (NSAID)- overuse headache A. Headache fulfilling criteria for 8.2 Medication- overuse headache B. Regular intake of one or more non-steroidal anti-inflammatory drugs (NSAIDs) (other than acetylsalicylic acid) on ≥15 days/month for > 3 months. 8.2.3.2.1 Acetylsalicylic acid-overuse headache A. Headache fulfilling criteria for 8.2 Medication- overuse headache B. Regular intake of acetylsalicylic acid on ≥15 days/ month for > 3 months. 8.2.3.3 Other non-opioid analgesic-overuse headache A. Headache fulfilling criteria for 8.2 Medication- overuse headache B. Regular intake of a non-opioid analgesic other than paracetamol or non-steroidal anti-inflammatory drugs (including acetylsalicylic acid) on ≥15 days/month for > 3 months. 8.2.4 Opioid-overuse headache A. Headache fulfilling criteria for 8.2 Medication- overuse headache B. Regular intake of one or more opioids on ≥10 days/month for > 3 months. 8.2.5 Combination-analgesic-overuse headache A. Headache fulfilling criteria for 8.2 Medication- overuse headache B. Regular intake of one or more combination-analgesic medications on ≥10 days/month for > 3 months. 8.2.6 Medication-overuse headache attributed to multiple drug classes not individually overused A. Headache fulfilling criteria for 8.2 Medication- overuse headache B. Regular intake of any combination of ergotamine, triptans, non-opioid analgesics and/or opioids on a total of ≥10 days/month for > 3 months without overuse of any single drug or drug class alone. 8.2.7 Medication-overuse headache attributed to unspecified or unverified overuse of multiple drug classes A. Headache fulfilling criteria for 8.2 Medication- overuse headache B. Both of the following: 1. regular intake of any combination of ergotamine, triptans, non-opioid analgesics and/or opioids on ≥10 days/month for > 3 months 8.2.8 Medication-overuse headache attributed to other medication A. Headache fulfilling criteria for 8.2 Medication- overuse headache B. Regular overuse, on ≥10 days/month for > 3 months, of one or more medications other than those described above, 1 taken for acute or symptomatic treatment of headache. |