Adult headache algorithm
#fm
If migraine/TT headache, consider medication overuse:
Assess
-ergots/triptans/combo analgesics/codeine/other opioids for 10 or more d/mo
OR
-acetaminophen/NSAIDs 15 or more d/mo
Manage
-educate
-consider prophy med
-provide effective acute med for severe attacks but limit freq of use
-gradual withdrawal if opioids/combo analgesics w/ opioid or barbiturate
-abrupt/gradual withdrawal if acetaminophen/NSAID/triptan
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Adult Headache Algorithm
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