- Patient takes one or more meds containing a triptan 10+ days per month for 3+ months.
- As more triptans are taken, headaches have increased to 10+ days per month.
- Typically these attacks are not just headache but include other migraine symptoms.
- Patients will have an underlying condition (a type of migraine) as well as the diagnosis of TOH.
Usually attacks decrease within 2 months after patient stops using triptans.
A patient taking triptans AND other abortives may be diagnosed with combination-analgesic-overuse headache, a condition which may be harder to treat.
Even if a patient technically doesn’t have TOH, they may still be taking too many triptans. Talk to a specialist who knows your medical history.
For more information:
- Medication-Overuse Headache and the Brain (new study)
- Triptan-overuse headache
- One or several types of triptan overuse headaches?
- Help! How Can I Not Overuse Migraine Medications?
- Painkillers â€“ How Much is Too Much?
- The International Classification of Headache Disorders, 3rd edition (beta version) (pdf)