A 37-year-old woman presents with headaches for 6 months. She has been taking analgesics regularly. The headache recently increased in severity for 3 days but was reduced on stopping the analgesic. What is the likely diagnosis?

Options

1. Medication overuse headache
2. Tension headache
3. Chronic migraine
4. Cluster headache

Correct Answer

Medication overuse headache

Explanation

Medication overuse headache (MOH), also called rebound headache, occurs when analgesics are used frequently (>10-15 days/month for >3 months). The headache worsens with continued medication use and improves upon withdrawal. Management involves discontinuation of the offending medication and prophylactic therapy.

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