Study of the use of analgesics by patients with headache at a specialized outpatient clinic (ACEF)

Arquivos de Neuro-Psiquiatria

Olga Francis Pita Chagas¹  Fabiola Dach Éckeli¹  Marcelo E. Bigal¹  Mayko Olinto Amaral Da Silva¹  Jose Geraldo Speciali¹ 

关键词: headache;    analgesics;    medication overuse headache;    epidemiology;    cefaleia;    analgésicos;    cefaleia por uso excessivo de medicamento;    epidemiologia;   

DOI  :  10.1590/0004-282X20150072

来源: SciELO

【 摘 要 】

Objective : To evaluate the use of analgesics in headache diagnosed in Outpatients Headache Clinic (ACEF), as well as his involvement in the activities of the patients. Method : 145 patients with headache seen at ACEF during the period August/July 2009/2010 underwent a questionnaire and interview with neurologist responsible for the final diagnosis according to ICHD-II. Results : Relationship Women:Men 7:1. 1) Prevalence: Migraine without aura (52.4%), migraine with aura (12.4%), chronic migraine (15.2%) and medication overuse headache (MOH) (20%). 2) Analgesic drugs used: Compounds with Dipyrone (37%), Dipyrone (23%), Paracetamol (16%) compound with Paracetamol (6%), triptans (6%) and non steroidal anti-inflammatory drugs (12%). There was a significant decrease in the duration of pain and less interference in the activities of the headache patients after the use of analgesics. Conclusion : Prevalence of MOH has been increasing in population level and specialized services. New studies emphasizing the MOH are needed to assist in the improvement of their diagnostic and therapeutic approach.

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