Medication-overuse headache: can anti-CGRP monoclonal antibodies replace withdrawal?

이 페이지는 아래 학술 논문의 초록(Abstract) 전문을 제공합니다. 원문은 하단 링크에서 확인하세요.

◆ 논문 초록 (Abstract)

INTRODUCTION: Medication-overuse headache (MOH) is a secondary headache disorder arising from the excessive use of acute headache medications, most commonly triptans and nonsteroidal anti-inflammatory drugs (NSAIDs). Traditional management relies on education strategies and drug withdrawal followed by preventive therapy, but relapse rates remain high and detoxification is not always feasible. AREAS COVERED: This review summarizes current evidence on anti-calcitonin gene-related peptide (CGRP) monoclonal antibodies in migraine patients with medication overuse or MOH. A structured literature search was conducted in PubMed and Scopus for studies published up to August 2025. Erenumab, fremanezumab, galcanezumab and eptinezumab consistently reduced headache frequency, acute medication intake and disability, even when initiated without prior withdrawal of overused drugs. Rates of remission from MOH to non-overuse status were high, and safety profiles were comparable to those observed in general migraine populations. EXPERT OPINION: Anti-CGRP antibodies offer a targeted strategy capable of interrupting the cycle of overuse and sensitization underlying MOH. Early initiation of anti-CGRP therapy during ongoing overuse appears effective and well tolerated, but long-term outcomes are likely improved when treatment is accompanied by patient education and, in selected cases, structured withdrawal.

◆ 원문 정보
저자: Pellesi L, Lo Castro F, Boccalini A, Allamprese R, Guerzoni S
저널: Expert Rev Neurother
연도: 2026
DOI: 10.1080/14737175.2025.2596783

PubMed 원문 보기 →   DOI 바로가기 →

🔗 이 논문을 인용한 글

• 휴대폰 없이 하루를 보낼 수 있을까? 디지털 디톡스 7일 챌린지 후기