8.2.2 Triptan-overuse headache

Diagnostic criteria:
A. Headache fulfilling criteria for 8.2 Medication-overuse headache
B. Regular intake of one or more triptans1, in any formulation, on ≥10 days per month for >3 months.

Note:
1. The triptan(s) will usually be specified in parenthesis.

Comments:
Triptan overuse may increase migraine frequency to that of 1.3 Chronic migraine. Evidence suggests that this occurs sooner with triptan overuse than with ergotamine overuse.

A patient who fulfils the criteria for 8.2.2 Triptan-overuse headache and has regularly used or overused other drug(s) for the acute or symptomatic treatment of headache for more than three months should be given all other applicable codes.