Factors Associated with Over-the-Counter Analgesic Overuse among Individuals Experiencing Headache

The prevalence of chronic daily headache (CDH) worldwide is 4–5%. Treatment for CDH with prophylaxis and abortive medications is often delayed, increasing disease severity. Consequently, increased usage of over-the-counter (OTC) analgesics can lead to medication overuse headache (MOH). This study ai...

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Main Author: Maram Alshareef
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Clinics and Practice
Subjects:
Online Access:https://www.mdpi.com/2039-7283/12/5/74
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author Maram Alshareef
author_facet Maram Alshareef
author_sort Maram Alshareef
collection DOAJ
description The prevalence of chronic daily headache (CDH) worldwide is 4–5%. Treatment for CDH with prophylaxis and abortive medications is often delayed, increasing disease severity. Consequently, increased usage of over-the-counter (OTC) analgesics can lead to medication overuse headache (MOH). This study aimed to assess factors affecting OTC analgesic overuse causing headaches. Methodology: A cross-sectional structured survey was conducted using voluntary response sampling. Among 1177 respondents, 459 individuals with headache were enrolled in the study. Results: Most participants were female (73.5%), almost half were aged 20–39 years (48.1%), and over half used OTC analgesics (56%). A significant association was found between OTC analgesic overuse and factors, such as chronic disease (<i>p</i> = 0.007), working status (<i>p</i> = 0.015), smoking (<i>p</i> = 0.02), headache frequency >15 days per month (<i>p</i> = 0.000), migraine-type headache (<i>p</i> = 0.01), preventive medicine use (<i>p</i> = 0.018), and emergency department visit (<i>p</i> = 0.018). Conclusion: OTC analgesic overuse among individuals with headache is affected by several factors, including the presence of chronic diseases, working status, smoking, and migraine-type headaches. However, preventive medicine and emergency department visits were considered to have protective effects. Health care providers should screen patients for MOH, increase their awareness, and follow MOH guidelines to treat chronic headache.
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spelling doaj.art-8bc902fdc483493b9b9dcac503b5759a2023-11-23T23:34:56ZengMDPI AGClinics and Practice2039-72832022-09-0112571472210.3390/clinpract12050074Factors Associated with Over-the-Counter Analgesic Overuse among Individuals Experiencing HeadacheMaram Alshareef0Department of Community Medicine, Pilgrims Health Faculty of Medicine, Umm Al-Qura University, Makkah 21955, Saudi ArabiaThe prevalence of chronic daily headache (CDH) worldwide is 4–5%. Treatment for CDH with prophylaxis and abortive medications is often delayed, increasing disease severity. Consequently, increased usage of over-the-counter (OTC) analgesics can lead to medication overuse headache (MOH). This study aimed to assess factors affecting OTC analgesic overuse causing headaches. Methodology: A cross-sectional structured survey was conducted using voluntary response sampling. Among 1177 respondents, 459 individuals with headache were enrolled in the study. Results: Most participants were female (73.5%), almost half were aged 20–39 years (48.1%), and over half used OTC analgesics (56%). A significant association was found between OTC analgesic overuse and factors, such as chronic disease (<i>p</i> = 0.007), working status (<i>p</i> = 0.015), smoking (<i>p</i> = 0.02), headache frequency >15 days per month (<i>p</i> = 0.000), migraine-type headache (<i>p</i> = 0.01), preventive medicine use (<i>p</i> = 0.018), and emergency department visit (<i>p</i> = 0.018). Conclusion: OTC analgesic overuse among individuals with headache is affected by several factors, including the presence of chronic diseases, working status, smoking, and migraine-type headaches. However, preventive medicine and emergency department visits were considered to have protective effects. Health care providers should screen patients for MOH, increase their awareness, and follow MOH guidelines to treat chronic headache.https://www.mdpi.com/2039-7283/12/5/74medication overuseover-the-counter analgesicchronic daily headache
spellingShingle Maram Alshareef
Factors Associated with Over-the-Counter Analgesic Overuse among Individuals Experiencing Headache
Clinics and Practice
medication overuse
over-the-counter analgesic
chronic daily headache
title Factors Associated with Over-the-Counter Analgesic Overuse among Individuals Experiencing Headache
title_full Factors Associated with Over-the-Counter Analgesic Overuse among Individuals Experiencing Headache
title_fullStr Factors Associated with Over-the-Counter Analgesic Overuse among Individuals Experiencing Headache
title_full_unstemmed Factors Associated with Over-the-Counter Analgesic Overuse among Individuals Experiencing Headache
title_short Factors Associated with Over-the-Counter Analgesic Overuse among Individuals Experiencing Headache
title_sort factors associated with over the counter analgesic overuse among individuals experiencing headache
topic medication overuse
over-the-counter analgesic
chronic daily headache
url https://www.mdpi.com/2039-7283/12/5/74
work_keys_str_mv AT maramalshareef factorsassociatedwithoverthecounteranalgesicoveruseamongindividualsexperiencingheadache