Medication Overuse Prevention and Contraindicated Treatments for Tension‑Type Headache

Acute Medication Overuse Prevention

• Limit the use of NSA‑based acute analgesics to fewer than 15 days per month to avoid medication‑overuse headache, which is defined as headache occurring ≥15 days per month for at least 3 consecutive months due to overuse of acute medication. 1

Contraindicated Acute Therapies

• Triptans, muscle relaxants, and opioids should not be used for tension‑type headache because they lack demonstrated efficacy for this condition and are associated with significant adverse‑event risk; triptans are specific to migraine treatment. 1