Is eptinezumab 400 mg IV every 12 weeks safe, tolerable, and effective for long-term prevention of chronic cluster headache?
Which treatment strategyโwithdrawal, prevention (oral, anti-CGRP, botulinum toxin), education, neurostimulation, or combinationsโis most effective at reducing monthly headache days in patients with medication-overuse headache?
MOH NMA Liu 2025
Network meta-analysis comparing efficacy of different strategies on medication-overuse headache
Bottom Line: Combination therapiesโparticularly abrupt withdrawal + oral prevention + greater occipital nerve block, and restriction + oral prevention + anti-CGRP(R) therapyโare the most effective initial strategies for medication-overuse headache. Oral prevention, anti-CGRP(R) therapies, and botulinum toxin all significantly reduce monthly headache days with similar efficacy as monotherapies. Abrupt withdrawal alone is…