When prescribing any headache therapy, appropriate use of medications needs to be discussed to prevent medication-overuse headaches. A clinical characteristic of medication-overuse headaches is that they:
1. Are increasing in frequency
2. Are increasing in intensity
3. Recur when medication wears off
4. Begin to cluster into a pattern
Question 2
Preventative therapy for cluster headaches includes:
1. Massage or relaxation therapy
2. Ergotamine nightly before bed
3. Intranasal lidocaine four times a day during clusters of headaches
4. Propranolol (Inderal) daily