Medication and Psychotherapy for Cluster Headache with
Opioid Abuse: A Case Report and Literature Review Volume 4 - Issue 3
Chu Yan Lin and Li Wan*
Department of Pain Management, The State Key Clinical Specialty for Pain Medicine, The Second Affiliated hospital, Guangzhou Medical
University, Guangzhou, Guangdong, PR China
Received: August 26, 2020; Published: September 02, 2020
Corresponding author: Li Wan, Department of Pain Management, The State Key Clinical Specialty for Pain Medicine, The Second
Affiliated hospital, Guangzhou Medical University, Guangzhou, Guangdong,PR China
Background: Cluster headache is a common severe unilateral headache in clinical practice. It can seriously impact on patient
life, including restrict in the patient daily living, interrupt the social-activity participation, family life, and overall life changes.
CasePresentation: Here, we reported a young cluster headache patient who received unregulated medicines treatment and
other minimally invasive procedures for pain relief and doctors hoping for 2 years, due to the unsatisfied pain relief and timely severe
pain attach, she developed opioid abuse. After she hospitalized to our department, the symptoms and attack characteristic were
observed carefully and differentiation diagnosis was done to exclude the brain, cervical or trigeminal nerve disease. Standardized
medicines for cluster headache was taken for her, except this, midazolam was given to antagonist opioids abuse for 1 weeks, the
pain satisfied controlled and VAS 1-2, medicines were continuous for 6 months and follow up for 2 years, there are no opioid abuse
again andthe patient returned to normal work.
Conclusion: Careful observation of pain attack, definitive correct diagnosis and medications are very important in prevent
acute pain chronically, and health cognitive education and direction is also important in pain relief and prevent drug abuse and
Keywords: Cluster headache; Opioid abuse; Diagnosis; Health cognitive education and direction.