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Educating General Practitioners about Medication-overuse Headache: Importance and Call to Action Sofyan, Henry Riyanto; Madjid, Irma Savitri; Faiq, Ahmad Rafi; Indrapriambada, Ery Riady; Humaira, Sarah; Aninditha, Tiara
Acta Neurologica Indonesia Vol. 3 No. 01 (2025): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v3i01.49

Abstract

Medication overuse headache (MOH) is a secondary headache that frequently accompanied chronic primary headaches which poses a great burden in an individual and systemic level. Globally, it is recognized as one of the relevant headaches for primary care. However, in Indonesia, it has not been included in the standard competence for doctors, and therefore has been underrecognized by general practitioners who encountered headache patients in primary care. In this policy brief, we mapped the problems regarding MOH and proposed several action plans, including educating GPs, as the recommendations.
Tata Cara Pengisian Headache Diary sebagai Instrumen Pemantauan dan Diagnosis Nyeri Kepala: Sebuah Tinjauan Pustaka Sofyan, Henry Riyanto; Savitri, Irma; Afany, Nur; Riady Indrapriambada, Ery; Faiq, Ahmad Rafi; Aninditha, Tiara
Majalah Kedokteran Indonesia Vol 75 No 6 (2025): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.75.6-2025-2005

Abstract

Headache diary is an important tool for improving the diagnostic accuracy and clinical monitoring of headache disorders, particularly in conditions with variable or chronic patterns such as migraine. In the absence of a gold-standard diagnostic test, prospective documentation helps reduce recall bias and supports classification based on ICHD-3 criteria. This narrative review summarizes the evidence on the use of paper headache diaries (PHD) and electronic headache diaries (EHD) in clinical practice. Various studies demonstrate that both formats enhance diagnostic precision, facilitate identification of triggers and attack patterns, and support evaluation of abortive and prophylactic therapies. EHD provides additional advantages through automated time-stamping, graphical trend visualization, and easier longitudinal analysis, although its use may be limited by device availability and digital literacy. Evidence from local and international studies consistently highlights the value of headache diaries across primary, secondary, and tertiary care settings. Overall, headache diaries remain practical, effective instruments that should be integrated into routine clinical management of headache disorders.