I am a bit confused about MOH. Can naproxen sodium (Aleve, etc) cause it? I don't see it listed among the usual suspects. I take naproxen as my first line defense against my chronic daily migraines. It is, thankfully, sometimes effective and I'd hate to give it up. Thanks. Elizabeth.
NSAIDs such as naproxen sodium should not be taken daily. A recent study confirmed that:
NSAIDs were actually associated with a decreased risk of transformed Migraine ONLY for Migraineurs with fewer than 10 - 14 Migraine days per month. This would serve to confirm that NSAID use should be restricted to no more than two or three days per week and should NOT be used for Migraine prevention.
For more information on this, please see Medication Overuse Headache - When the Remedy Backfires.
It's entirely possible that daily use of naproxen sodium is making things worse for you. The better option is to work with your doctor to find an effective preventive regimen. If your doctor isn’t able to help you, it may well be time to consult a Migraine and headache specialist. It’s important to note that neurologists aren’t necessarily Migraine and headache specialists. Take a look at the article Migraine and Headache Specialists - What's So Special? If you need help finding a Migraine specialist, check our listing of Patient Recommended Migraine and Headache Specialists.
John Claude Krusz and Teri Robert
To review other questions from our Ask the Clinician Column,
browse the Ask the Clinician archives.
If you need help finding a Migraine and headache specialist,
visit our listing of Patient Recommended Specialists.
About Ask the Clinician:
Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert.
If you have a question, please click HERE. Accepted questions will be answered by publishing the answers here. Due to the number of questions submitted, no questions will be answered privately, and questions will be accepted only when submitted via THIS FORM. Please do not submit questions via email, private message, or SharePost comments. Thank you.
Please note: We cannot handle emergencies or diagnose via the Internet. Please do not ask us to diagnose; see your physician for diagnosis.
We hope you find this general medical and health information useful, but this Q & A is meant to support not replace the professional medical advice you receive from your doctor. For all personal medical and health matters, including decisions about diagnoses, medications and other treatment options, you should always consult your doctor. See full Disclaimer.
Support, Advocacy, Legal IssuesActs of Kindness to Perform for People with Migraines
Understanding MigrainesHow to Manage Your Migraines
Understanding MigrainesTop Migraine Questions and Answers