Are there predictive factors for long-term outcome after withdrawal in drug-induced chronic daily headache?

Objectives To investigate prognostic factors for long-term outcome of patie nts after inpatient withdrawal because of drug-induced chronic daily headac he. Procedures Fifty-five patients (36 females) were re-examined by means of a standardized interview after inpatient withdrawal. The mean observation per iod was 9.28 +/-2.85 years (mean +/- SD; median 8.58; range 5.00-13.50). Results Five years after withdrawal, one-third of the patients (34.6%) had an overall favourable outcome, one-third (32.7%) had no recurrent drug over use and reported a clear-cut improvement of headache, and one-third (32.7%) developed recurrent drug overuse. Most relapses occurred within 2 years, a nd a small percentage within 5 years. No predictors for long-term outcome a fter inpatient withdrawal were found. Conclusions All patients with drug-induced chronic daily headache should be considered as good candidates for inpatient withdrawal, and no patient sho uld be excluded from that therapy.