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| Name | Class |
|---|---|
| Rigshospitalet, Denmark | OTHER |
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The project will be conducted to investigate the hormonal homeostasis in men and women, with a special emphasis on sex hormones in men and AMH level in women, before and after withdrawal of the overused analgesics among MOH patients. Additionally, a more broad endocrine profile will be explored before and after withdrawal.
It is hypothesized that patients with MOH have disturbed hormone levels, which is normalized after withdrawal of the medication-overuse.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standard withdrawal therapy | Other | All painkillers are abruptly stopped for a 2 months period. |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of levels of following circulating and excreted hormones in the pituitary-gonadal axis at baseline and after 2 months of withdrawal | For male patients with MOH: LH, FSH, testosterone, ratio free testosterone/LH, E2, AMH, inhibin B and sex hormone-binding globulin (SHBG) For female patients with MOH: AMH Standardized reference values are available for all the mentioned levels of sex hormones. | From baseline to 2 months follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Days with analgesics, migraine medication, rescue medication and other medication during the withdrawal period. | At baseline; and from baseline to 2 months follow-up | |
| Types and doses of analgesics, migraine medication, rescue medication and other medication during the withdrawal period. |
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Inclusion Criteria:
Exclusion Criteria:
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Patients fulfilling the ICHD3-criteria for medication-overuse headache. 50 men and 50 women.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Danish Headache Center | Glostrup Municipality | Copenhagen | 2600 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39558601 | Derived | Carlsen LN, Nielsen BS, Rouw C, Petersen MR, Lindh CH, Krais AM, Westgate CSJ, Jeppesen JV, Jensen LB, Kristensen SG, Ziebe S, Jensen RH, Kristensen DM. Overuse of analgesics can affect the fertility biomarker Anti-Mullerian Hormone in females. A translational study. Cephalalgia. 2024 Nov;44(11):3331024241290530. doi: 10.1177/03331024241290530. |
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| ID | Term |
|---|---|
| D004700 | Endocrine System Diseases |
| D051271 | Headache Disorders, Secondary |
| D008881 | Migraine Disorders |
| ID | Term |
|---|---|
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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Blood samples and urine collection
| At baseline; and from baseline to 2 months follow-up |
| Levels of circulating pharmaceuticals at baseline and 2 months after withdrawal with special focus on paracetamol, NSAIDs, triptans and opioids for relation to levels of hormones from both genders. | At baseline; and from baseline to 2 months follow-up |
| Levels of circulating pharmaceutical metabolites (known and potential new unknown) of pa-racetamol, NSAIDs, triptans and opioids at baseline and 2 months after withdrawal with special focus for relation to levels of hormones from both genders. | At baseline; and from baseline to 2 months follow-up |
| Comparison of a broad screening of the endocrinological profile before and 2 months after withdrawal. | At baseline; and from baseline to 2 months follow-up |
| Relation between headache days per month and levels of hormones at baseline and at 2 months follow-up. | At baseline; and from baseline to 2 months follow-up |
| Relation between reproductive health related to compensated hypogonadism, e.g. erectile dysfunction at baseline and at 2 months follow-up. | At baseline; and from baseline to 2 months follow-up |
| Relation between PSS, HADS, and FSMC, respectively, and levels of sex hormones at baseline and at 2 months follow-up, since hormone levels may be affected in stressed periods | At baseline; and from baseline to 2 months follow-up |
| D051270 | Headache Disorders, Primary |