Caffeine use disorder and analgesic dependence in medication-overuse headache: insights into an underrecognized relationship - Report - MDSpire

Caffeine use disorder and analgesic dependence in medication-overuse headache: insights into an underrecognized relationship

  • By

  • Rehab Magdy

  • Amr Hassan

  • Mona Hussein

  • Alaa Elmazny

  • Osama Yacoub

  • Mohamed Abdelghaffar

  • Nourhan Abdelmohsen Taha

  • Ahmed Essmat

  • May M. Fayez

  • Nahla Merghany

  • Anas Elgenidi

  • Ahmed Dahshan

  • July 13, 2026

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Clinical Report: Exploring the Connection Between Caffeine Use Disorder and Analgesic Dependence

Overview

This study investigates the relationship between caffeine use disorder and analgesic dependence in patients with medication-overuse headache (MOH). Findings indicate that MOH patients exhibit higher caffeine consumption and greater psychological distress compared to non-MOH patients.

Background

Caffeine has a complex role in headache disorders, acting both as an analgesic and a potential contributor to headache chronification. Understanding its relationship with medication-overuse headache (MOH) is crucial, as MOH is a common condition that can significantly impact patients' quality of life.

Data Highlights

MeasureMOH PatientsNon-MOH Patients
Monthly Headache Days (MHD)HigherLower
Acute Medication Days (AMD)HigherLower
Caffeine Use Disorder Questionnaire (CUDQ) ScoreMedian 10Median 7
Heavy Caffeine Consumption23.8%9.3%

Key Findings

  • 33.2% of patients met ICHD-3 criteria for MOH.
  • MOH patients had significantly higher headache burden and psychological distress.
  • Heavy caffeine consumption was more prevalent in MOH patients (23.8% vs. 9.3%).
  • Caffeine use disorder scores correlated positively with headache impact and psychological distress measures.
  • Analgesic dependence severity was associated with caffeine use disorder in MOH patients.

Clinical Implications

Healthcare providers should assess caffeine consumption behaviors in patients with medication-overuse headache.

Conclusion

The study found an association between caffeine use disorder and analgesic dependence in patients with medication-overuse headache.

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  5. Full article, 2025 -- Is medication-overuse headache an addiction disorder?
  6. Peripheral nerve block in patients with medication-overuse headache: systematic review and meta-analysis | BMC Neurology | Springer Nature Link, 2026
  7. Caffeine and Headache: Exploring the Multifaceted Relationship - PubMed, 2026
  8. Full article: Is medication-overuse headache an addiction disorder?
  9. Peripheral nerve block in patients with medication-overuse headache: systematic review and meta-analysis | BMC Neurology | Springer Nature Link
  10. Caffeine and Headache: Exploring the Multifaceted Relationship - PubMed

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