Clinical Features and Pharmacological Treatment of Migraine Patients Referred to Headache Specialists in Canada
| Autor: | MJ Gawel, SM Christie, AG Eloff, Rose Giammarco, Jane E. Magnusson, Werner J. Becker, Gordon F. Mackie, Susan E. Jelinski |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Canada medicine.medical_specialty Pediatrics Neurology Adolescent Migraine Disorders MEDLINE Triptans Pharmacological treatment 03 medical and health sciences 0302 clinical medicine Pharmacotherapy medicine Humans 030212 general & internal medicine Practice Patterns Physicians' Referral and Consultation Analgesics business.industry Physicians Family General Medicine Middle Aged medicine.disease Migraine Physical therapy Female Neurology (clinical) Headaches medicine.symptom Medication overuse business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Cephalalgia. 26:578-588 |
| ISSN: | 1468-2982 0333-1024 |
| DOI: | 10.1111/j.1468-2982.2005.01077.x |
| Popis: | We set out to examine selected clinical characteristics of migraine patients referred to neurologists specializing in headache in Canada, and to document their pharmacological therapy both before and after consultation with the neurologist. Demographic, clinical and pharmacotherapy data were collected at the time of consultation for 606 patients referred to five headache clinics and who were given a migraine diagnosis by the neurologist. Data were analysed as part of the Canadian Headache Outpatient Registry and Database (CHORD) Project. The mean age of the migraine patients was 39.7 years; and 82.5% were female. The majority of patients suffered severe impact from their headaches. Prior to consultation, 48.7% were taking a triptan; after consultation, 97.2% were on a triptan. Before consultation, 30.9% were on a prophylactic drug; after consultation, 70.4% were. 20.8% of patients were medication overusers. Of these medication overusers, 42.4% were overusing an opiate, usually in combination with other analgesics; 21.6% were overusing a triptan. Medication changes made by the neurologists at consultation included a large increase in the use of both triptans and prophylactic medications. Medication overuse, particularly opiate overuse, remains a significant problem in patients with migraine in Canada. |
| Databáze: | OpenAIRE |
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