Acceptance or rejection of prophylactic medicine in patients with migraine: a cross-sectional study

Authors: Kol, Carianne MC¹; Dekker, Frans¹; Knuistingh Neven, Arie¹; Assendelft, Willem JJ¹; Blom, Jeanet W¹

Source: British Journal of General Practice, Volume 58, Number 547, February 2008 , pp. 98-101(4)

Publisher: Royal College of General Practitioners

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Abstract:

Most patients with two or more migraine attacks per month do not use prophylactic medication. The aim of this study is to investigate how many patients use prophylaxis or would like to use them, and which aspects of migraine contribute to the choice to use prophylactic treatment. In a cross-sectional survey in three general practices, patients were selected who were diagnosed with migraine or had prescriptions for migraine medication. A questionnaire was sent to 283 patients and completed by 166 patients, of whom 15 were excluded. A total of 129 females and 22 males were included (median age 41 years). Most patients had two or more attacks per month (66.2%). Fifty-five per cent of patients with two or more attacks per month wanted to use prophylaxis; only 8% actually used this treatment. To get more insight into the ideas for or against prophylactic use, qualitative research is indicated.

Keywords: headache; migraine; preventive therapy; prophylaxis; quality of life

Document Type: Research article

DOI: 10.3399/bjgp08X264063

Affiliations: 1: Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, The Netherlands

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