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Self-medication of regular headache: a community pharmacy-based survey

Els Mehuys UGent, Koen Paemeleire UGent, T Van Hees, Thierry Christiaens UGent, Lucas Van Bortel UGent, Inge Van Tongelen UGent, Leen De Bolle UGent, Jean Paul Remon UGent and Koen Boussery UGent (2012) EUROPEAN JOURNAL OF NEUROLOGY. 19(8). p.1093-1099
abstract
Background: This observational community pharmacy-based study aimed to investigate headache characteristics and medication use of persons with regular headache presenting for self-medication. Methods: Participants (n = 1205) completed (i) a questionnaire to assess current headache medication and previous physician diagnosis, (ii) the ID Migraine Screener (ID-M), and (iii) the Migraine Disability Assessment questionnaire. Results: Forty-four percentage of the study population (n = 528) did not have a physician diagnosis of their headache, and 225 of them (225/528, 42.6%) were found to be ID-M positive. The most commonly used acute headache drugs were paracetamol (used by 62% of the study population), NSAIDs (39%), and combination analgesics (36%). Only 12% of patients physician-diagnosed with migraine used prophylactic migraine medication, and 25% used triptans. About 24% of our sample (n = 292) chronically overused acute medication, which was combination analgesic overuse (n = 166), simple analgesic overuse (n = 130), triptan overuse (n = 19), ergot overuse (n = 6), and opioid overuse (n = 5). Only 14.5% was ever advised to limit intake frequency of acute headache treatments. Conclusions: This study identified underdiagnosis of migraine, low use of migraine prophylaxis and triptans, and high prevalence of medication overuse amongst subjects seeking self-medication for regular headache. Community pharmacists have a strategic position in education and referral of these self-medicating headache patients.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
CLASSIFICATION, self-medication, PREVALENCE, community, pharmacy, medication, overuse, headache
journal title
EUROPEAN JOURNAL OF NEUROLOGY
Eur. J. Neurol.
volume
19
issue
8
pages
1093 - 1099
Web of Science type
Article
Web of Science id
000306378800012
JCR category
CLINICAL NEUROLOGY
JCR impact factor
4.162 (2012)
JCR rank
31/190 (2012)
JCR quartile
1 (2012)
ISSN
1351-5101
DOI
10.1111/j.1468-1331.2012.03681.x
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
3006205
handle
http://hdl.handle.net/1854/LU-3006205
date created
2012-10-04 10:05:21
date last changed
2015-06-17 10:15:46
@article{3006205,
  abstract     = {Background: This observational community pharmacy-based study aimed to investigate headache characteristics and medication use of persons with regular headache presenting for self-medication.
Methods: Participants (n = 1205) completed (i) a questionnaire to assess current headache medication and previous physician diagnosis, (ii) the ID Migraine Screener (ID-M), and (iii) the Migraine Disability Assessment questionnaire.
Results: Forty-four percentage of the study population (n = 528) did not have a physician diagnosis of their headache, and 225 of them (225/528, 42.6\%) were found to be ID-M positive. The most commonly used acute headache drugs were paracetamol (used by 62\% of the study population), NSAIDs (39\%), and combination analgesics (36\%). Only 12\% of patients physician-diagnosed with migraine used prophylactic migraine medication, and 25\% used triptans. About 24\% of our sample (n = 292) chronically overused acute medication, which was combination analgesic overuse (n = 166), simple analgesic overuse (n = 130), triptan overuse (n = 19), ergot overuse (n = 6), and opioid overuse (n = 5). Only 14.5\% was ever advised to limit intake frequency of acute headache treatments.
Conclusions: This study identified underdiagnosis of migraine, low use of migraine prophylaxis and triptans, and high prevalence of medication overuse amongst subjects seeking self-medication for regular headache. Community pharmacists have a strategic position in education and referral of these self-medicating headache patients.},
  author       = {Mehuys, Els and Paemeleire, Koen and Van Hees, T and Christiaens, Thierry and Van Bortel, Lucas and Van Tongelen, Inge and De Bolle, Leen and Remon, Jean Paul and Boussery, Koen},
  issn         = {1351-5101},
  journal      = {EUROPEAN JOURNAL OF NEUROLOGY},
  keyword      = {CLASSIFICATION,self-medication,PREVALENCE,community,pharmacy,medication,overuse,headache},
  language     = {eng},
  number       = {8},
  pages        = {1093--1099},
  title        = {Self-medication of regular headache: a community pharmacy-based survey},
  url          = {http://dx.doi.org/10.1111/j.1468-1331.2012.03681.x},
  volume       = {19},
  year         = {2012},
}

Chicago
Mehuys, Els, Koen Paemeleire, T Van Hees, Thierry Christiaens, Lucas Van Bortel, Inge Van Tongelen, Leen De Bolle, Jean Paul Remon, and Koen Boussery. 2012. “Self-medication of Regular Headache: a Community Pharmacy-based Survey.” European Journal of Neurology 19 (8): 1093–1099.
APA
Mehuys, Els, Paemeleire, K., Van Hees, T., Christiaens, T., Van Bortel, L., Van Tongelen, I., De Bolle, L., et al. (2012). Self-medication of regular headache: a community pharmacy-based survey. EUROPEAN JOURNAL OF NEUROLOGY, 19(8), 1093–1099.
Vancouver
1.
Mehuys E, Paemeleire K, Van Hees T, Christiaens T, Van Bortel L, Van Tongelen I, et al. Self-medication of regular headache: a community pharmacy-based survey. EUROPEAN JOURNAL OF NEUROLOGY. 2012;19(8):1093–9.
MLA
Mehuys, Els, Koen Paemeleire, T Van Hees, et al. “Self-medication of Regular Headache: a Community Pharmacy-based Survey.” EUROPEAN JOURNAL OF NEUROLOGY 19.8 (2012): 1093–1099. Print.