New Migraine Consensus Focuses on Prevention

By Belden, Heidi | Drug Topics, March 5, 2007 | Go to article overview

New Migraine Consensus Focuses on Prevention


Belden, Heidi, Drug Topics


Migraines are now viewed as a chronic disorder with episodic manifestations, and emphasis should be put on evaluating impairment between headache attacks. This is the gist of a new consensus statement recently released by the National Headache Foundation (NHF), an organization focusing on migraine prevention.

"In the past, migraine was considered an episodic disorder and treated with acute abortive medications such as the triptans. However, in recent years, new scientific data and epidemiological research have led to a new paradigm shift in migraine treatment," said Jackie Kwong, Pharm.D., Ph.D., assistant professor at the University of Georgia College of Pharmacy.

Imaging studies have suggested that migraine may lead to progressive brain changes, and an epidemiology study has found that some patients suffering from episodic migraine may progress to chronic daily headache, Kwong explained. "Therefore, there is an interest in shifting the focus from aborting migraine attacks after they've occurred to preventing them from happening at all."

Despite recent studies showing that migraine may progress as a dis ease in some patients and that there is a real need for preventive treatment options, other research, such as the American Migraine Prevalence and Prevention (AMPP) study, found that nearly 40% of patients may benefit from preventive therapy but that only 13% are using a preventive medication. Almost half of the patients weren't even aware that preventive treatment options existed.

The American Migraine Communications Study (AMCS) found that only 10% of patient visits to their physician involved discussion of migraine impairment. This study concluded that clinicians need to ask patients "open-ended" questions.

Specifically, the NHF Migraine Prevention Summit Consensus Statement states that acute medication is not always adequate to control migraine attacks. In an effort to minimize the frequency and intensity of migraine, NHF recommends initiating preventive therapy if headaches occur two or more times per month with disability on three or more days per month mat significantly interferes with daily routines. Preventive treatment should also be instituted if the patient is using acute medication more than twice per week, or if acute therapies are contraindicated, not tolerated, or are ineffective. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

New Migraine Consensus Focuses on Prevention
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Author Advanced search

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.