Brian D. Loftus, Houston migraine headache expert and study author.

Brian D. Loftus, M.D.
6565 West Loop South, Suite 401, Bellaire, TX 77401
713-715-6360 (Directions) 713-715-6367 (fax)
Texas Monthly Super Doctor 2004 & 2005 H Texas Top Doctor 2005

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Migraine Patient Preference Study of Sumatriptan (Imitrex®) versus Usual Care: Discussion

Sumatriptan and other triptans have been shown to be effective for the treatment of moderate and severe migraine. They are currently considered an appropriate initial treatment choice in patients with moderate to severe migraine who have no contraindications to its use. Prior to our study, similar studies have been performed with either subcutaneous sumatriptan or oral sumatriptan; however, these studies differed from ours in methodology (i.e., method of patient recruitment and/or dose of sumatriptan administered) .

In our study, 13 out of 15 study completers preferred Sumatriptan to their baseline medication, and, in addition, all of our study completers were satisfied or extremely satisfied with their overall migraine care after trying Sumatriptan. This was quite interesting in light of the fact that the majority (53%) of patients were neutral with respect to their overall quality of migraine care, with 14% being dissatisfied or very dissatisfied at baseline (i.e., we would have expected a much greater percentage to be greatly dissatisfied). We felt these baseline results unusual since these patients were clearly not dissatisfied with respect to their pre-triptan migraine care. This would suggest that far too many patients are simply triptan naïve.

We demonstrated a decrease in ER, scheduled, and unscheduled office visits post-sumatriptan administration. In addition, we also demonstrated a decrease in the number of work days missed due to migraine and a decrease in the number of days working with a migraine.

Patient Preference Study

Abstract

Historical

Methods

Results

Discussion

Conclusion

Acknowledgements

Related Items

Migraine Overview

Web Sites of Interest

American Council for Headache Education


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