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.
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