Prescribing Practices for the Management of Headache in Newfoundland and Labrador
To assess the impact of sumatriptan in clinical practice, we undertook a retrospective analysis of the government of Newfoundland and Labrador's prescription drug program data base for 35 consecutive patients prescribed sumatriptan. The number of doses of all drugs prescribed ranged from 121 to...
Published in: | Headache: The Journal of Head and Face Pain |
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crwiley:10.1046/j.1526-4610.1996.3609542.x 2024-06-02T08:10:41+00:00 Prescribing Practices for the Management of Headache in Newfoundland and Labrador Furlong, Stephen Pryse‐Phillips, William Crowley, Mary Turner, Christopher J. 1996 http://dx.doi.org/10.1046/j.1526-4610.1996.3609542.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1046%2Fj.1526-4610.1996.3609542.x http://onlinelibrary.wiley.com/wol1/doi/10.1046/j.1526-4610.1996.3609542.x/fullpdf en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Headache: The Journal of Head and Face Pain volume 36, issue 9, page 542-546 ISSN 0017-8748 1526-4610 journal-article 1996 crwiley https://doi.org/10.1046/j.1526-4610.1996.3609542.x 2024-05-03T11:33:21Z To assess the impact of sumatriptan in clinical practice, we undertook a retrospective analysis of the government of Newfoundland and Labrador's prescription drug program data base for 35 consecutive patients prescribed sumatriptan. The number of doses of all drugs prescribed ranged from 121 to 18874 on from 4 to 357 prescriptions per patient over 1 to 19 months. The mean number of doses of analgesic drugs prescribed before sumatriptan therapy was 56 per month and after initiation of sumatriptan was 46 per month. The prescribing of multiple analgesics was common; 79% received three or more different analgesics. Twenty‐two (63%) patients were prescribed medications indicated for the prophylaxis of migraine concomitantly with drugs indicated for symptomatic treatment. Twenty‐four (69%) patients were prescribed medication capable of inducing migraine. We conclude that sumatriptan did not have a major impact on the outcomes of these patients judged by their use of analgesics. The simplest explanation is that many of the patients were suffering from analgesic‐induced headache rather than migraine. In addition, we conclude that there were deficiencies in prescribing practices including numbers, quantities, and choice of analgesics; the use of analgesics concomitantly with drugs indicated for migraine prophylaxis; and the use of drugs capable of inducing migraine. Further research is required to validate these findings. Article in Journal/Newspaper Newfoundland Wiley Online Library Newfoundland Headache: The Journal of Head and Face Pain 36 9 542 546 |
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Wiley Online Library |
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English |
description |
To assess the impact of sumatriptan in clinical practice, we undertook a retrospective analysis of the government of Newfoundland and Labrador's prescription drug program data base for 35 consecutive patients prescribed sumatriptan. The number of doses of all drugs prescribed ranged from 121 to 18874 on from 4 to 357 prescriptions per patient over 1 to 19 months. The mean number of doses of analgesic drugs prescribed before sumatriptan therapy was 56 per month and after initiation of sumatriptan was 46 per month. The prescribing of multiple analgesics was common; 79% received three or more different analgesics. Twenty‐two (63%) patients were prescribed medications indicated for the prophylaxis of migraine concomitantly with drugs indicated for symptomatic treatment. Twenty‐four (69%) patients were prescribed medication capable of inducing migraine. We conclude that sumatriptan did not have a major impact on the outcomes of these patients judged by their use of analgesics. The simplest explanation is that many of the patients were suffering from analgesic‐induced headache rather than migraine. In addition, we conclude that there were deficiencies in prescribing practices including numbers, quantities, and choice of analgesics; the use of analgesics concomitantly with drugs indicated for migraine prophylaxis; and the use of drugs capable of inducing migraine. Further research is required to validate these findings. |
format |
Article in Journal/Newspaper |
author |
Furlong, Stephen Pryse‐Phillips, William Crowley, Mary Turner, Christopher J. |
spellingShingle |
Furlong, Stephen Pryse‐Phillips, William Crowley, Mary Turner, Christopher J. Prescribing Practices for the Management of Headache in Newfoundland and Labrador |
author_facet |
Furlong, Stephen Pryse‐Phillips, William Crowley, Mary Turner, Christopher J. |
author_sort |
Furlong, Stephen |
title |
Prescribing Practices for the Management of Headache in Newfoundland and Labrador |
title_short |
Prescribing Practices for the Management of Headache in Newfoundland and Labrador |
title_full |
Prescribing Practices for the Management of Headache in Newfoundland and Labrador |
title_fullStr |
Prescribing Practices for the Management of Headache in Newfoundland and Labrador |
title_full_unstemmed |
Prescribing Practices for the Management of Headache in Newfoundland and Labrador |
title_sort |
prescribing practices for the management of headache in newfoundland and labrador |
publisher |
Wiley |
publishDate |
1996 |
url |
http://dx.doi.org/10.1046/j.1526-4610.1996.3609542.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1046%2Fj.1526-4610.1996.3609542.x http://onlinelibrary.wiley.com/wol1/doi/10.1046/j.1526-4610.1996.3609542.x/fullpdf |
geographic |
Newfoundland |
geographic_facet |
Newfoundland |
genre |
Newfoundland |
genre_facet |
Newfoundland |
op_source |
Headache: The Journal of Head and Face Pain volume 36, issue 9, page 542-546 ISSN 0017-8748 1526-4610 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1046/j.1526-4610.1996.3609542.x |
container_title |
Headache: The Journal of Head and Face Pain |
container_volume |
36 |
container_issue |
9 |
container_start_page |
542 |
op_container_end_page |
546 |
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1800756590285946880 |