ASSESSMENT OF DIFFERENT TREATMENT PATTERNS IN MIGRAINE WITH CO-MORBIDITIES
Objective: To provide effective treatment pattern based on individual patient response, pharmacological and non-pharmacological treatment strategies, effective patient counseling for obtaining adherence to medication.
Methodology: A prospective observational study was conducted in outpatient department of neuro care center for a period of six months.
Results: Out of 1000 patients, Female ratio (86.9%) was high in age group 31-50 years (47%). Non-compliance to medication (21.1%) was seen which may be the cause for recurrent migraine and response to migraine treatment. We have taken 2 types of treatment patterns which include FPANR and DPANR. In which, FPANR were 85.1% and DPANR were 14.9%. Statistical analysis was also done based on chi-square test, odd’s ratio, standard deviation. Using chi-square & odd’s ratio statistical analytical methods the values for migraine types were found to be 0.2735 & 0.8849 respectively with 95% confidence interval of value 0.559-1.4. Using chi-square & odd’s ratio statistical analytical methods the values for treatment pattern were found to be 0.1853 & 0.8954 respectively with 95% confidence interval of value 0.54-1.4.
Conclusion: Female ratio was high compared to male and was significantly high in 31-50 years of age which might be due to skipped breakfasts, fasting, hormonal imbalances, stress. Medication adherence was found to be very low which might be one of the major factors for recurrent episodes of migraine & response to migraine treatment. Clinical pharmacist plays an important role in treatment and management of headache disorders. They can also provide insight and patient counselling to help prevent or reduce the risk of medication overuse and educating them on medication adherence, triggering factors, and acute treatment.