Article (Scientific journals)
Automédication des céphalées fréquentes : étude dans les officines belges.
Mehuys, Els; Paemeleire, Koen; Van Hees, Thierry et al.
2012In Journal de Pharmacie de Belgique, 2, p. 4-10
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Keywords :
Soins pharmaceutiques; Cephalées; Pharmaceutical care; Headhache; analgesic overuse
Abstract :
[en] AIM: This observational community pharmacy-based study aimed to investigate headache characteristics and medication use of persons with regular headache presenting for self-medication. METHODS: Participants (n=1205) completed ii) a questionnaire to assess current headache medication and previous physician diagnosis, (ii) the ID Migraine Screener [ID-M] and (iii) the MIDAS questionnaire. RESULTS: Forty-four % of the study population (n=528) did not have a physician diagnosis of their headache, and 225 of them (225/528, 42.6%) were found to be ID-M positive. The most commonly used acute headache drugs were paracetamol (used by 62% of the study population), NSAIDs (39%) and combination analgesics (36%). Only 12% of patients physician-diagnosed with migraine used prophylactic migraine medication, and 25% used triptans. About 24% of our sample (n=292) chronically overused acute medication, which was combination analgesic overuse (n=166), simple analgesic overuse (n=130), triptan overuse (n=19), ergot overuse (n=6) and opioid overuse (n=51). Only 14.5% was ever advised to limit intake frequency of acute headache treatments. CONCLUSIONS: This study identified underdiagnosis of migraine, low use of migraine prophylaxis and triptans, and high prevalence of medication overuse among subjects seeking self-medication for regular headache. Community pharmacists have a strategic position in education and referral of these self-medicating headache patients.
Research center :
Centre Interfacultaire de Recherche du Médicament - CIRM
Disciplines :
Pharmacy, pharmacology & toxicology
Author, co-author :
Mehuys, Els
Paemeleire, Koen
Van Hees, Thierry ;  Université de Liège - ULiège > Département de pharmacie > Pharmacie clinique et pharmacie hospitalière
Christiaens, Thierry
Van Bortel, Lucas
Van Tongelen, Inge
Philippe, Geneviève  ;  Université de Liège - ULiège > Services généraux (Faculté de médecine) > Service administratif de la Faculté (Médecine)
Prévôt, Marie-Laurence;  Université de Liège - ULiège > Département de pharmacie > Département de pharmacie
Evrard, Brigitte  ;  Université de Liège - ULiège > Département de pharmacie > Pharmacie galénique
Piette, Marie ;  Université de Liège - ULiège > Département de pharmacie > Pharmacie galénique
De Bolle, Leen
Remon, Jean-Paul
Boussery, Koen
More authors (3 more) Less
Language :
French
Title :
Automédication des céphalées fréquentes : étude dans les officines belges.
Alternative titles :
[en] Self-medication of regular headache: a community pharmacy-based survey in Belgium
Publication date :
June 2012
Journal title :
Journal de Pharmacie de Belgique
ISSN :
0047-2166
Publisher :
Nationale Pharmaceutique, Bruxelles, Belgium
Volume :
2
Pages :
4-10
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 10 December 2012

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