Reference : Automédication des céphalées fréquentes : étude dans les officines belges.
Scientific journals : Article
Human health sciences : Pharmacy, pharmacology & toxicology
http://hdl.handle.net/2268/136048
Automédication des céphalées fréquentes : étude dans les officines belges.
French
[en] Self-medication of regular headache: a community pharmacy-based survey in Belgium
Mehuys, Els []
Paemeleire, Koen []
Van Hees, Thierry mailto [Université de Liège - ULiège > Département de pharmacie > Pharmacie clinique et pharmacie hospitalière >]
Christiaens, Thierry []
Van Bortel, Lucas []
Van Tongelen, Inge []
Philippe, Geneviève mailto [Université de Liège - ULiège > Services généraux (Faculté de médecine) > Service administratif de la Faculté (Médecine) >]
Prévôt, Marie-Laurence mailto [Université de Liège - ULiège > Département de pharmacie > Département de pharmacie >]
Evrard, Brigitte mailto [Université de Liège - ULiège > Département de pharmacie > Pharmacie galénique >]
Piette, Marie mailto [Université de Liège - ULiège > Département de pharmacie > Pharmacie galénique >]
De Bolle, Leen []
Remon, Jean-Paul []
Boussery, Koen []
Jun-2012
Journal de Pharmacie de Belgique
Nationale Pharmaceutique
2
4-10
Yes (verified by ORBi)
National
0047-2166
Bruxelles
Belgique
[fr] Soins pharmaceutiques ; Cephalées
[en] Pharmaceutical care ; Headhache ; analgesic overuse
[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.
Centre Interfacultaire de Recherche du Médicament - CIRM
http://hdl.handle.net/2268/136048

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