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The annual net savings in reduced health care costs and lost productivity, over the increased cost of triptan therapy, has been estimated at between $114 and $540 per patient; thus the use of these pharmaceuticals represents a cost savings as well as an improvement in the patients’ quality of life. The economic impact of migraine: an analysis of direct and indirect costs. A combination product containing isometheptene (Midrin®) is not usually effective for migraine. Self-hypnosis exercises are also taught to control both muscle contraction and the swelling of blood vessels. Alimentary trigger factors that provoke migraine and tension-type headache. Some members of this family of drugs are: * Sumatriptan (Imitrex®, Imigran®) * Zolmitriptan (Zomig®) * Naratriptan (Amerge®, Naramig®) * Rizatriptan (Maxalt®) * Eletriptan (Relpax®) * Frovatriptan (Frova®) * Almotriptan (Almogran®) Evidence is accumulating that these drugs are effective because they act on serotonin receptors in nerve endings as well as the blood vessels. Excedrin® Migraine (a combination of aspirin, acetaminophen and caffeine) is indicated for migraine and its associated symptoms. Please read Wikipedia founder Jimmy Wales's personal appeal. 3 Economic impact o 9.

Migraine can accompany, in many cases, another type of headache called tension headache. Sometimes the migraine occurs with no apparent 'cause'. Additionally, the pain from a migraine is usually described as throbbing and moderate to severe in intensity. Supplementation of coenzyme Q10 has been found to have a beneficial effect on the condition of some sufferers of migraines. Pharmacoeconomic evidence and considerations for triptan treatment of migraine. The annual net savings in reduced health care costs and lost productivity, over the increased cost of triptan therapy, has been estimated at between $114 and $540 per patient; thus the use of these pharmaceuticals represents a cost savings as well as an improvement in the patients’ quality of life. Preventive If patients have frequent migraine attacks, if the attacks do not respond consistently to migraine specific acute treatments, or if the migraine specific medications are ineffective or contraindicated because of other medical problems, then preventive medications should be given to reduce the migraine frequency and improve the response to the acute migraine medicines. The trigger of the migraine may be overactivity of nerve cells in certain areas of the brain (for example, the raphe nucleus). Sumatriptan and related selective serotonin receptor agonists are now the therapy of choice for severe migraine attacks that cannot be controlled by other means.

Supervision by a neurologist is advisable. This patient-directed therapy, with the clinician serving as a guide or teacher, should be practiced daily. These have had many years of use and make up the majority of the items considered 'first line' therapy for migraine prevention. Studies have demonstrated that, in patients who get both migraines and tension headaches, their tension headaches will respond to their usual migraine treatment. * Biddle AK, Shih YC, Kwong WJ. An update on the epidemiology of migraine. [edit] Treatment Conventional treatment focuses on three areas: trigger avoidance, symptomatic control, and preventive drugs. Acute The Food and Drug Administration (FDA) has approved three over-the-counter products to treat migraine. Migraine From Wikipedia, the free encyclopedia.

Neither study is available online, but another study which found that precision tinted lenses may be an effective migraine treatment and which references the Turville and Wilmut studies can be found here. The prevention and treatment of acephalgic migraine is broadly the same as for classical migraine. Subcutaneous sumatriptan for the treatment of migraine: humanistic, economic, and clinical consequences. com For a complete list of awards this site has won click here. Click to verify. [7] Some migraine sufferers find relief through acupuncture which is usually used to help prevent headaches from developing. org/wiki/Migraine' Categories: Headaches | Migraine Views * Article * Discussion * Edit this page * History Personal tools * Sign in / create account Navigation * Main Page * Community Portal * Current events * Recent changes * Random article * Help * Contact us * Donations Search Toolbox * What links here * Related changes * Upload file * Special pages * Printable version * Permanent link * Cite this article In other languages * Deutsch * Eesti * Español * Français * עברית * Ido * Nederlands * Norsk (nynorsk) * Norsk (bokmål) * Polski * Português * Suomi MediaWiki Wikimedia Foundation * This page was last modified 04:17, 28 January 2006. Authors who in 2005 reviewed the medical literature [2] found that the available information about dietary trigger factors relies mostly on the subjective assessments of patients. (1994).

migraine clinic

The annual net savings in reduced health care costs and lost productivity, over the increased cost of triptan therapy, has been estimated at between $114 and $540 per patient; thus the use of these pharmaceuticals represents a cost savings as well as an improvement in the patients’ quality of life. While the studies on menstrual migraine assumed that kudzu acted by imitating estrogen, it has since been shown that kudzu has significant effects on the serotonin receptors. It is used only if attacks occur more often than every two weeks. Because their symptoms vary, an intense headache may be misdiagnosed as a migraine by a layperson. Avoidance of identifiable trigger factors reduces the number of headaches a patient may experience. Many people experience difficulty in speaking and/or forming cohesive syntax. * Cohen JA, Beall DG, Miller DW, Beck A, Pait G, Clements BD. It may be associated with loss of conscioiusness and is often misdiagnosed as epilepsy. Arch Intern Med 1999;159:813-818.

By definition, the physical examination of a patient with migraine headache in between the attacks of migraine does not reveal any organic causes for the headaches. [5] Turville's and Wilmut's conclusions have largely been ignored since 1956 and it is widely believe that vision problems are not migraine triggers. Non-pharmacological techniques for control of migraine are helpful to some patients. We subscribe to the HONcode principles of the HON Foundation. While the types and severity of aura can be extremely diverse, a given sufferer will generally experience similar manifestations of aura with each migraine attack. All migraine preventive medications require that adequate doses of the medicine be given for a sufficient length of time to determine the effectiveness. E. Bruxism, clenching or grinding of teeth, especially at night, is a trigger for many migraineurs. Migraine Headache.

Diet, visualization, and self-hypnosis are also important alternative treatments and prevention approaches. . The pain of migraine occurs when excited brain cells trigger the trigeminal nerve to release chemicals that irritate and cause swelling of blood vessels on the surface of the brain. Biofeedback As an alternative to drug therapy, this training uses special equipment that monitors physical tension to teach the patient how to control the physical processes that are related to stress. [edit] Treatment * Pearce, J. Burden of migraine in the United States: disability and economic costs. The goal is complete relief of pain and associated symptoms, allowing the sufferer to quickly return to normal functioning. Prevalence of migraine headache in the United States. Acute The Food and Drug Administration (FDA) has approved three over-the-counter products to treat migraine.

However, ergotamine tablets (usually with caffeine), though sometimes effective, have fallen out of favour. Preventive medication has to be taken on a daily basis, usually for a few weeks, before the effectiveness can be determined. Total medical costs associated with migraines in the United States amounted to one billion dollars in 1994, in addition to lost productivity estimated at thirteen to seventeen billion dollars per year. Additionally, the pain from a migraine is usually described as throbbing and moderate to severe in intensity. * Litaker DG, Solomon GD, Genzen JR. Migraine patients have long been advised to try to identify personal headache triggers by looking for associations between their headaches and various suspected trigger factors. Selection of a suitable medication for any particular patient is a matter of trial and error, since the effectiveness of individual medications varies widely from one patient to the next. They have few side effects if used in correct dosage and frequency. S.

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