Migraine: A common headache disorder that is underdiagnosed and undertreated
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星期二, 八月 1, 2023
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However, even in Canada, with a universal health-care system, migraine is underdiagnosed and undertreated.
Key Points:
- However, even in Canada, with a universal health-care system, migraine is underdiagnosed and undertreated.
- Policymakers need to act now to remove the barriers to accessing migraine medications in Canada, particularly as new medications are marketed.
What is migraine?
- Pain typically affects one side of the head and presents with nausea or vomiting, sensitivity to light or sound and interference with routine physical activity.
- Migraine can be episodic (fewer than 15 headache days per month) or chronic (15 or more headache days per month for longer than three months).
Impact of migraine
- Migraine is associated with lost productivity and with other health conditions including asthma, epilepsy and cardiovascular disease.
- Furthermore, migraine can contribute to mental health problems, including depression and anxiety.
- Canada is no stranger to this trend, where migraine affects 4.7 per cent of men and 11.8 per cent of women each year.
Historically, migraine has been underdiagnosed
- Factors influencing diagnosis include an individual’s ability and willingness to access care, and a physician identifying and correctly diagnosing migraine.
- However, research has demonstrated that for chronic migraine, most individuals report consulting a physician about their headaches.
- This suggests that in people with chronic migraine specifically, underdiagnosis may be driven by the failure to receive a correct diagnosis from a health-care provider.
Migraine-specific medications are under-used
- Triptans are among the oldest migraine-specific medications, and the first-line treatment for migraine for those who do not get relief from over-the-counter medications.
- Despite this, many individuals living with migraine in Canada do not use or have not tried migraine-specific medications.
- As new migraine-specific medications are approved in Canada, it is important that those who need them can access these treatments.
- These medications are used to prevent migrainous headaches, and cost over $600 per month.
Steps you can take if you think you might have migraine
- Migraine Buddy is a migraine tracking app with a questionnaire to help individuals determine if they may have migraine and should discuss their symptoms with a physician.
- Effective treatment options exist to manage migraine, which can be accessed through a physician.