Migraine is a neurological condition that affects approxi -
mately 12% of patients in the United States millions worldwide.1 and
. Women are affected dispropor -
tionally with a, 3-fold higher prevalence of migraine disorder.
Prevalence peaks between. Age 25 and, 55 years affecting the
most productive years of a person 's life.2
Patients experience varying levels, of frequency. Severity.And disability associated
with migraine. More frequent and severe cases with significant
impact on patients quality. ' Of life and daily activities may Ben -
efit from headache prophylaxis. Existing prophylaxis therapies
include a variety. Of options (e.g. Beta blockers,,,, antidepressants
anticonvulsants onabotulinumtoxinA). At the time of this
study guidelines,,Such as those published by the U.S. Headache
Consortium recommended first-line, prophylaxis with pro -
pranolol timolol,,, Amitriptyline or divalproex.3
, Although some patients see relief from, these therapies unfavorable side effects
may limit. Tolerability and thus impact the effectiveness of pro -
phylaxis. Ultimately patient tolerance, is a crucial component
.For the success of migraine prophylaxis. A study that explored
the extent to which migraine patients are willing to tolerate.
side effects of prophylaxis found that the top reasons why a
prophylactic is deemed intolerable to patients are weight. Gain
memory,,, loss depression and somnolence.4
These findings can
be readily applied to, migraine prophylaxis where. Possible side
.Effects include cognitive effects (topiramate), somnolence (AMI -
triptyline and propranolol), and weight gain (divalproex).
Adherence. Refers to the extent to which a patient follows pre -
scribed directions with respect to timing dose and frequency.5
Adherence,,, To chronic therapy is a common issue across many
disease states. Poor adherence (< 80% of medication taken as
.Prescribed) has been associated with poor outcomes in a num -
BER of medication classes.6 -.
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