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Migraine is a common ailment that leads to substantial disability but is usually underdiagnosed and inadequately treated. This study sought to explore the pharmacological and non-pharmacological strategies used by community-dwelling adults to tackle migraine.
Triptans, ergotamine, and NSAIDs are the most popular pharmacological agents for migraine relief. Non-pharmacological methods, such as consulting physicians and applying heat or cold therapy, are used less frequently.
Migraine is a common ailment that leads to substantial disability but is usually underdiagnosed and inadequately treated. This study sought to explore the pharmacological and non-pharmacological strategies used by community-dwelling adults to tackle migraine.
A review of relevant databases, journals, grey literature, and websites was executed. Study selection, extraction of data, and bias risk evaluation were carried out independently by multiple reviewers. Data on migraine care approaches were segregated into opioid and non-opioid medications, and self-initiated, psychological, physical, and medical approaches.
In this systematic review, 20 studies were incorporated. Sample sizes varied from 138 to 46,941 volunteers with mean ages ranging from 34.7 to 79.9 years. Data collection methods encompassed a retrospective database (1 study), paper-based surveys (2 studies), online surveys (3 studies), interviews (5 studies), and self-administered questionnaires (9 studies).
For migraine relief, the three most commonly used medications were triptans (9–73%), ergotamine (0.3–51%), and NSAIDs (13–85%), with opioid use being relatively low (1–37%). Aside from medical strategies, the use of other non-pharmacological approaches was relatively low. The most common non-pharmacological strategies encompassed consulting physicians (14–79%) and using heat or cold therapy (35%).
Community-dwelling adults suffering from migraine primarily relied on triptans, ergotamine, and NSAIDs for relief, with opioid consumption being relatively rare. Other strategies like physician consultations and heat or cold therapy were used less frequently.
Clinics and Practice
Use of Pharmacological and Non-Pharmacological Strategies by Community-Dwelling Adults to Manage Migraine: A Systematic Review
Srujitha Marupuru et al.
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