Survey of Opioid and Barbiturate Prescriptions in Patients Attending a Tertiary Care Headache Center.

Headache
Mia T MinenElizabeth Loder

Abstract

To educate physicians about appropriate acute migraine treatment guidelines by determining (1) where headache patients were first prescribed opioids and barbiturates, and (2) the characteristics of the patient population who had been prescribed opioids and barbiturates. Several specialty societies issued recommendations that caution against the indiscriminate use of opioids or barbiturate containing medications for the treatment of migraine. These medications are still being prescribed in various medical settings and could put headache specialists in a difficult position when patients request these agents. Patients presenting to a headache center comprised of eight physicians were asked to complete a survey that assessed headache types, comorbid conditions, and whether they had ever been prescribed opioids or barbiturates. If they responded affirmatively to the latter question, they were asked about the prescribing doctor, medication effectiveness, and whether they were currently on the medication. Data collection took place over a one month period. Two hundred forty-four patients were given the survey and 218 of these patients completed it. The predominant diagnosis was migraine (83.9%). More than half of the patients reported...Continue Reading

References

Apr 7, 2011·JAMA : the Journal of the American Medical Association·Nora D VolkowSusan R B Weiss
Nov 26, 2013·Headache·Elizabeth LoderUNKNOWN American Headache Society Choosing Wisely Task Force
Jun 21, 2014·Cephalalgia : an International Journal of Headache·Benjamin W FriedmanE John Gallagher

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Citations

Feb 19, 2019·Clinical Practice and Cases in Emergency Medicine·Justin YanuckRakhi Dayal
Oct 30, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Mia MinenBenjamin W Friedman

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