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Migraine Patient Survey Provided By:. About This Research.

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Presentation on theme: "Migraine Patient Survey Provided By:. About This Research."— Presentation transcript:

1 Migraine Patient Survey Provided By:

2 About This Research

3 The overall objective of this research is to explore the unmet migraine treatment needs of migraine sufferers. Additional objectives of this research are to: Understand patient perceptions and attitudes toward current treatment methods Determine key attributes associated with effective treatments Identify expectations of treatment and where current treatments are falling short Objective 3

4 Research Methodology National custom telephone survey Among medically diagnosed migraine patients years of age Total n = 500 with an overall margin of error of ± 4.5%, in 95 out of 100 cases. Computer-assisted telephone interviewing. Data collected March 19- March 27, 2010 Who How Many How When What 4

5 Key Takeaways

6 Executive Summary Sufferers lack a standardized, effective treatment option for combating serious symptoms and side effects of migraines. The most common type of migraine attack, that affects 69% of sufferers, is the rapid onset migraine (it just sneaks up on you) with or without nausea and vomiting. And, over half (53%) of sufferers experience a migraine on a monthly basis. And yet, three- fourths of sufferers (74%) admit they do not record their migraine attacks. When it comes to treatment options, over-the-counter medications (72%), lifestyle management (72%), and prescription migraine treatments (57%) top sufferers most common lines of defense. Only half of migraine sufferers agree, when I get a migraine with nausea or vomiting, after taking my migraine medication, I typically get fast relief that allows me to get back to my work/life. And only 38% of sufferers strongly agree I am satisfied with how quickly my current medication works. 6

7 Executive Summary Sufferers are talking to their doctors about the best treatment options available for their migraine episodes. Over half of oral medication users (55%) talk to their doctor about their migraine attacks once every 6-12 months. Most often sufferers admit they discuss ways to manage my migraine attacks (79%) and possible lifestyle changes (79%). In these conversations, 62% of oral medication users said they mentioned that prescription oral tablets dont always work for all their migraine attacks. Users of oral prescriptions want an effective option to take during a migraine to help combat their serious symptoms. Over half (54%) of migraine sufferers use oral prescription medications to manage their migraines. Of those not taking prescriptions, cost (18%) and experienced side effects (14%) are the main reasons why many sufferers are not taking prescription medication to manage their migraines. Among oral medication users, half (54%) admit they have experienced migraine attacks where they didnt think prescription oral tablets would be an effective treatment option. When prescription oral tablets arent an effective treatment option, one-quarter (23%) of sufferers admit they just have to wait it out and endure the headache. 7

8 Executive Summary While sufferers are satisfied with their current treatment options, there is an opportunity to better meet sufferers overall needs. The majority of prescription medication users (87%) are satisfied with their current prescription medication. And yet, 31% of sufferers admit their doctor has prescribed more than one medication at a time to manage their migraines. Prescription medication users look to migraine medications to offer the quickest relief possible regardless of the form (41%), the ability to use the medication and continue with regular activities (38%), and for the medication to be lower in cost and covered by insurance (38%). 8

9 Detailed Findings

10 Migraines: Managing The Pain

11 Frequency of Migraines Q1. How often do you suffer from migraines? Would you say…? Over half of migraine sufferers admit to having a migraine at least once a month. 52% suffer at least once per month How often do you suffer from migraines? 11

12 Type of Migraine Rapid onset migraines and migraines with nausea and/or vomiting occur most often among sufferers. Other migraine occurrence Migraine upon waking in the morning 49% 26% Rapid onset migraine Migraine with nausea and/or vomiting 69% 66% Q2. Do your migraines occur in any or all of the following ways? 12

13 Migraine Symptoms Q3. Of these migraine attacks, which do you experience most frequently? And, over four in ten sufferers, report rapid onset migraines occur most frequently. Which do experience most frequently? 13

14 Tracking Your Migraines And yet, only the minority of sufferers track their migraine attacks. Q4. If you record your migraine attacks, what tools do you use? 14

15 Treatment Options Available Sufferers are aware of a wide variety of treatment options including prescription pills, OTC medications, and lifestyle management changes. Q5. Which of the following migraine treatment options are you aware of? XX% reported none of the above 15

16 Options For Treatment And yet, the majority of sufferers admit they turn to over-the-counter medications to treat their migraine attacks. Q6. Which, if any, of the following best describes your current migraine treatment options? N=500Total % I take over-the-counter medications to treat my migraine attacks62 I take prescription medication when I feel a migraine coming on or begin experiencing migraine attacks 42 I take prescription medication, but wait to use it until I am sure it is really a migraine 36 I have stopped taking prescription/OTC medication to treat my migraine attacks 21 I take a daily prescription medication to prevent migraine attacks16 I have never taken prescription medication to treat my migraine attacks4 16

17 Current Treatments Being Used Regularly sufferers try over-the-counter medications, lifestyle management, and prescription oral pills or tablets to manage their migraines. Q7. Which, if any, of the following best describes the current treatment options you use to manage your migraine? N=500Total % Over-the-counter medications72 Lifestyle management (e.g. diet, sleep, exercise, stress reduction) 72 Prescription oral pills or tablets54 Alternative remedies including acupuncture, herbs, and chiropractic/osteopathic manipulation 30 Prescription injection8 Prescription nasal spray7 Prescription needle-free injection3 Something else5 2% reported none of the above 17 As suffers age, they are more likely to use lifestyle management as a way to manage their migraines; ages (56%), ages (72%), ages (76%), and ages (73%).

18 Prescription Medications Of those taking prescription medications, Imitrex tablets are most often prescribed. Q8. Which if any of the following prescription medications do you take for migraines? Users of Rx MedsTotal %N=284Total % Imitrex Tablets42AXERT4 Maxalt18Amerge4 Imitrex STATdose13Zomig Nasal Spray3 Treximet12Ergotamines3 Relpax11Frova2 Imitrex nasal spray10SUMAVEL1 Zomig Tablets9Something else40 6% reported none of the above 69% of Sufferers take Oral Meds 56% admit to taking other forms (nasal sprays, injections, etc…) of Rx meds 18

19 Other Medications for Migraines Q9. If you are not taking prescription medications to manage your migraine, please explain why? (Other Coded Responses) Other medications migraine sufferers are taking include: Topamax, butalbital/acetaminophen, and prescription and regular strength over-the-counter medications. Word Cloud of Other responses 19

20 Barriers To Prescription Medications Q9. If you are not taking prescription medications to manage your migraine, please explain why? Barriers to prescription medications most often include cost and side effects. N= 216 Those not taking a prescription medication Why do you not use prescription medications to manage your migraine attacks? 20 Midwesterners are significantly more concerned with cost than in other areas; Midwest (26%), Northeast (5%), South (19%), and West (10%).

21 Barriers To Prescription Medications Q9. If you are not taking prescription medications to manage your migraine, please explain why? (Other Coded Responses) And often times OTC medications works well enough or sufferers just dont see a need for taking prescription medications. Word Cloud of Other responses 21

22 Satisfaction With Current Treatment Options

23 Satisfaction with Current Medication Nearly nine in ten sufferers admit they are satisfied with their current prescription medications. Q10. Overall, how satisfied are you with your current prescription medication(s)? Are you…? N= 284 Those who use prescription medication 87% Very or Somewhat Satisfied 23 Oral prescription medication users are more satisfied with their current medication than users of other prescription medications (89% vs. 62%).

24 Satisfaction with Speed of Treatment While three-fourths of suffers admit they are satisfied with how quickly their medication works, suffers are less satisfied with how quickly they can be back to work/life after taking migraine medications for migraines upon waking. Q10. Overall, how satisfied are you with your current prescription medication(s)? Are you…? 24 % Agree

25 Important Attributes in a Medication When it comes to relief, those who take prescription oral medications want a medication that is inexpensive/covered by insurance and offers quick relief, while not disrupting their day. Q11. What is the most important attribute of a prescription migraine medication? N= 271 Those who take a n oral prescription medicationMost Important The quickest relief possible regardless of form (i.e. pill, nasal, injection, etc…)41 Able to use medication and continue with regular activities38 Lower cost, covered by insurance38 Is effective at any stage of the migraine32 Easy to use29 Few side effects24 I can use it effectively even when nauseated or vomiting19 Long-lasting effect17 No needle required to administer16 Other3 2% reported none of the above/not sure 25

26 Current Attributes in Treatment Options And yet, nearly half of prescription users dont feel their medication provides the quickest relief possible at a low cost. Q12. Does your current treatment offer the following attributes? N= 271 Those who take a n oral prescription medicationCurrent Attributes Easy to use85 No needle required to administer67 Few side effects65 Able to use medication and continue with regular activities65 The quickest relief possible regardless of form (i.e. pill, nasal, injection, etc…) 56 Lower cost, covered by insurance56 Long-lasting effect56 I can use it effectively even when nauseated or vomiting56 Is effective at any stage of the migraine53 Other2 3% reported none of the above/not sure 26

27 Satisfaction With Imitrex STATdose Overall, sufferers who are prescribed Imitrex STATdose are satisfied with the way the treatment relives their pain. Q13. if you have ever been prescribed Imitrex STATdose (sumatriptan injection) to manage your migraine, how satisfied were you with how well it relieved your migraine? N= 32 Those who use STATdose *Caution Small Base Size 84% Very or Somewhat Satisfied 27

28 Satisfaction With Ease of Use And sufferers are satisfied with how easy it is to use STATdose. Q14. How satisfied were you with how easy it was to use Imitrex STATdose (sumatriptan injection)? 91% Very or Somewhat Satisfied 28 N= 32 Those who use STATdose *Caution Small Base Size

29 Reasons for Not Trying STATdose The majority of those not taking STATdose are not opposed to the medication or its side effects, but rather were unaware of this type of medication or the doctor recommend another treatment. Q15. Which of the following statements best describes why you have not used Imitrex STATdose (sumatriptan injection)? 2% reported not sure N= 355 Those not taking STATdose 29

30 The Truth About Oral Medications

31 The Need For Alternative Options Pills arent always an effective treatment option for the majority of migraine sufferers. Q20. If you use oral prescription migraine medications, have you ever experienced migraine attacks where you didnt think prescription oral tablets would be an effective treatment option? N= 271 Those who take an oral prescription medication 31 No 44% No 44% Yes 54% Yes 54%

32 Managing Migraines Q21. When prescription oral tablets arent an effective treatment option given the nature of your migraine attack, how do you manage your migraine? And less than two in ten sufferers feel they have other prescribed medications when oral pills are not an option. N= 271 Those who take prescription oral medication When oral pills are not an option, how do you mange your migraine attacks? 32

33 Sickness from Medications… Q22. Have you ever delayed or avoided taking your medication due to nausea or vomiting resulting from the migraine? Nausea and vomiting prohibits one-third of sufferers from taking their prescription medications. N= 271 Those who take prescription oral medication Yes 37% Yes 37% 33 No 63% No 63%

34 When I get a migraine with nausea or vomiting, after taking my migraine medication, I typically get fast relief that allows me to get back to my work/lifestyle Getting Back to Life… Q19. Please tell me how much you agree or disagree with each of the following Nearly half of sufferers admit, they dont get fast relief after taking their medication to relieve a migraine with nausea or vomiting. N= % Agree 54% Agree 46% Disagree 46% Disagree

35 Discussing with Your Doctor… Q24. have you mentioned to your doctor that prescription oral tablets dont always work for all your migraine attacks, such as those that include nauseas or vomiting? Yes 62% Yes 62% And two-thirds of sufferers admit they are talking to their doctors about this problem. N= 271 Those who take prescription oral medication 35 No 36% No 36%

36 Talking With Your Doctor

37 Working With Your Doctor to Relieve Symptoms The majority of sufferers discuss lifestyle changes and ways to manage their migraine attacks with their doctors. Q19. Please tell me how much you agree or disagree with each of the following? My doctor and I discuss lifestyle changes that could help prevent migraines from occurring My doctor and I discuss ways to manage my migraine attacks 79% Agree 79% Agree N= % Agree 79% Agree

38 Seeking Migraine Knowledge And, over half of sufferers are talking to their doctor twice a year or more about their migraine attacks. Q23. How often, if ever, do you talk to your doctor about your migraine attacks? 38 N= 271 Those who take prescription oral medication 1% reported not sure

39 One Problem, Multiple Medications… Less than three in ten sufferers agree my doctor told me I need more than one medication or treatment option to effectively manage my varying migraine occurrences. 25. My doctor told me that I need more than one medication or treatment option to effectively manage my varying migraine occurrences. Q19. Please tell me how much you agree or disagree with each of the following? N= % Agree 26% Agree

40 One Problem, Multiple Medications… Yet, nearly one-third of patients have been prescribed multiple medications for their migraine symptoms. Yes 31% Yes 31% Q16. Has your doctor ever prescribed more than one medication at a time (e.g. oral tablet and injection or nasal spray, etc…) to mange your migraine? N= No 69% No 69%

41 Reasons for Multiple Medications Q17. What was the primary reason for the doctor prescribing more than one medication at a time? 16% reported not sure Nearly one-third of sufferers admit I take one kind of medicine daily and a different one at the time of a migraine attack. N= 154 Those taking more than one medication 41

42 Seeking Migraine Knowledge Most often multiple medications are requested because the medicine didnt relieve the migraine symptoms. Didnt relieve my migraine Didnt relieve my migraine Didnt work for certain migraine attacks 25% Didnt work fast enough Caused side effects 8% 9% 17% Q25. Which of the following is – or would be- the primary reason for asking your doctor about prescribing an alternative or additional treatment to oral tablets? Didnt ask the doctor for an alternative treatment 37% N= 271 Those who take an oral prescription medication 42

43 Improving Treatment When it comes to improving the current treatment methods, sufferers want medication that works better, and overall is more affordable. Q18. In your opinion, what if anything, can be done to improve your current treatment? Word Cloud of Other responses 43

44 APPENDIX A: DEMOGRAPHICS

45 Demographics Race/Ethnicity White: 92% Black: 2% Hispanic: 2% Other: 4% Age 18-24:0% 25-30: 8% 31-35: 33% 36-40: 27% 41-45: 32% 45+: 0% Gender Female: 88% Male: 12% Income Under $25K: 12% $25K to 49,999: 22% $50K to 74,999: 24% $75K to 99,999: 16% 100K or more: 15% Employment Employed: 69% Unemployed: 31% Region Midwest:39% South:33% Northeast:17% West:10% 45

46 Attitudinal Statements Q19. Please tell me how much you agree or disagree with each of the following? Total % N=500 Agree (Strongly + Somewhat) Strongly Agree Somewhat Agree My doctor and I discuss lifestyle changes that could help prevent migraines from occurring My doctor and I discuss ways to manage my migraine attacks I am satisfied with how quickly my migraine medication works When my migraine comes on suddenly, after taking my migraine medication I typically get fast relief that allows me to get back to my work/life When I awaken in the morning with a migraine, after taking my migraine medication I typically get fast relief that allows me to get back to my work/life When I get a migraine with nausea or vomiting, after taking my migraine medication, I typically get fast relief that allows me to get back to my work/life My doctor told me that I need more than one medication or treatment option to effectively manage my varying migraine occurrences (e.g. upon waking in the morning, with nausea/vomiting, rapid onset, etc…)


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