Revisión bibliográfica sobre nuevas alternativas en el manejo terapéutico y profiláctico para la migraña crónica

Abstract

Background: Migraine is a common chronic primary headache, which can be disabling if not properly treated. Numerous studies suggest that migraine remains underdiagnosed and undertreated. Methods: This study was carried out in January and February 2023 in an Andean city, through a survey answered by 43 doctors from the first and second level of health. The interview questions concerned knowledge of the diagnostic criteria and treatment methods of migraine. Results: On average, each physician consulted 3 migraine patients per mon th. More than half of the secondary care physicians (73%) listed partial diagnostic criteria for migraine without aura or mentioned aura in their responses. Only 15% of primary care physicians mentioned all diagnostic criteria for migraine without aura. Although 45% of them said they distinguished between episodic and chronic migraine, 18% provided an incorrect definition. The most prescribed drugs in prophylaxis were triptans (65%), followed by tricyclic antidepressants (42%), and in the therapeutic field, in the same way, tripatans, mostly followed AINES combination of antiemetics. Conclusions: Primary care physicians play a fundamental role in the diagnosis, treatment and follow-up of migraine; however, many of them have insufficient knowledge about its diagnosis and correct differentiation between chronic and episodic forms.