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Sep 22, 2007

Migraine and headache research - off to DC!

Capitol Not a single medication has ever been developed specifically for Migraine and headache prevention. Not one, yet we have seven triptans (acute medications used to abort Migraine attacks).

For quite some time, I didn't understand how or why that would be. Some people theorized that the pharmaceutical companies could "cure" Migraine disease, if they wanted to, but were making enough profit on medications such as triptans that they didn't want to produce the "cure." Although I can understand that line of thinking, that's not the case.

In a nutshell, I found that we owe our lack of effective treatments to lack of National Institutes of Health (NIH) research funding for Migraine disease and headache. Most disease research is funded by the NIH. Once that research is available, the pharmaceutical companies have a basis from which to develop treatments. That's why some people say that one medication and six "me-toos" - the triptans - have been developed for Migraine instead of multiple more unique medications.

Take a look at this excerpt from an editorial published in Headache: the Journal of  Head and Face Pain:

    "Abundant evidence shows that the seminal studies that lead to innovative pharmaceuticals are most often performed in publicly-funded research laboratories, not those of the pharmaceutical industry. Federal funding of research on epilepsy has always hugely out-paced that for migraine. Over the past several years, mean annual NIH expenditures for epilepsy have been ~$101M compared to ~$13M for migraine, with a comparable disparity in funding every year since 1972 - the earliest year of available records for NIH grants.

    What did the federal funding for epilepsy purchase? Fundamental research beginning in the 1970's led to the development of epilepsy animal models that enabled the screening of drugs for anti-convulsant properties. The NIH then funded and provided oversight of this program of accelerated screening of compounds developed by academia and industry. Thirty years later, patients with epilepsy have a considerably wider set of therapeutic options.

    Headache medicine is also on the threshold of new insights into the pathogenesis of the primary headache disorders. Animal models relevant to drug screening are beginning to appear. What is needed now is a commitment to headache medicine from federal agencies similar to that which has been appropriately extended to epilepsy... Based on the example of the epilepsies, real benefits will likely be felt by headache patients over time in the form of improved access to specialty care and the development of novel effective therapies."(see link to the full editorial below)

Do I hear someone asking, "So, when is someone going to do something about this issue?"  The answer to that question is ... Now.

Allow me to lay it out for you with answers to the questions journalists are trained to ask...

Read more in Migraine and headache sufferers - We're off to DC on your behalf!

Jul 06, 2007

As patient share of meds cost rises, treatment and adherence declines

Broken_meds_prices_150 The cost of prescription drugs is a major topic of conversation amongst Migraineurs and other patients who need prescription medications. Even for those who have insurance that covers medications, the amount paid by the patient has increased to consume a disproportionate amount of patient income and has left many patients with difficult medical and financial choices to make. Part of this phenomenon is coverage limits that affect the number of doses of triptans that are covered per month, a number that has recently been decreasing.

A review of previous studies indicates that an increase in prescription drug cost sharing is associated with a decrease in drug spending and use of pharmacies; and for some chronic conditions, higher cost sharing is associated with greater use of expensive medical services (doctor appointments, emergency care, hospitalization, etc.), according to an article in the July 4, 2007, issue of JAMA.

Read Increased Patient Share of Prescription Costs Negatively Impacts Drug Treatment and Adherence.

Mar 03, 2007

A new venture... podcasting!

MigrainecastsquareThere's no doubt that "multimedia" is popular online. It's also known that people learn differently. Some learn best by reading (visual), some by hearing (auditory), some by doing (kinesthetic.) These are both reasons why podcasting has become so popular and is a quickly growing medium.

For some time now, I've thought that a weekly podcast about Migraine disease and headaches could be a valuable tool, not only for patients, but for their families, coworkers, friends, and others impacted by these disorders. This week, that became a reality with the launch of MigraineCast at www.MigraineCast.com. Oh, and if you have requests for topics to be covered in future episodes of MigraineCast, be sure to leave me a comment!
 

If you suffer from Migraines or headaches or know someone who does, please go listen to the podcast. The first episode is, "Migraines - What Are They, Really," and it's available now. A new episode will be available every Tuesday.

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MigraineCast

Teri @ MyMigraineConnection

Karen @ ChronicPainConnection

Putting Our Heads Together

April 2008

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