Migraine Management Using Feverfew, Butterbur, Peppermint, and Ginger: Perspectives of Pharmacy Students

Abstract

A literature search and a survey of pharmacy students were conducted regarding some common herbs used for the treatment of migraine. The literature search shows that feverfew, traditionally used for migraines, had mixed evidence of effectiveness, while butterbur received a strong recommendation for prevention. Peppermint showed promise in reducing headache intensity, particularly when given intranasally, but ginger's efficacy remains unclear. Further research is needed to confirm ginger's role in migraine treatment. The survey, which was conducted among 39 pharmacy students on five knowledge-based and five opinion-based questions regarding the use of herbal remedies revealed a varied comprehension level, with an overall 69% accuracy in knowledge-based responses regarding migraines. For the most part, respondents demonstrated awareness of lifestyle measures in preventing migraines, but many respondents lacked clarity on self-medicating with herbal remedies and over the counter products. Opinion-based inquiries indicated a positive inclination towards herbal remedies, with more than 80% agreeing on their viability as alternatives to conventional medications. The survey showed a 69% average correctness rate for knowledge-based questions about migraines. Maintaining a regular sleep schedule received the highest accuracy at 94.1%, while stress as a trigger for migraines received a 71.4% correct response rate. Over 70% believed that those using herbal remedies for migraines were generally more satisfied with their treatment outcomes. While there is a need for improved education on migraine-related topics, there is a prevailing positive attitude toward the potential benefits of herbal remedies in managing migraines. Diverse opinions existed on satisfaction levels and the comparative effectiveness of lifestyle changes versus herbal interventions. Despite limitations in the sample size and focus on pharmacy students, the study underscores the need for enhanced education on migraines while highlighting growing interest in alternative healthcare among healthcare professionals.