Abstract
Severe migraine attacks often required treatment with specific drugs. The study of pharmaceutical services on the patients with migraine headache has still been limited in Thailand. This study aimed to investigate the pharmaceutical services offered for a severe migraine patient in the community pharmacies. The study was descriptive research and collected data by using a simulated patient with a severe migraine headache. The fifty-seven community pharmacies, in Phayao province, Thailand, were assessed for the pharmaceutical services. The results demonstrated that the simulated patients received the services from 33 pharmacist-pharmacies (57.89%) and 24 non-pharmacist pharmacies (42.11%). The most frequent dispensed medication was the single drug of pain relievers (n = 30, 52.63%). Non-steroidal anti-inflammatory drug (n = 14, 24.56%), ergotamine (n = 8, 14.04%), and paracetamol (n = 8, 14.04%) were top three most dispensed pain relievers, respectively. Combination therapy between analgesics and other medications was found in 13 pharmacies (22.81%). Domperidone was used as an antinausea drug (n = 8, 14.04%). Prophylactic drugs (n = 6, 10.53%) were flunarizine (n = 35.26%), cinnarizine (n = 2, 3.51%), and amitriptyline (n=1, 1.75%). In conclusion, most pharmacy personnel performed inappropriate practice on taking the necessary information from the patient and drug dispensing for severe migraine. Educational interventions should be developed and trained to improve knowledge and practice in the migraine management.
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