The Need for Collaboration between Community Pharmacies and Hospitals or Clinics in Providing Medical Treatment for Patients with Headache

Naito, Yohei; Ishii, Masakazu; Sakairi, Yuki; Kawana, Keiji; Shimizu, Shunichi; Kiuchi, Yuji

doi:10.1248/yakushi.129.741

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…We previously reported that only verbally recommending that a patient sees a doctor by a pharmacist is ineffective, few pharmacists made written recommendations to encourage patients to see a doctor, and patient information was not shared with doctors. 11) For patients treated with prescription drugs, it has become possible for doctors and pharmacists to work together to follow up patients using TR. 6) For patients receiving treatment with OTC drugs, it is necessary to establish a follow-up system in which doctors and pharmacists work together using medication notebooks and referral letters issued by pharmacists.…”

Section: Discussionmentioning

confidence: 99%

The Current State of Headache Treatment and the Involvement of Pharmacists in Treatment of People with Chronic Headache

Ishii,

Katoh,

Kijima

et al. 2023

BPB Reports

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Among chronic headaches, migraine is a common neurological disorder, which is typically characterized by severe pain on one or both sides of the head and disturbances in vision. 1) Headache symptoms, such as restrictions on activities in daily life, persistent discomfort, and decreased concentration, place a burden on people's lives. 1) Accordingly, many patients rely on over-the-counter (OTC) drugs for the treatment of symptoms. 2,3) According to the OverCOME study, only 57.4% of people with migraine visited a medical facility, 14.8% were currently using triptan preparations, and 9.2% were currently using prophylactic drugs. 3) Therefore, the role of pharmacists who sell OTC drugs for headache treatment is extremely important from the perspective of increasing the rate of medical examinations for migraine patients.Among chronic headaches, medication overuse headaches (MOH) are often associated with migraine patients. MOH is an intractable headache that is triggered when analgesics are taken in excess. 4) Treatment for MOH at a headache outpatient clinic, neurology, neurosurgery, or pain clinic that specializes in headaches requires that the treatment and guidance be tailored to each patient's progress. Many cases of MOH in Japan are caused by OTC analgesics; 5) therefore, it is necessary for pharmacists in pharmacies to make an assessment of whether the headache patient has MOH based on their symptoms and complaints, when selling OTC analgesics.A Tracing Report (TR) 6) is a document that conveys information collected from patients. TR is considered important in terms of the effectiveness and safety of drug therapy. For pharmacists, "shifting from dealing with materials to dealing with people," and collaboration between pharmacies and medical facilities is becoming more important. Thus, the use of TRs is attracting attention as an information provision and collaboration tool. With the advent of TRs, it has become possible to follow up patients being treated with prescription drugs through medical collaboration. However, there is no way to coordinate medical care to monitor patients who are being treated with OTC drugs for headaches.In this study, we conducted a questionnaire survey of people who were aware of their headaches in order to clarify the current state of headache treatment and the involvement of pharmacists in headache treatment. METHODS Questionnaire StudyWe used Cross Marketing Inc., an Internet research company, to recruit subjects. The subjects were in their 20s to 40s and had headaches in the past 3 months. The Internet research company sent questionnaire request emails to registered monitors (9,129 people), and 995 people responded to the screening. In this survey, we enrolled

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Section: Discussionmentioning

confidence: 99%

The Current State of Headache Treatment and the Involvement of Pharmacists in Treatment of People with Chronic Headache

Ishii,

Katoh,

Kijima

et al. 2023

BPB Reports

Self Cite

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“…31 However, strategies may need to be devised to motivate patients to do this, as another Japanese survey of pharmacists and doctors found that 22% of pharmacists had experienced refusal by patients with headache to consult a clinic, despite the pharmacist's recommendation. 32 Community pharmacists have an important role in supporting patients with headache. This can be fostered by all key stakeholders-pharmacists, doctors, and patients-being provided with multidisciplinary opportunities to improve their MOH health literacy and to maintain an open and collaborative relationship.…”

Section: A Multidisciplinary Approachmentioning

confidence: 99%

Medication overuse headache: strategies for prevention and treatment using a multidisciplinary approach

Driel

Anderson²,

McGuire

et al. 2018

Hong Kong Med J

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Efforts by Pharmacists in Community Pharmacy in Peacetime for Headache Medical Care in Emergencies, Such as Great Earthquake and Disaster

et al. 2016

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We herein analyzed the issues that pharmacists in a community pharmacy in peacetime need to prepare for regarding headache medical care in emergencies (the state that supply of medical supplies is di‹cult) using a questionnaire intended for doctors and pharmacists in a community pharmacy. Recovery rates were 48.0％ (96/200) for doctors and 37.3％ (112/300) for pharmacists. In order to distinguish between patients for whom pharmacists need to``recommend OTC drugs'' and those who need to be encouraged``to consult a hospital or clinic'', doctors indicated that pharmacists need to use an``assistance tool to diagnosis headaches, such as a migraine screener'' and``guidelines for chronic headaches''. However, few pharmacists used these tools. Approximately 66.7％ of doctors indicated that it is``meaningful'' for pharmacists to distinguish patients with headaches. Moreover, doctors indicated the need for guidance by pharmacists in peacetime regarding headache medical care in emergencies. Although 73.2％ of pharmacists instructed the patients with headaches of the importance of medication notebooks in emergencies, guidance (``understanding the triggers of headaches'',``understanding the importance of removing the cause of the headache'',``standing OTC drugs'' and``standing prescription drugs'') by pharmacists to prepare for an emergency was insu‹cient. These results provide useful information to improve the eŠorts by pharmacists in community pharmacies in peacetime for headache medical care in emergencies.

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The Need for Collaboration between Community Pharmacies and Hospitals or Clinics in Providing Medical Treatment for Patients with Headache

Cited by 3 publications

References 3 publications

The Current State of Headache Treatment and the Involvement of Pharmacists in Treatment of People with Chronic Headache

The Current State of Headache Treatment and the Involvement of Pharmacists in Treatment of People with Chronic Headache

Medication overuse headache: strategies for prevention and treatment using a multidisciplinary approach

Efforts by Pharmacists in Community Pharmacy in Peacetime for Headache Medical Care in Emergencies, Such as Great Earthquake and Disaster

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