Overcoming obstacles to effective treatment of patients with migraine (Statement of the expert group on optimizing treatment of patients with migraine)
G. R. Tabeeva,
A. R. Artemenko,
M. I. Koreshkina,
V. V. Osipova,
A. V. Sergeev,
N. V. Latysheva,
A. V. Berdnikova,
N. A. Kovalchuk,
E. G. Filatova,
A. V. Amelin,
Yu. E. Azimova,
V. A. Golovacheva,
M. V. Naprienko,
V. A. Parfenov https://doi.org/10.14412/2074-2711-2025-2-4-14
Abstract
Despite the development of basic principles and a wide arsenal of therapeutic and preventive agents, the effective treatment of migraine patients in daily practice is associated with some well-identified obstacles. Among many obstacles to effective treatment, several key factors can be identified: low patients' awareness of the nature of the disease, its course and prognosis, methods of treatment and prevention, low rate of patients' referral for medical care and unsatisfactory level of diagnosis in clinical practice, inadequate training of physicians in the field of headache, nonoptimal use of symptom management and preventive treatment strategies. The article discusses the most common problems and strategies to optimize treatment of migraine patients.
About the Authors
G. R. Tabeeva
N.V. Sklifosovsky Institute of Clinical Medicine
Russian Federation
Competing Interests:
Russian Federation
Department of Nervous Diseases and Neurosurgery
11, Rossolimo St., Build. 1, Moscow 119021
Competing Interests:
There are no conflicts of interest
A. R. Artemenko
I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
Russian Federation
Competing Interests:
Russian Federation
Department of Nervous Diseases, Institute of Professional Education
8, Trubetskaya St., Build. 2, Moscow 119991
Competing Interests:
There are no conflicts of interest
M. I. Koreshkina
“Medical Center RAMI”
Russian Federation
Competing Interests:
Russian Federation
13, Kirochnaya St., Liter A, St. Petersburg 191014
Competing Interests:
There are no conflicts of interest
V. V. Osipova
LLC “University Clinic”;
Z.P. Solovyev Research and Practical Psychoneurology Center, Moscow Healthcare Department
Russian Federation
Competing Interests:
Russian Federation
39, Lyusinovskaya St., Build. 2, Moscow 115093;
43, Donskaya St., Build. 5, Moscow 115419
Competing Interests:
There are no conflicts of interest
A. V. Sergeev
N.V. Sklifosovsky Institute of Clinical Medicine
Russian Federation
Competing Interests:
Russian Federation
Department of Nervous Diseases and Neurosurgery
11, Rossolimo St., Build. 1, Moscow 119021
Competing Interests:
There are no conflicts of interest
N. V. Latysheva
I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University);
Acad. A. Vein Clinic of Headache and Autonomic Disorders
Russian Federation
Competing Interests:
Russian Federation
Department of Nervous Diseases, Institute of Professional Education
8, Trubetskaya St., Build. 2, Moscow 119991;
10Б, Staropetrovskiy proezd, Moscow 125130
Competing Interests:
There are no conflicts of interest
A. V. Berdnikova
I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University);
Acad. A. Vein Clinic of Headache and Autonomic Disorders
Russian Federation
Competing Interests:
Russian Federation
Department of Nervous Diseases, Institute of Professional Education
8, Trubetskaya St., Build. 2, Moscow 119991;
10Б, Staropetrovskiy proezd, Moscow 125130
Competing Interests:
There are no conflicts of interest
N. A. Kovalchuk
N.V. Sklifosovsky Institute of Clinical Medicine
Russian Federation
Competing Interests:
Russian Federation
Department of Nervous Diseases and Neurosurgery
11, Rossolimo St., Build. 1, Moscow 119021
Competing Interests:
There are no conflicts of interest
E. G. Filatova
I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
Russian Federation
Competing Interests:
Russian Federation
Department of Nervous Diseases, Institute of Professional Education
8, Trubetskaya St., Build. 2, Moscow 119991
Competing Interests:
There are no conflicts of interest
A. V. Amelin
Acad. I.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
Department of Neurology
6-8, L'va Tolstogo St., Saint Petersburg 197022
Competing Interests:
There are no conflicts of interest
Yu. E. Azimova
LLC “University Clinic”;
Research Institute of General Pathology and Pathophysiology
Russian Federation
Competing Interests:
Russian Federation
39, Lyusinovskaya St., Build. 2, Moscow 115093;
8, Baltiyskaya St., Moscow 125315
Competing Interests:
There are no conflicts of interest
V. A. Golovacheva
N.V. Sklifosovsky Institute of Clinical Medicine
Russian Federation
Competing Interests:
Russian Federation
Department of Nervous Diseases and Neurosurgery
11, Rossolimo St., Build. 1, Moscow 119021
Competing Interests:
There are no conflicts of interest
M. V. Naprienko
N.V. Sklifosovsky Institute of Clinical Medicine;
Acad. A. Vein Clinic of Headache and Autonomic Disorders
Russian Federation
Competing Interests:
Russian Federation
Department of Sports Medicine and Medical Rehabilitation
2, Bolshaya Pirogovskaya St., Build. 9, Moscow 119991;
10Б, Staropetrovskiy proezd, Moscow 125130
Competing Interests:
There are no conflicts of interest
V. A. Parfenov
N.V. Sklifosovsky Institute of Clinical Medicine
Russian Federation
Competing Interests:
Russian Federation
Department of Nervous Diseases and Neurosurgery
11, Rossolimo St., Build. 1, Moscow 119021
Competing Interests:
There are no conflicts of interest
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For citations:
Tabeeva GR, Artemenko AR, Koreshkina MI, Osipova VV, Sergeev AV, Latysheva NV, Berdnikova AV, Kovalchuk NA, Filatova EG, Amelin AV, Azimova YE, Golovacheva VA, Naprienko MV, Parfenov VA. Overcoming obstacles to effective treatment of patients with migraine (Statement of the expert group on optimizing treatment of patients with migraine). Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2025;17(2):4-14. https://doi.org/10.14412/2074-2711-2025-2-4-14
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