Improving Medication Adherence in Migraine Treatment

Elizabeth K. Seng, Jeanetta A. Rains, Robert A. Nicholson, Richard B. Lipton

Research output: Contribution to journalReview articlepeer-review

30 Scopus citations


Medication adherence is integral to successful treatment of migraine and other headache. The existing literature examining medication adherence in migraine is small, and the methodologies used to assess adherence are limited. However, these studies broadly suggest poor adherence to both acute and preventive migraine medications, with studies using more objective monitoring reporting lower adherence rates. Methods for improving medication adherence are described, including organizational strategies, provider-monitoring and self-monitoring of adherence, regimen strategies, patient education, self-management skills training (e.g., stimulus control, behavioral contracts), and cognitive–behavioral therapy techniques. The article concludes by discussing the future of research regarding adherence to medications for migraine and other headaches.

Original languageEnglish (US)
Article number24
Pages (from-to)1-7
Number of pages7
JournalCurrent pain and headache reports
Issue number6
StatePublished - Jun 1 2015


  • Acute medication
  • Adherence
  • Assessment
  • Behavioral contracts
  • Cognitive–behavioral therapy
  • Education
  • Intervention
  • Migraine
  • Preventive medication
  • Self-efficacy
  • Self-management
  • Stimulus control

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine


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