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Table 4 Reasons for non-adherence to pharmacological prophylaxis

From: Clinical outcome of a headache-specific multidisciplinary treatment program and adherence to treatment recommendations in a tertiary headache center: an observational study

Reason

Number of patients (%a)

Ineffectiveness

19 (12.8)

Side effects

41 (27.6)

Fear of side effects

2 (1.4)

Pregnancy

4 (2.7)

Physician’s advice at MTP

13 (8.8)

Denial of daily medication intake

6 (4.1)

General non-compliance

14 (9.5)

Discontinuation

6 (9.5)

No further need because of improvement

9 (6.1)

Preference of non-pharmacological approaches

4 (2.7)

Contraindications

1 (0.7)

Advice of another person (change/termination of prophylaxis)b

47 (31.8) (40/7)

Not specified

8 (5.4)

  1. aPercentage of patients who did not ingest prescribed prophylaxis until follow-up; multiple answers were possible
  2. bAdvice of another person: after MTP, e.g., general practitioner, neurologist in private practice, physician in West German Headache Center; main reasons for change or termination were side effects (19%) and ineffectiveness (17%)