LAUSR

Migraine reduces the ability to work and to function optimally at work. Suboptimal acute treatment for migraine attacks is linked to greater lost productive time. Optimizing an individual’s acute treatment for migraine may reduce migraine-related losses in work productivity and reduce indirect costs. Objective This study aimed to ascertain whether level of optimization of acute treatment of migraine is related to work productivity across the spectrum of migraine. Methods Data were from the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study, an internet-based longitudinal survey. Respondents with migraine who reported full-time employment and use of ≥1 acute prescription medication for migraine were included. We determined relationships among lost productive time (LPT; measured with the Migraine Disability Assessment Scale), acute treatment optimization (Migraine Treatment Optimization Questionnaire- ), and monthly headache days (MHDs). Results There was a direct relationship between LPT and MHD category. Greater acute treatment optimization was associated with lower total LPT, less absenteeism, and less presenteeism within each MHD category. Conclusions Optimizing acute treatment for migraine may reduce LPT in people with migraine and reduce indirect costs.