Welcome in Tallinn !

2nd CEEAM Board meeting

CEEAM Board meeting

CEEAM board , May 30

Migraine School , May 31

Tallinn meeting

meet again and discuss common problems

welcome new colleagues check tasks agreed in Istanbul revise „raison d´etre“ of CEEAM analyze expectations and outputs

launch and monitor the 1st CEEAM Migraine School

think next educational events

The purpose of today

The program

9:00 Development since Istanbul Novotný9:30 Cinie NCT results: how we treat migraine? Marková

10:00 Rolesof NEU+GPs (workshop) Dočekal10:30 coffee break10:45 Migraine markets update PL,SK,CZ, Balt 10 min. each11:45 Pain School : now + next Novotný12:15 New tasks: awareness, reimbursement +? (workshop) Dočekal13:00 Wrap-up Novotný13:15 lunch

…since September 2007 (Istanbul)Tallinn, May 30, 2008

CEEAM Board meeting

Istanbul meeting output: CEEAM projects

1. Guidelines – transfer + sharing2. Exchange of contacts, sharing ideas online3. Education:

1. for neurologists 2. For primary care

4. PR: Days of migraine5. Epidemiology of migraine6. Pharmacoeconomy

CEEAM projects status

1. Migraine Guidelines : In Istanbul, the Headache guidelines were

reported to exist in CZ, PL, TR Czech guidelines were translated in English and

are available for your inspiration on www.ceeam.info

Why Guidelines ?

Their existence and usage break the barrier to primary care

Increased patients awareness doesn´t fall on rockFamily doctors may (and should) cover ca. 70% of

patients „by guidelines“Family doctors get a cookbook with defined „escape

route“ (red flags, referral to specialist)Neurologists keep control of lege artis treatment

(periodic guideline update)

The guidelines

What are the obstacles?GP motivation? No need preceived? No interest in problem at all?Missing system or capacity to create +

implement guidelines ?

Can we (Zentiva) help ? How ?

CEEAM projectsstatus

2. Communication and contact platform: www.ceeam.info

• active since October 2007• Logins available to all of youLogin: namesurname Password: Cinie

Who visited ? How many times ? Did you find what you sought for?

www.ceeam.info

What is missing ? (e.g. case studies ?)

Does the web duplicate something more popular?May reminders (e-mail) about news help ?Online services in local launguage used more ?

www.migrenik.cz

3. Education: local vs. international1. for neurologists: best way = support (stipends)

for exisiting EHF and IHS events – e.g. Summer schools + congress workshops. Role of industry

2. For primary care: done locally, CEEAM may build an international curriculum for such course. Priority for 2008

Result: CEEAM Migraine School

CEEAM projectsstatus

4. AWARENESS MOST SERIOUS OBSTACLE PERCEIVED Cannot be imported Designed and executed locally For patients and professionals Industry vs. Independent (Headache society?)

CEEAM projectsstatus

Building awareness: PR International

Sharing of experience Studies + data

Local execution Face and voice of migraine

Specialists: the publicity may not be always welcome, but it is for good

Celebrities ? Form of event / delivery

MIGRAINE AWARENESS

5. Epidemiology of migraine International Non-interventional clinical

study in 5 CEEAM countries (Not really epidemiologic study) First results ready now Very similar results across the region Confirms the miraculous effect of causal

treatment on QoL of patients, despite who is actually providing the medication

CEEAM projectsstatus

5. Pharmacoeconomy in 2007 put on hold (low priority) model have been developed with Czech

Pharmacoeconomic Society Model applicable across the region Chance of misuse by our competitors or

ourselves….

CEEAM projectsstatus

Migraine market in Czechia

Migraine CZ: units sold

0

100 000

200 000

300 000

400 000

500 000

600 000

UnitsYear/00

UnitsYear/01

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UnitsYear/05

UnitsYear/06

UnitsYear/07

N02C9 ALL OTH A-MIGRAINE PREPS

N02C1 ANTIMIGRAINE TRIPTANS

Pharmacoeconomy still low priority despite all past success, we focus on incresing %

patients treated by state-of the-art methods We shall not fight against others – we shall only fight

pain

Pharmacoeconomy

The future of CEEAM2008 - ?

Purpose of existence BACKROUND

GP

PHARMACY

PATIENTS

SP

CEEAM INTERNATIONAL

PLATFORM

AIM OF CEEAM

Increase awareness among patients The disease and its management

Improve management of migraine Especially on the first-line level

AIM OF CEEAM

Create a basis of regional cooperation, information sharing and common learning

Enhance cooperation of first-line and specialists

Its purpose has not been achieved ! It may help to sell Cinie but we are sure it helps

patients despite all success, we focus on incraesing %

patients treated by state-of the-art methods

We continue activities on field fo migraine

and we beg you to stay with us !

CEEAM GOES ON !