Evidence-based guideline update: Pharmacologic treatment for episodic migraine prevention in adults report of the quality standards subcommittee of the American academy of neurology and the american headache society

S. D. Silberstein, S. Holland, F. Freitag, D. W. Dodick, C. Argoff, E. Ashman

Research output: Contribution to journalReview articlepeer-review

461 Scopus citations

Abstract

Objective: To provide updated evidence-based recommendations for the preventive treatment of migraine headache. The clinical question addressed was: What pharmacologic therapies are proven effective for migraine prevention? Methods: The authors analyzed published studies from June 1999 to May 2009 using a structured review process to classify the evidence relative to the efficacy of various medications available in the United States for migraine prevention. Results and Recommendations: The author panel reviewed 284 abstracts, which ultimately yielded 29 Class I or Class II articles that are reviewed herein. Divalproex sodium, sodium valproate, topiramate, metoprolol, propranolol, and timolol are effective for migraine prevention and should be offered to patients with migraine to reduce migraine attack frequency and severity (Level A). Frovatriptan is effective for prevention of menstrual migraine (Level A). Lamotrigine is ineffective for migraine prevention (Level A).

Original languageEnglish (US)
Pages (from-to)1337-1345
Number of pages9
JournalNeurology
Volume78
Issue number17
DOIs
StatePublished - Apr 24 2012

ASJC Scopus subject areas

  • Clinical Neurology

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