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MIGRAINE REFERENCES

Timothy C. Hain, MD, Chicago IL. Page last modified: September 3, 2017

We moved these references out of our main migraine page to make the main content easier to print.

Definitions. This the group that decides what symptoms are needed for someone to be categorized as "migraine".

Migraine causes:

Migraine accompaniments involving hypersensitivity

Migraine in children

Migraine and dizziness or vertigo or hearing symptoms

Epidemiology

 

Migraine treatment (also see subcategories) -- as a general comment, almost nothing works all the time, and migraine is really a collection of symptoms, not a disease.

Anticonvulsants -- these are often effective

Oxcarbazepine (probably ineffective)

Topiramate (somewhat effective)

Valproate (Depakote) and Lamotrigine (Lamicgal);

Antidepressants (generally SSRI or SNRI) -- often effective

Tricyclics (amitriptyline, nortriptaline, clomipramine)

Venlafaxine and other SNRI's (Duloxetine)

Various agents probably not effective

beta blockers -- effective with side effects

Botox -- occasionally effective at great cost.

Calcium channel blockers (verapamil, flunarizine, nimodipine, gabapentin) -- in special situations

CGRP blockers -- not yet out -- likely somewhat effective, very expensive.

 

Dopamine blockers (haloperidol and relatives, flunarizine, quetiapine) -- in special situations

NMDA inhibitors (e.g. memantine) -- we are dubious that these work.

Simvastatin+vitamin D -- we are dubious that this works.

Triptans -- often effective

 

Rebound headache

Migraine and Meniere's disease

Migraine and psychiatric disease

White matter lesions in migraine

 

Copyright September 3, 2017 , Timothy C. Hain, M.D. All rights reserved. Last saved on September 3, 2017