Amerikan Nöroloji Akademisi ve Amerikan Başağrısı Derneği migrenin önlenmesi kılavuzunu güncellediler…
Amerikan Noroloji Akademisi ve Amerikan Başağrısı Derneği migrenin önlenmesi kılavuzunu güncellediler…
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The American Academy of Neurology and the American Headache Society have released updated guidelines on migraine prevention in Neurology.
Among the recommendations for prescription pharmacologic agents:
- Most antiepileptic drugs (divalproex sodium, topiramate, sodium valproate), certain beta-blockers (metoprolol, propranolol, timolol), and one triptan (frovatriptan) are effective and should be offered to patients.
- Certain antidepressants (amitriptyline, venlafaxine), other beta-blockers (atenolol, nadolol), and other triptans (naratriptan, zolmitriptan) are probably effective and should be considered.
- Lamotrigine is not effective and should not be given.
Among the guidance on NSAIDs and complementary therapies:
- Petasites (butterbur) is effective and should be offered.
- Several NSAIDs (fenoprofen, ibuprofen, ketoprofen, naproxen), riboflavin, magnesium, feverfew, and histamine SC are probably effective and should be considered.
Montelukast is probably ineffective and should not be considered.