ITEMS IN AFP WITH KEYWORD:
Jan 1, 2010 Issue
Effectiveness of Acupuncture for Migraine Prophylaxis [Cochrane for Clinicians]
Acupuncture appears to be effective for prophylaxis of migraine headaches, and may be slightly better than pharmacotherapy. Sham acupuncture is just as effective as real acupuncture.
What are the effects of treatments for acute attacks and prophylaxis of migraine headache in children?
Headache is one of the most common and enigmatic problems encountered by family physicians. Headache is not a singular entity, and different pathologic mechanisms are involved in distinct types of headache. Most types of headache involve dysfunction of peripheral or central nociceptive mechanisms. M...
What are the effects of drug and nondrug treatments for chronic tension-type headache?
Headache is a common reason for primary care office visits and is a complaint in more than 1 percent of patient visits. The prevalence of migraine headache in the general population is approximately 6 percent in men and 15 percent in women, peaking at 40 years of age and then declining.
Sufficient evidence and consensus exist to recommend propranolol, timolol, amitriptyline, divalproex, sodium valproate, and topiramate as first-line agents for migraine prevention. There is fair evidence of effectiveness with gabapentin and naproxen sodium. Botulinum toxin also has demonstrated fair...
Topiramate is more effective than placebo for migraine prevention. Its effectiveness appears to be similar to that of other antiepileptic drugs and beta blockers. Because of the high cost of topiramate and the relative frequency of adverse effects, other approaches to migraine prevention, such as be...
May 1, 2005 Issue
Anticonvulsant Medications for Migraine Prevention [Cochrane for Clinicians]
Good evidence supports the use of anticonvulsants as a class with overall reduction in number of headaches per month and overall increase in patients achieving 50 percent reduction of headache frequency. Of the medications within this heterogeneous group, valproic acid and divalproex have the strong...
Mar 1, 2005 Issue
Treatment of Migraine Headache in Children and Adolescents [Practice Guidelines]
Cluster headache, an excruciating, unilateral headache usually accompanied by conjunctival injection and lacrimation, can occur episodically or chronically, and can be difficult to treat. Existing effective treatments may be underused because of underdiagnosis of the syndrome. Oxygen and sumatriptan...