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New Hope to Prevent Migraine


New Hope to Prevent Migraine

(ePharmaNews)- So many young people describe their migraine attacks as their worst nightmare, when they spend hours lying in the dark, unable to do anything due to pain. What is even worse is being always afraid of these attacks and avoidance of all expected causes; despite the availability of preventive drugs, only few people take them actually. Anyway, an American neurologist developed new guidelines to help preventing headaches.

These guidelines, which were co-developed with the American Headache Society, will be announced at the American Academy of Neurology’s 64th Annual Meeting in New Orleans.
 
“Studies show that migraine is underrecognized and undertreated,” said guideline author Stephen D. Silberstein, MD, FACP, FAHS, of Jefferson Headache Center at Thomas Jefferson University in Philadelphia and a Fellow of the American Academy of Neurology. “About 38 percent of people who suffer from migraine could benefit from preventive treatments, but only less than a third of these people currently use them.”
 
Unlike acute treatments, which are used to relieve the pain and associated symptoms of a migraine attack when it occurs, preventive treatments usually are taken every day to prevent attacks from occurring as often and to lessen their severity and duration when they do occur.
 
“Some studies show that migraine attacks can be reduced by more than half with preventive treatments,” Silberstein said.
 
These guidelines were based on previous studies on migraine prevention, and found that some seizure drugs can be helpful, like divalproex sodium, sodium valproate and topiramate but not lamotrigine. In addition, the beta-blockers metoprolol, propranolol and timolol, are also  effective; these two types are best recommended for prevention of migraine.
 
The guild lines also reviewed over-the-counter and complementary treatments. The guideline found that the herbal preparation Petasites, also known as butterbur, is effective in preventing migraine. Other treatments that were found to be probably effective are the nonsteroidal anti-inflammatory drugs fenoprofen, ibuprofen, ketoprofen, naproxen and naproxen sodium, subcutaneous histamine and complementary treatments magnesium, MIG-99 (feverfew) and riboflavin.
 
Silberstein noted that while people do not need a prescription from a physician for these over-the-counter and complementary treatments, they should still see their doctor regularly for follow-up. “Migraines can get better or worse over time, and people should discuss these changes in the pattern of attacks with their doctors and see whether they need to adjust their dose or even stop their medication or switch to a different medication,” said Silberstein. “In addition, people need to keep in mind that all drugs, including over-the-counter drugs and complementary treatments, can have side effects or interact with other medications, which should be monitored.”
 
This study will be published in the April 24, 2012, print issue of Neurology, the medical journal of the American Academy of Neurology.
 

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Prepared by: Awss Zidan


Source :

ePharmaNews






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