A comparative effectiveness meta-analysis of drugs for the prophylaxis of migraine headache. Tepper SJ, The authors reviewed 313 full-text articles and identified 10 new studies of acute therapy to be included in the guideline. Oskoui: study concept and design, acquisition of data, analysis or interpretation of data, drafting/revising the manuscript, critical revision of the manuscript for important intellectual content, study supervision. Acupuncture for the prevention of episodic migraine. Approach to the pregnant patient with headache. Replaces "Pharmacological Treatment of Migraine Headache in Children and Adolescents" (December 2004). Some indications for preventive therapy include four or more headaches a month, eight or more headache days a month, debilitating headaches, and medication-overuse headaches. Network with your peers, earn CME, and stay abreast of the latest developments with the AAN’s industry-leading regional events. The evaluation of the quality of each study was based on the AAN therapeutic classification of evidence scheme, ranging from Class I—well-designed double-blind, randomized, placebo-controlled trials—to Class IV, typically retrospective studies or case reports with unclear outcomes data. The complementary treatments petasites, feverfew, magnesium, and riboflavin are probably effective. Hershey A, ), McGill University, Montréal, Canada; Departments of Clinical Neurosciences, Psychiatry, Pediatrics, and Community Health Sciences (T.P. Preventive medication therapy reduces migraine frequency, severity, and headache-related distress. NOTE: The first author must also be the corresponding author of the comment.Your role and/or occupation, e.g. 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 [published correction appears in Loder E, Ashman E. ), Cumming School of Medicine, University of Calgary, From the Departments of Pediatrics and Neurology/Neurosurgery (M.O. E. Leininger: study concept, interpretation of data, revising the manuscript. ), Cumming School of Medicine, University of Calgary, From the Departments of Pediatrics and Neurology/Neurosurgery (M.O. 'Orthopedic Surgeon'.Your organization or institution (if applicable), e.g. ), Cumming School of Medicine, University of Calgary, From the Departments of Pediatrics and Neurology/Neurosurgery (M.O. Tekatas A, It has been 15 years since the AAN and the US Headache Consortium published a complete set of evidence-based guidelines for the acute treatment of migraine. Epub 2018 Dec 10. Ashwal S, ), Cumming School of Medicine, University of Calgary, From the Departments of Pediatrics and Neurology/Neurosurgery (M.O. The British Association for the study of headache (BASH) has produced guidelines to help doctors in the diagnosis and management of common headache disorders. 2006;74(10):1685]First-line agents (established efficacy based on evidence)Second-line agents (probably effective based on evidence)First-line agents (established efficacy based on evidence)Second-line agents (probably effective based on evidence)Conflicting or inadequate data to support or refute useInformation from Silberstein SD, Holland S, Freitag F, Dodick DW, Argoff C, Ashman E. Evidence-based guideline update: pharmacologic treatment for episodic migraine prevention in adults: Report on the Quality Standards Subcommittee of the American Academy of Neurology and the American Headache Society [published correction appears inConflicting or inadequate data to support or refute useInformation from Silberstein SD, Holland S, Freitag F, Dodick DW, Argoff C, Ashman E. Evidence-based guideline update: pharmacologic treatment for episodic migraine prevention in adults: Report on the Quality Standards Subcommittee of the American Academy of Neurology and the American Headache Society [published correction appears inAddress correspondence to Hien Ha, PharmD, University of the Incarnate Word, 4301 Broadway #99, San Antonio, TX 78209 (e-mail: Smitherman TA, In past guidelines, verapamil and nimodipine (Nimotop) were originally considered effective for migraine prophylaxis. 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