Occipital nerve stimulation for intractable chronic migraine (2013) [NICE] NEW
Gabapentin or pregabalin for the prophylaxis of episodic migraine in adults (2013) [Cochrane] NEW
Topiramate for the prophylaxis of episodic migraine in adults (2013) [Cochrane] NEW
Antiepileptics other than gabapentin, pregabalin, topiramate, and valproate for the prophylaxis of episodic migraine in adults (2013) [Cochrane] NEW
Valproate (valproic acid or sodium valproate or a combination of the two) for the prophylaxis of episodic migraine in adults (2013) [Cochrane] NEW
Diclofenac with or without an antiemetic for acute migraine headaches in adults (2013) [Cochrane] NEW
Paracetamol (acetaminophen) with or without an antiemetic for acute migraine headaches in adults(2013)[Cochrane] updated
Comparative Effectiveness Review 103 Migraine in Adults: Preventive Pharmacologic Treatments (2013) [AHRQ] NEW
Comparative Effectiveness Review 108 Migraine in Children: Preventive Pharmacologic Treatments (2013) [AHRQ] NEW
Triptans in prevention of menstrual migraine: a systematic review with meta-analysis (2013) [DARE]NEW
Steroids for preventing recurrence of acute severe migraine headaches: a meta-analysis (2013) [DARE] NEW
Genesis TM implantable pulse generator for chronic migraine (2012) [National Horizon Scanning Network] NEW
Botulinum toxin type A for the prevention of headaches
in adults with chronic migraine (2012) [NICE] NEW
Botulinum Toxin A for Migraine Headaches: Clinical Effectiveness (2012) [CADTH] NEW
Botulinum toxin A for prophylactic treatment of migraine and tension headaches in adults: a meta-analysis (2012) [DARE] NEW
Triptans for Migraine Headaches: A Review of Clinical Evidence on Safety (2012)[CADTH] NEW
Sumatriptan (subcutaneous route of administration) for acute migraine attacks in adults (2012) [NICE] NEW
Sumatriptan (intranasal route of administration) for acute migraine attacks in adults (2011) [NICE] NEW
SpringTMS™ Total Migraine System (2011)[National Horizon Scanning Network]
Cochrane review supports the use of paracetamol in acute migraine (2011)[MeReC Rapid Review]
Migraine Headache in children (2010) [Clinical Evidence] Athens log-in required
Percutaneous closure of patent foramen ovale for recurrent migraine (2010)[NICE]
Ibuprofen with or without an antiemetic for acute migraine headaches in adults (2013)[Cochrane]updated
Aspirin with or without an antiemetic for acute migraine headaches in adults (2013)[Cochrane] updated
Meta-analysis of the efficacy and safety of zolmitriptan in the acute treatment of migraine (2009)[DARE]
Are migraineurs at increased risk of adverse drug responses: a meta-analytic comparison of topiramate-related adverse drug reactions in epilepsy and migraine (2009)[DARE]
Acupuncture for migraine prophylaxis (2008)[Cochrane]
Normobaric and hyperbaric oxygen therapy for migraine and cluster headache (2008)[Cochrane]
Parenteral dexamethasone for acute severe migraine headache: meta-analysis of randomised controlled trials for preventing recurrence (2008) [DARE]
Anticonvulsant drugs for migraine prophylaxis (2006) [Cochrane]
Selective serotonin re-uptake inhibitors (SSRIs) for preventing migraine and tension-type headaches (2004) [Cochrane]
Propranolol for migraine prophylaxis (2003) [Cochrane]
Clinical Guidelines
Migraine (2013) [CKS] updated
Guidelines for All HealthcareProfessionals in the Diagnosis and Management of Migraine,Tension-Type, Cluster andMedication-Overuse Headache (2010) [BASH] *PDF may be slow to download
Recent articles in core journals
Cognitive behavioral therapy plus amitriptyline for chronic migraine in children and adolescents: a randomized clinical trial (2013) [JAMA] NEW
Structural brain changes in migraine (2012) [JAMA] NEW
Tolerance to the beneficial effects of prophylactic migraine drugs: a systematic review of causes and mechanisms(2011)[Headache]
Tolerance and loss of beneficial effect during migraine prophylaxis: clinical considerations (2011)[Headache]
Migraine with aura and risk of cardiovascular and all cause mortality in men and women: prospective cohort study (2010)[BMJ]
Migraine and risk of haemorrhagic stroke in women: prospective cohort study (2010)[BMJ]
Migraine and cardiovascular disease: systematic review and meta-analysis (2009)[BMJ]
Efficacy of botulinum toxin type A for the prophylaxis of episodic migraine headaches: a meta-analysis of randomized, double-blind, placebo-controlled trials (2009) [Pharmacotherapy]
Migraine, vascular risk, and cardiovascular events in women: prospective cohort study(2008) [BMJ]
Exercise in migraine therapy--is there any evidence for efficacy? A critical review (2008) [Headache]
Effect of early intervention with almotriptan vs placebo on migraine-associated functional disability: results from the AEGIS Trial(2008) [Headache]
eTextbooks
Migraine prophylaxis in adults (2012)[Mentor] updated
Migraine in children (2011)[Mentor]
Migraine Management (2011)[Mentor]
Migraine: diagnosis and prevention (2010) [BMJ Learning]
Clinical Queries
For a woman who suffers from menstrual migraine and does not require contraception, is there any evidence that a levonorgestrel intrauterine system (LNG-IUS) may improve symptoms if amenorrhoea is achieved? (2013) [FSRH]NEW
How safe is it to continue to use the progestogen-only implant in a woman who has developed recurrence of focal migraines since insertion of the implant? (2013) [FSRH]NEW
What is the evidence for treating menstrual migraine with oestrogen? Any other guidance on management of menstrual headaches (2011)[ATTRACT]
I believe that evidence shows that women with migraine with aura have 2-3 x risk of stroke compared with women with migraine without aura. Is there any evidence that migraine prophylaxis (e.g. with Beta-blockers) reduces this excess risk? (2010)[ATTRACT]
Is the use of LNG-IUS restricted in a patient with a history of migraine? (2009)[FSRH]
Is there evidence of benefit of B vitamins for migraine suffers (the patient has migraine without aura). In particular is there evidence of any particular dosage? (2008)[TRIP Answers]
Patient Information
Migraine (2013) [BUPA Health Information] updated
Migraine (2012) [NHS Choices] updated
Important
1. If you are a Welsh Primary Care Professional with a clinical query send it to ATTRACT online or email us at questions@attract.wales.nhs.uk or call 01495 332343.
2. If you would like to comment on this CME topic, or suggest a new topic for ATTRACTcme, go to the comments hyperlink below.
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