Topiramate in the prevention and treatment of migraine: efficacy, safety and patient preference

Steffen Naegel, Mark ObermannDepartment of Neurology, University of Duisburg-Essen, Hufelandstr. 55, 45122 Essen, GermanyAbstract: Migraine is a very common disorder characterized by the combination of typical headache with associated autonomic symptoms and/or the presence of aura. Considerable adva...

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Main Authors: Steffen Naegel, Mark Obermann
Format: Article
Language:English
Published: Dove Medical Press 2009-12-01
Series:Neuropsychiatric Disease and Treatment
Online Access:http://www.dovepress.com/topiramate-in-the-prevention-and-treatment-of-migraine-efficacy-safety-a3874
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author Steffen Naegel
Mark Obermann
author_facet Steffen Naegel
Mark Obermann
author_sort Steffen Naegel
collection DOAJ
description Steffen Naegel, Mark ObermannDepartment of Neurology, University of Duisburg-Essen, Hufelandstr. 55, 45122 Essen, GermanyAbstract: Migraine is a very common disorder characterized by the combination of typical headache with associated autonomic symptoms and/or the presence of aura. Considerable advances have been made in recent years to understand the pathophysiology of migraine, which has led to improved treatment options for the acute migraine attack as well as migraine prophylaxis. Unfortunately, preventive treatment is often insufficient to decrease migraine frequency substantially or is not well tolerated. Topiramate is an antipileptic drug with a complex mode of action which has proven its efficacy and safety in the prophylactic treatment of episodic migraine in a number of randomized controlled clinical trials. Topiramate is also effective in treating patients with chronic migraine. It has little pharmacological interaction with other drugs and is generally well tolerated by patients.Keywords: migraine, antiepileptic drugs, topiramate
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spelling doaj.art-d98a33ce43c74944b5851239c03d81382022-12-21T23:08:56ZengDove Medical PressNeuropsychiatric Disease and Treatment1176-63281178-20212009-12-012010Issue 11728Topiramate in the prevention and treatment of migraine: efficacy, safety and patient preferenceSteffen NaegelMark ObermannSteffen Naegel, Mark ObermannDepartment of Neurology, University of Duisburg-Essen, Hufelandstr. 55, 45122 Essen, GermanyAbstract: Migraine is a very common disorder characterized by the combination of typical headache with associated autonomic symptoms and/or the presence of aura. Considerable advances have been made in recent years to understand the pathophysiology of migraine, which has led to improved treatment options for the acute migraine attack as well as migraine prophylaxis. Unfortunately, preventive treatment is often insufficient to decrease migraine frequency substantially or is not well tolerated. Topiramate is an antipileptic drug with a complex mode of action which has proven its efficacy and safety in the prophylactic treatment of episodic migraine in a number of randomized controlled clinical trials. Topiramate is also effective in treating patients with chronic migraine. It has little pharmacological interaction with other drugs and is generally well tolerated by patients.Keywords: migraine, antiepileptic drugs, topiramatehttp://www.dovepress.com/topiramate-in-the-prevention-and-treatment-of-migraine-efficacy-safety-a3874
spellingShingle Steffen Naegel
Mark Obermann
Topiramate in the prevention and treatment of migraine: efficacy, safety and patient preference
Neuropsychiatric Disease and Treatment
title Topiramate in the prevention and treatment of migraine: efficacy, safety and patient preference
title_full Topiramate in the prevention and treatment of migraine: efficacy, safety and patient preference
title_fullStr Topiramate in the prevention and treatment of migraine: efficacy, safety and patient preference
title_full_unstemmed Topiramate in the prevention and treatment of migraine: efficacy, safety and patient preference
title_short Topiramate in the prevention and treatment of migraine: efficacy, safety and patient preference
title_sort topiramate in the prevention and treatment of migraine efficacy safety and patient preference
url http://www.dovepress.com/topiramate-in-the-prevention-and-treatment-of-migraine-efficacy-safety-a3874
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