Menstrual migraine: therapeutic approaches.

Ther Adv Neurol Disord

The City of London Migraine Clinic, London, UK; and Research Centre for Neuroscience within the Institute of Cell and Molecular Science, Barts and the London School of Medicine and Dentistry, London, UK

Published: September 2009

AI Article Synopsis

  • The development of diagnostic criteria has led to better recognition of menstrual migraine as a common and debilitating condition that requires dedicated treatment.
  • Although limited therapeutic trials have been conducted, existing studies show that acute migraine medications are effective for treating symptoms.
  • Preventive strategies, including perimenstrual prophylaxis and continuous contraceptive methods, are potential management options, with future treatments possibly investigating the effects of sex steroids.

Article Abstract

The development of diagnostic criteria has enabled greater recognition of menstrual migraine as a highly prevalent and disabling condition meriting specific treatment. Although few therapeutic trials have yet been undertaken in accordance with the criteria, the results of those published to date confirm the efficacy of acute migraine drugs for symptomatic treatment. If this approach is insufficient, the predictability of attacks provides the opportunity for perimenstrual prophylaxis. Continuous contraceptive strategies provide an additional option for management, although clinical trial data are limited. Future approaches to treatment could explore the genomic and nongenomic actions of sex steroids.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3002599PMC
http://dx.doi.org/10.1177/1756285609335537DOI Listing

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