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by Dr. Alexander Mauskop
March 9, 2019
Migraines and dry eyes
March 9, 2019
Several older reports have suggested an association between dry eye disease (DED) and migraine headaches. Researchers at the Univercity of North Carolina at Chapel Hill just published a large and convincing study confirming...
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March 5, 2019
100 Migraine Drugs from A to Z: frovatriptan
March 5, 2019
Frovatriptan (Frova) is one of seven drugs in the family of triptans, drugs used to abort a migraine attack. The first drug to receive approval in 1992 was sumatriptan (Imitrex) in an injection form, followed by tablets and nasal spray...
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February 27, 2019
Must read! A very important new study of magnesium
February 27, 2019
A study just published in Neurology by the MEGASTROKE project of the International Stroke Genetics Consortium found that “genetically higher serum magnesium concentrations are associated with a reduced risk of...
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February 21, 2019
100 Migraine Drugs, A to Z: fremanezumab
February 21, 2019
Fremanezumab (Ajovy) is one of the three drugs in the family of CGRP monoclonal antibodies that have been approved for the prevention of migraine headaches. Fremanezumab was approved by the FDA last September...
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February 11, 2019
More magnesium, fewer migraines
February 11, 2019
Having conducted and published research on magnesium and seeing dramatic improvement from magnesium in many of my patients, I try to write about magnesium at least once a year. Up to half of migraine sufferers are...
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February 2, 2019
100 Migraine Drugs, A to Z: flurbiprofen
February 2, 2019
Flurbiprofen is just another nonsteroidal antiinflammatory drug (NSAID), which is reflected in the name of its branded version – Ansaid. All NSAIDs can relieve acute pain of migraine and some have been proven to prevent...
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January 30, 2019
TOSYMRA, a new migraine product was just approved by the FDA
January 30, 2019
Tosymra is a product that uses a novel way to deliver sumatriptan through the nasal passages. Unlike other nasal formulations of sumatriptan, Tosymra uses proprietary technology, Intravail, which enhances the absorption...
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January 27, 2019
100 Migraine Drugs, A to Z: fluvoxamine
January 27, 2019
Fluvoxamine (Luvox) is one of the drugs in the selective serotonin reuptake inhibitor (SSRI) class. Unlike other SSRIs, which are approved for the treatment of anxiety and depression, it is approved for the treatment of obsessive...
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January 20, 2019
100 Migraine drugs, A to Z: flunarizine
January 20, 2019
Flunarizine (Sibelium) is a calcium channel blocker approved for the preventive treatment of migraines in most countries, except for the US and Japan. In many countries, flunarizine is considered to be a first-line drug for...
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January 14, 2019
I decided to stop Ajovy too
January 14, 2019
I’ve given myself an injection of Ajovy in November and December with some improvement and without constipation which I had from Aimovig. However, Ajovy did not prevent all of my migraines, especially those caused...
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January 9, 2019
100 Migraine Drugs, A to Z: fluoxetine
January 9, 2019
Antidepressants are widely used for the preventive treatment of migraine headaches. However, some types of antidepressants are better for this purpose than other. Fluoxetine (Prozac, Sarafem) was the first drug in the...
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January 3, 2019
Red wine and headaches in the WSJ
January 3, 2019
Red wine is a common trigger for migraines, although we still don’t know the cause or why red wine is worse than white. I was just interviewed for this article in the WSJ along with my friend Mo Levin of the UCSF headache clinic...
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January 1, 2019
100 Migraine Drugs, A to Z: estrogen
January 1, 2019
Estrogen can be an effective agent for the treatment of menstrual migraines. Many women report that their migraines tend to occur before or during their period and sometimes with ovulation. For some women menstruation...
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December 26, 2018
100 Migraine Drugs, A to Z: erenumab
December 26, 2018
Erenumab (Aimovig) was the first drug in the family of monoclonal antibodies (mAbs) against calcitonin gene-related peptide (CGRP) approved for the prevention of migraine headaches. CGRP is a substance released during a migraine...
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December 21, 2018
Migraine aura increases the risk of atrial fibrillation, which may lead to a stroke
December 21, 2018
A typical migraine aura consists of a visual disturbance (partial loss of vision, flickering lights, zigzags, etc) which lasts 15 to 60 minutes and precedes the headache. Auras can also occur without a headache. Auras occurs in 15 to 20%...
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December 15, 2018
Now I’ve tried Ajovy too
December 15, 2018
Fremanezumab (Ajovy) is the second CGRP monoclonal antibody to become after the introduction of erenumab (Aimovig) and it has some differentiating features. I injected myself with Aimovig twice and was able to drink more wine...
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December 10, 2018
100 Migraine Drugs, A to Z: eletriptan
December 10, 2018
Eletriptan (Relpax) is one of seven triptans approved for the treatment of an acute migraine. While all triptans are similar (but not identical) to each other in their indications, contraindications, side effects and drug interactions, some...
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November 27, 2018
100 Migraine Drugs, A to Z: duloxetine
November 27, 2018
Duloxetine (Cymbalta) is an antidepressant in the family of serotonin-norepinephrine reuptake inhibitors (SNRIs). Unlike the selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine (Prozac), escitalopram (Lexapro) and...
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November 19, 2018
100 Migraine Drugs, A to Z: droperidol
November 19, 2018
Droperidol (Inapsine) is not a phenothiazine, but is structurally very similar to this class of anti-nausea and anti-psychotic drugs. It also has similar properties of relieving nausea and being a major tranquilizer. And just like phenothiazines...
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November 15, 2018
100 Migraine Drugs, A to Z: Doxepine
November 15, 2018
Doxepin (Sinequan) is a tricyclic antidepressant and all drugs in this category (amitriptyline, nortriptyline, desipramine, protriptyline) appear to be effective for the prevention of migraine headaches. Only a single small trial...
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November 7, 2018
100 Migraine Drugs, A to Z: domperidone
November 7, 2018
Domperidone (Motilium) is not a champagne (that would be Dom Perignon and it can give you a headache) but an excellent nausea medication which is often used for the treatment of nausea associated with migraines. It is available...
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November 3, 2018
100 Migraine Drugs, A to Z: divalproex sodium
November 3, 2018
Divalproex sodium (Depakote) is one of two epilepsy drugs that are also approved by the FDA for the preventive treatment of migraine headaches (the other one is topiramate, or Topamax). It was approved by the FDA in 1983 to treat...
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October 29, 2018
100 Migraine Drugs, A to Z: dihydroergotamine
October 29, 2018
Dihydroergotamine (DHE-45) when given intravenously (IV) is considered to be the most effective migraine medication. It was introduced in 1943 and has been the go-to drug for migraines that do not respond to other medications. We usually...
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October 24, 2018
100 Migraine Drugs, A to Z: diclofenac
October 24, 2018
Diclofenac (Cambia, Voltaren) is one of the nonsteroidal anti-inflammatory drugs (NSAIDs) used for the treatment of migraine headaches. Cambia, which contains 50 mg of powdered diclofenac, is specifically approved by the...
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October 15, 2018
100 Migraine Drugs, A to Z: dichloralphenazone
October 15, 2018
Dichloralphenazone is one of three ingredients in the headache drug, Midrin. The other two ingredients are isometheptene, a drug that constricts blood vessels and acetaminophen. Midrin actually is a combination of...
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October 12, 2018
100 Migraine Drugs, A to Z: desvenlafaxine
October 12, 2018
Desvenlafaxine (Pristiq) is an antidepressant in the family of serotonin and norepinephrine reuptake inhibitors (SNRIs). Selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine (Prozac) and escitalopram...
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October 8, 2018
100 Migraine Drugs, A to Z: desipramine
October 8, 2018
Desipramine (Norpramin) belongs to the family of tricyclic antidepressants which have been proven to be effective for the treatment of various pain syndromes and for the prevention of migraine headaches. Desipramine is used...
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October 5, 2018
100 Migraine Drugs, A to Z: celecoxib
October 5, 2018
Celecoxib (Celebrex) is a non-steroidal anti-inflammatory drug (NSAID) that belongs to a subclass of selective COX-2 inhibitors. This subclass of drugs tends to be safer on the stomach compared to aspirin, naproxen (Aleve), ibuprofen...
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October 1, 2018
More science to support the use of cannabis for pain
October 1, 2018
We’ve been prescribing medical marijuana for migraines and other painful conditions since it was legalized in the state of New York four years ago. While it does not seem to help most of our patients, it does benefit a significant...
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Insights from Dr. Alexander Mauskop on headaches and migraines
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