New York Headache blog

by Dr. Alexander Mauskop
May 22, 2020
Eye exercises for head trauma and headaches
May 22, 2020
We recently started using RightEye eye-tracking equipment which can help our patients who are suffering from visual difficulties due to migraines, concussion, or traumatic brain injury (TBI). Many brain disorders can impair the control...
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May 14, 2020
More on vitamin D and COVID-19
May 14, 2020
The evidence is growing that those with low vitamin D levels are at a higher risk for respiratory infections, including COVID-19. However, purists argue that we need more evidence and better evidence from randomized...
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May 13, 2020
100 Migraine Drugs, A to Z: phenelzine
May 13, 2020
Phenelzine (Nardil) is an antidepressant which was approved by the FDA for the treatment of depression in 1961. It belongs to the family of monoamine oxidase (MAO) inhibitors and it is a very effective antidepressant...
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May 6, 2020
100 Migraine Drugs, A to Z: ondansetron
May 6, 2020
Ondansetron (Zofran) is not a migraine drug per se, but it is used for the treatment of nausea that often accompanies a migraine attack. It belongs to a different class of nausea drugs than the older drugs such as prochlorperazine...
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April 30, 2020
Tonight you can watch a live Facebook event on exercise and migraines
April 30, 2020
Tonight at 6 PM (EST), Dr. Mauskop will speak at the Weekly Wellness with the American Migraine Foundation. He will discuss the role of exercise in the management of migraine headaches and the results of scientific clinical trials...
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April 19, 2020
100 Migraine Drugs, A to Z: metoclopramide
April 19, 2020
Metoclopramide (Reglan) is an anti-nausea drug that has been in use since 1979. Controlled studies have shown that metoclopramide stops not only nausea and vomiting...
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April 10, 2020
Covid-19 and headaches
April 10, 2020
It is hard to think or write about anything other than Covid-19, so here is some information on Covid-19 and headaches. The bad news is that the long-suffering headache patients are suffering more. Most hospitals...
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April 4, 2020
Nerivio, a drug-free treatment for acute migraines
April 4, 2020
Nerivio is a smartphone-controlled wireless device that provides electrical stimulation of the type that is similar to TENS units widely used in physical therapy for musculoskeletal disorders. It was approved by the FDA last year for...
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March 29, 2020
Vitamin C is another supplement to consider for pain, immune system (Covid?), connective tissue
March 29, 2020
Vitamin C or ascorbic acid (AA) was discovered by Albert von Szent-Györgyi for which he received the 1937 Nobel Prize in Medicine. Linus Poling, one of only 4 people to win the Nobel prize twice, devoted many years of his life...
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March 23, 2020
Vitamin D is good for pain, immune system (think Coronavirus), brain, and body
March 23, 2020
Vitamin D level testing is no longer covered by many insurers and many doctors, NY Times, and other media consider taking vitamin D supplements of unproven benefit. I’ve written 10 blog posts over the past 12 years on...
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March 16, 2020
100 Migraine Drugs, A to Z: onabotulinumtoxinA
March 16, 2020
OnabotulinumtoxinA (Botox) is a most remarkable medicine. It was first approved by the FDA in 1989 for two eye conditions and since then it received approval for another dozen conditions as varied as excessive sweating, very frequent...
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March 9, 2020
Listen to podcast by Bottom Line – 7 New Treatments for Migraines
March 9, 2020
Sarah Hiner, President of BottomLineInc interviews me for The Bottom Line Advocator podcast – 7 New Treatments for Migraines Just Released — with Alexander Mauskop, MD...
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March 8, 2020
Galcanezumab can start to improve migraines within a day
March 8, 2020
Galcanezumab (Emgality) is one of the three injectable monoclonal antibodies approved for the prevention of migraines. Pharmacological studies show that it takes up to a week for these drugs to reach their highest concentration...
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March 1, 2020
Rimegepant, another very safe and effective drug receives FDA approval for the acute treatment of migraine headaches
March 1, 2020
Rimegepant (NURTEC ODT) is the second gepant approved for the acute treatment of migraine headaches. It blocks the same CGRP pathway as the injectable monoclonal antibodies that are used for the prevention of...
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February 26, 2020
100 Migraine Drugs, A to Z: nortriptyline
February 26, 2020
Nortriptyline (Pamelor) is a tricyclic antidepressant approved by the FDA only for the treatment of depression. However, with the introduction of SSRI family of antidepressants such as fluoxetine (Prozac) which...
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February 22, 2020
Vyepti – Another breakthrough in the prevention of migraines
February 22, 2020
Eptienzumab (Vyepti) was just approved by the FDA for the preventive treatment of migraine headaches. Eptinezumab is another monoclonal antibody that blocks the effect of CGRP, a chemical released during a migraine...
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February 18, 2020
fMRI may offer the first accurate and objective way to diagnose migraines
February 18, 2020
A group of American and Chinese researchers reported an objective way to diagnose migraine headaches using functional magnetic resonance imaging (fMRI). The paper just published in Neurology used machine learning to...
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February 14, 2020
Acupuncture for migraines – worth a try
February 14, 2020
Acupuncture has been subjected to a very large number of clinical trials for a variety of conditions, including migraine headaches. Dr. Zhang, a neurologist at Stanford and two of his colleagues have published a review of trials...
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February 10, 2020
100 Migraine Drugs, A to Z: nebivolol
February 10, 2020
Nebivolol (Bystolic) is one of the newer, third generation beta-blockers, drugs used for the treatment of high blood pressure as well as migraine headaches. In Europe, it’s been in use for over 20 years. In addition to beta-blockade, it...
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February 2, 2020
Lasmiditan – another new drug for acute treatment of migraines.
February 2, 2020
Lasmiditan (Rayvow) is the first (and probably the last) drug in the class of ditans. Just like the triptans (sumatriptan or Imitrex and other), it works through the serotonin system. However, it activates 5-HT1F serotonin...
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January 26, 2020
100 Migraine Drugs, A to Z: naratriptan
January 26, 2020
Naratriptan (Amerge, Naramig) is a triptan with a longer duration of action of 6 hours, compared to sumatriptan, rizatirptan, zolmitriptan, eletriptan, and almotriptan, which work for 2-4 hours. The seventh triptan, frovatriptan...
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January 19, 2020
Light therapy with Allay lamp
January 19, 2020
Light sensitivity is a common feature of migraine headaches and during an attack most people prefer being in the dark. According to a Harvard professor, Dr. Rami Burstein, exposure to pure green light may be better than...
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January 14, 2020
100 Migraine Drugs, A to Z: naproxen
January 14, 2020
Naproxen (Aleve, Anaprox, Naprosyn) is a popular over-the-counter and prescription non-steroidal anti-inflammatory drug (NSAID), which is often used for the treatment of migraine headaches. A combination of naproxen with...
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January 5, 2020
Migraine comorbidities
January 5, 2020
If you suffer from migraines you are at a higher risk of having certain other medical problems, or comorbidities. They are not the result of having migraines, nor do those condition cause migraines. Most likely, they may have...
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December 30, 2019
100 Migraine Drugs, A to Z: mirtazapine
December 30, 2019
Mirtazapine (Remeron) is a tetracyclic antidepressant similar to tricyclic antidepressants and like tricyclics may have pain-relieving properties. The three and four cycles refer to the chemical formulas of these drugs, which...
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December 23, 2019
Ubrogepant (Ubrelvy), a new type of drug to treat acute migraines is approved by the FDA
December 23, 2019
Ubrogepant (Ubrelvy) is the first oral anti-CGRP drug to be approved by the FDA for the acute treatment of migraine attacks. It was developed by Allergan, manufacturer of Botox, the safest and arguably the most effective...
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December 21, 2019
100 Migraine Drugs, A to Z: milnacipran
December 21, 2019
Milnacipran (Savella) is a drug that is approved by the FDA for the treatment of fibromyalgia. Fibromyalgia is a chronic disorder characterized by widespread musculoskeletal pain, fatigue, and tenderness in...
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December 15, 2019
100 Migraine Drugs, A to Z: metoprolol
December 15, 2019
Metoprolol (Toprol) is one of the beta-blockers, drugs used for the treatment of hypertension and other heart conditions. It is one of the three beta-blockers (the other two are propranolol and timolol) that are included in...
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December 8, 2019
Triptans are woefully underutilized
December 8, 2019
When sumatriptan (Imitrex) was introduced in 1992 it was truly a breakthrough drug – the first drug specifically developed for the acute treatment of migraines. Sumatriptan and six other triptans have alleviated suffering of...
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November 29, 2019
100 Migraine Drugs, A to Z: methylergonovine
November 29, 2019
Methylergonovine (Methergine) is used intravenously or in a tablet form after childbirth to help stop bleeding from the uterus. Methylergonovine belongs to the class of drugs known as ergot alkaloids. A drug in this class that is...
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