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Verapamil Prophylaxis of Migraine: Title and subTitle BreakA Double-blind, Placebo-Controlled Study FREE

Capt Glen D. Solomon, MCMaj ; J. Griffith Steel, MCCapt ; Leo J. Spaccavento, MC
[+] Author Affiliations

Read before the American Association for the Study of Headache, Toronto, June 25, 1983.

The opinions expressed herein are those of the authors and do not represent the policies or opinions of the US Air Force or the Department of Defense.

Reprint requests to Department of Internal Medicine, US Air Force Medical Center, Scott AFB, IL 62225 (Dr Solomon).


JAMA. 1983;250(18):2500-2502. doi:10.1001/jama.1983.03340180054025
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We undertook a double-blind, placebo-controlled study to determine the effectiveness of verapamil hydrochloride for the prophylaxis of migraine. Twelve patients were given either verapamil hydrochloride, 80 mg four times daily, or placebo in random order during two consecutive three-month periods. Migraine frequency, severity, and duration were quantified by daily logs and monthly questionnaires. Ten of the 12 patients had fewer migraines during verapamil therapy. Migraine frequency decreased from 6.7 to 3.8 migraines per patient per month, for a mean decrease of 49%. Headache unit index fell from an average of 0.61 to 0.44. We conclude that verapamil is effective in the prophylaxis of migraine and that verapamil might be considered one alternative in the development of a regimen for the prophylaxis of migraine.

(JAMA 1983;250:2500-2502)

REFERENCES

Zeigler DK, Hassanein RS, Couch JR:  Characteristic of life headache histories in a nonclinic population . Neurology 1977;;27:265-269.
Graham JR, Wolff HG:  Mechanism of migraine headache and action of ergotamine tartrate . Arch Neurol- Psychiatry 1938;;39:737-740.
Wolff's Headache and Other Head Pain , ed 3, Dalessio DJ (rev ed). New York University Press, 1972;.
Sandler M:  Monoamines and migraine: A path through the woods , in Diamond S, Dalessio D, Graham J, et al (eds): Vasoactive Substances Relevant to Migraine . Springfield, Ill, Charles C Thomas Publisher, 1975;, pp 3-18.
McGoon M, Vlietstra R, Holmes D, et al:  The clinical use of verapamil . Mayo Clin Proc 1982;;57:495-510.
 Ad Hoc Committee on Classification of Headache: Classification of headache . JAMA 1962;;179:717-718.
Forssman B, Henriksson K-G, Johannsson V, et al:  Propranolol for migraine prophylaxis . Headache 1976;;16:238-245.
Saper JR:  Migraine: II. Treatment . JAMA 1978;;239:2480-2484.
Zelis R, Schroeder JS:  Calcium, calcium antagonists and cardiovascular disease . Chest 1980;;78( (suppl) ):122.
Louis P:  A double-blind placebo-controlled prophylactic study of flunarizine (Sibelium) in migraine . Headache 1981;;21:235-239.
Diamond S, Schenbaum H:  Flunarizine, a calcium channel blocker, in the prophylactic treatment of migraine . Headache 1983;;23:39-42.
Havanka-Kanniainen H, Myllyla V, Hokkanen E:  Nimodipine in the prophylaxis of migraine, a double blind study . Acta Neurol Scand 1982;;90( (suppl) ):77-78.

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Zeigler DK, Hassanein RS, Couch JR:  Characteristic of life headache histories in a nonclinic population . Neurology 1977;;27:265-269.
Graham JR, Wolff HG:  Mechanism of migraine headache and action of ergotamine tartrate . Arch Neurol- Psychiatry 1938;;39:737-740.
Wolff's Headache and Other Head Pain , ed 3, Dalessio DJ (rev ed). New York University Press, 1972;.
Sandler M:  Monoamines and migraine: A path through the woods , in Diamond S, Dalessio D, Graham J, et al (eds): Vasoactive Substances Relevant to Migraine . Springfield, Ill, Charles C Thomas Publisher, 1975;, pp 3-18.
McGoon M, Vlietstra R, Holmes D, et al:  The clinical use of verapamil . Mayo Clin Proc 1982;;57:495-510.
 Ad Hoc Committee on Classification of Headache: Classification of headache . JAMA 1962;;179:717-718.
Forssman B, Henriksson K-G, Johannsson V, et al:  Propranolol for migraine prophylaxis . Headache 1976;;16:238-245.
Saper JR:  Migraine: II. Treatment . JAMA 1978;;239:2480-2484.
Zelis R, Schroeder JS:  Calcium, calcium antagonists and cardiovascular disease . Chest 1980;;78( (suppl) ):122.
Louis P:  A double-blind placebo-controlled prophylactic study of flunarizine (Sibelium) in migraine . Headache 1981;;21:235-239.
Diamond S, Schenbaum H:  Flunarizine, a calcium channel blocker, in the prophylactic treatment of migraine . Headache 1983;;23:39-42.
Havanka-Kanniainen H, Myllyla V, Hokkanen E:  Nimodipine in the prophylaxis of migraine, a double blind study . Acta Neurol Scand 1982;;90( (suppl) ):77-78.
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