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Current Treatment Options in Neurology
Erschienen in: Current Treatment Options in Neurology 4/2019

01.04.2019 | Headache (JR Couch, Section Editor)

Current Status of Antiepileptic Drugs as Preventive Migraine Therapy

verfasst von: Simy K. Parikh, MD, Stephen D. Silberstein, MD

Erschienen in: Current Treatment Options in Neurology | Ausgabe 4/2019

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Abstract

Background

Antiepileptic drugs (AEDs) are an important class of agents used in the treatment of migraine, a neurological disorder that imparts significant socioeconomic burden. It is important for neurologists to understand the rationale for AEDs in migraine-preventive treatment, as well as each agent’s efficacy and tolerability profile, in order to best determine clinical care.

Purpose of this review

This article specifically provides the following: (1) a review of the mechanism of action, efficacy, and tolerability of topiramate and divalproex sodium/sodium valproate, the most widely used AEDs for migraine prevention, (2) a discussion on emerging evidence regarding the efficacy of zonisamide and levetiracetam, and (3) comments on gabapentin, pregabalin, carbamazepine, oxcarbazepine, and lamotrigine, AEDs which have insufficient evidence for use in migraine prevention.

Recent findings

The potential role for new extended-release formulations of topiramate in migraine prevention is discussed.

Summary

There is substantial evidence supporting the use of AEDs in migraine prevention. Specific agents should be chosen based on their efficacy and tolerability profiles. Further studies are needed to determine the efficacy of the newer AEDs, zonisamide and levetiracetam, in migraine prevention and to clarify the role of gabapentinoids in headache management.
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Metadaten
Titel
Current Status of Antiepileptic Drugs as Preventive Migraine Therapy
verfasst von
Simy K. Parikh, MD
Stephen D. Silberstein, MD
Publikationsdatum
01.04.2019
Verlag
Springer US
Erschienen in
Current Treatment Options in Neurology / Ausgabe 4/2019
Print ISSN: 1092-8480
Elektronische ISSN: 1534-3138
DOI
https://doi.org/10.1007/s11940-019-0558-1

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