Which classes of medications are effective for migraine prevention?

Updated: Oct 21, 2019
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

The classes of medications that are effective for migraine prevention include:

  • Antiepileptics

  • Antidepressants

  • Antihypertensives

  • Botulinum toxin

  • Calcitonin gene-related peptide (CGRP) inhibitors

Antiepileptics, antidepressants, and antihypertensives may be considered initially since they are more affordable. For any of these initial prophylactic agents, prophylaxis should not be considered a failure until it has been given at the maximum tolerable dose for at least 30 days.


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