Preventive agents for migraine: focus on the antiepileptic drugs

J Cent Nerv Syst Dis. 2012 Feb 26:4:37-49. doi: 10.4137/JCNSD.S9049. Print 2012.

Abstract

Migraine is among the 10 most disabling disorders worldwide. It is characterized by episodes of moderate or severe headaches with various degree of disability, resulting in a considerable health burden upon the sufferers and their family. The objective of this article is to review the use of prophylaxis with antiepileptic drugs. Particular focus is given to their mechanism of action, metabolism, pharmacokinetics, safety profile, efficacy and to provide a summary of the most relevant clinical studies and patient preference.

Keywords: antiepileptic drugs; migraine; prophylaxis.