Table 2

Recommended interventions by the guidelines for migraine prophylaxis*

InterventionsMinimum effective dose or treatment period, mg/day
Pharmacological interventions
Antiepileptics
 Gabapentin900
 Topiramate100
Antidepressants
 Amitriptyline10
 Nortriptyline10
Antihypertensives and other calcium channel blockers
 Propranolol80
 Metoprolol100
 Nadolol80
 Flunarizine10
 Candesartan16
Vitamins/minerals/herbals
 Riboflavin400
 Coenzyme Q10300
 Magnesium600
 Butterbur (Petasites hybridus root extract)150
Serotonin Antagonists
 Pizotifen (pizotyline)
Non-pharmacological interventions
Acupuncture
Relaxation training
Biofeedback
Cognitive–behavioural therapy
  • *The recommended dose or treatment period was defined according to the guidelines developed by the American academy of neurology, the National Institute for Health and Care Excellence, the Scottish Intercollegiate Guidelines Network and the Canadian Headache Society. There is no standard reference for defining the minimum effective treatment period of the non-pharmacological interventions.