The effect of sodium valproate on chronic daily headache and its subgroups

被引:0
作者
Vedat Ali Yurekli
Galip Akhan
Suleyman Kutluhan
Ertugrul Uzar
Hasan Rifat Koyuncuoglu
Fatih Gultekin
机构
[1] Suleyman Demirel University,Department of Neurology, School of Medicine
[2] Suleyman Demirel University,Department of Biochemistry, School of Medicine
来源
The Journal of Headache and Pain | 2008年 / 9卷
关键词
Chronic daily headache; Chronic migraine; Chronic tension type headache; Sodium valproate;
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摘要
The objective of the study was to assess the efficacy and tolerability of sodium valproate (VPA) on chronic daily headache (CDH) in a prospective, double-blind, randomized, placebo-controlled trial. Seventy patients were included in the study. Twenty-nine had chronic migraine (CM) and 41 had chronic tension-type headache (CTTH). VPA and placebo were applied for 3 months to 40 and 30 patients, respectively. Visual analog scale (VAS) and pain frequency (PF) were used for evaluation. VPA decreased the maximum pain VAS levels (MaxVAS) and PF at the end of the study (P = 0.028 and P = 0.000, respectively), but did not change general pain VAS (GnVAS) levels (P = 0.198). In CM patients, the decreases in MaxVAS, GnVAS and PF parameters were more in VPA treated patients (P = 0.006, P = 0.03, and P = 0.000, respectively). VPA treatment caused more reduction in PF than placebo in the CTTH subgroup (P = 0.000). VPA is effective in the prophylactic treatment of CDH by reducing MaxVAS levels and PF. It was more effective in CM than in CTTH.
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页码:37 / 41
页数:4
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共 71 条
[11]  
Sorensen KV(1992)Sodium valproate in the prophylactic treatment of migraine: a double-blind study versus placebo Cephalalgia 12 81-84
[12]  
Hering R(1997)A comparison of divalproex with propanolol and placebo for the prophylaxis of migraine without aura Arch Neurol 54 1141-1145
[13]  
Kuritzky A(1994)Sodium valproate has a prophylactic effect in migraine without aura: a triple-blind, placebo controlled crossover study Neurology 44 647-651
[14]  
Hering R(2004)Topiramate in migraine prevention: results of a large controlled trial Arch Neurol 61 490-495
[15]  
Kuritzky A(2004)Topiramate for migraine prevention: a randomized controlled trial JAMA 291 965-973
[16]  
Jensen R(2004)Topiramate in migraine prophylaxis: results from a placebo-controlled trial with propranolol as an active control J Neurol 251 943-950
[17]  
Brinck T(2001)Efficacy of gabapentin in migraine prophylaxis Headache 41 119-128
[18]  
Olesen J(2007)Antiepileptic drugs for the treatment of chronic and episodic cluster headache Headache 47 81-89
[19]  
Freitag FG(2006)The prophylactic treatment of chronic daily headache Headache 46 1552-1564
[20]  
Collins SD(2005)Chronic daily headache JAOA 105 23S-29S