Migraine Patients with Comorbid Disorders and Their Management


Category

Disorder

Psychiatry

Depression including bipolar disorders

Anxiety disorders

Compulsive-obsessive disorders

Neurology

Epilepsy

Tourette’s syndrome

Restless legs syndrome

Vascular disorders

Raynaud’s phenomenon

Ischemic stroke, subclinical stroke

White matter abnormalities

Cardiac

Patent foramen ovale

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Atrial septal aneurysm

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Other

Asthma/allergy

Systemic lupus erythematosus

Non-headache pain

Different types of vertigo

Temporomandibular disorder




  • Comorbidity of migraine should be considered when choosing the prophylactic drug treatment. This refers to both types of comorbidity. It is often possible to treat both conditions with one drug (Table 19.2).


    Table 19.2
    Recommended drugs when treating migraine with a comorbid disorder



























    Comorbid disorder

    Prophylactic drug

    Arterial hypertension

    Metoprolol or propranolol

    Candesartan

    Epilepsy

    Valproic acid

    Topiramate

    Gabapentin

    Depression

    Amitriptyline

    Venlafaxine
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    Jul 4, 2016 | Posted by in HEAD AND NECK SURGERY | Comments Off on Migraine Patients with Comorbid Disorders and Their Management

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