Table 3. Preventive therapy for migraine
Drug Daily oral dosage range Drug Daily oral dosage range
BETA-BLOCKERS CALCIUM CHANNEL BLOCKERS
Propranolol* 40-240 mg Verapamil 120-480 mg>
Nadolol* 20-80 mg Diltiazem 90-180 mg
Atenolol** 50-150 mg Nifedipine 30-120 mg
Timolol* 20-60 mg SEROTONIN ANTAGONISTS/AGONISTS
Metoprolol** 50-300 mg Cyproheptadine 4-8 mg
TRICYCLIC ANTIDEPRESSANTS Methysergide 4-6 mg
Amitriptyline 10-200 mg Methylergonovine 0.2 mg tid or qid
Nortriptyline 10-150 mg MAO INHIBITORS
Doxepin 10-200 mg Phenelzine 30-90 mg
Imipramine 10-200 mg SEROTONIN-REUPTAKE INHIBITORS
ANTICONVULSANTS Fluoxetine 10-30 mg
Phenytoin 300-800 mg Trazodone 50-300 mg
Carbamazepine 200-800 mg NSAIDs
Divalproex sodium 250-1,500 mg Naproxen 550-1,100 mg (eg, 275 mg tid)
Gabapentin 300-1800 mg Meclofenamat 100-400 mg (eg, 50 mg tid)
ALPHA-ADRENERGIC BLOCKERS Flubiprofen 50-200 mg
Clonidine 0.1 mg bid or tid Ibuprofen 300-1,200 mg
KEY

* Nonselective.
** Selective.

MAO: Monamine oxidase.

NSAIDs: Nonsteroidal anti-inflammatory drugs.

 

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