Divalproex Sodium and Topiramate for Migraine ProphylaxisMigren

dc.contributor.authorDegirmenci, Yildiz
dc.contributor.authorKaragoz, Erkan Taner
dc.contributor.authorKaraman, Handan Isin Ozisik
dc.date.accessioned2025-01-27T21:21:13Z
dc.date.available2025-01-27T21:21:13Z
dc.date.issued2012
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractAim: To compare the efficacy, safety of topiramate and extended-release divalproex sodium in migraine prophylaxis. Material and Method: Study groups consisted of 22 patients with chronic migraine, randomly administered 1000mg extended-release divalproex sodium (first group), 21 patients given 100mg topiramate (second group).Study was 28-week randomized, prospectivetrial including 4-week baseline, 4-week titration, 20-week maintenancephase.Primary efficacy measure was reduction from baseline in 4-weekmigraine frequency.Secondary efficacy measures included responder rates,mean reduction in migraine duration,severity.Severity of headache wasquantified by using 10-point visual analogue scale (VAS). Responder rateswere defined as percentage of patients who demonstrated = 50%. reductionin migraine frequency per month. Results: Reduction from baseline migrainefrequency at the end of six month was primary outcome measure.Meanmigraine frequency at the end of study was 1.27 +/- 1 (baseline; mean +/- SD:3.6 +/- 2) in the first, 1.2 +/- 1.2 (baseline; mean +/- SD: 3.5 +/- 2.3) (p<0.0001) inthe second gr nt in frequency was observed in 16 patients (72.7%) in the first group, and 16 patients (76.2%) in the second group.Only a limited number of patients were excluded from the study due to side effects as 2 patients from the first group and 1 patient from the second group.The most common side effect was weight gain in the first and paresthesia in the second group. Discussion: Both divalproex sodium, topiramate were almost equally effective in reducing migraine frequency, duration, severity.Total relief from migraine attacks were more in topiramate than extended-release divalproex sodium.
dc.identifier.doi10.4328/JCAM.724
dc.identifier.endpage307
dc.identifier.issn1309-0720
dc.identifier.issn1309-2014
dc.identifier.issue3
dc.identifier.startpage303
dc.identifier.urihttps://doi.org/10.4328/JCAM.724
dc.identifier.urihttps://hdl.handle.net/20.500.12428/28845
dc.identifier.volume3
dc.identifier.wosWOS:000215547400015
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherDerman Medical Publ
dc.relation.ispartofJournal of Clinical and Analytical Medicine
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectExtended-Release Divalproex Sodium
dc.subjectTopiramate
dc.subjectMigraine Prophylaxis
dc.titleDivalproex Sodium and Topiramate for Migraine ProphylaxisMigren
dc.typeArticle

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