Effectiveness and Tolerability of Acupuncture Compared With Metoprolol in Migraine Prophylaxis

@article{Streng2006EffectivenessAT,
  title={Effectiveness and Tolerability of Acupuncture Compared With Metoprolol in Migraine Prophylaxis},
  author={Andrea Streng and Klaus Linde and Andrea Hoppe and Volker Pfaffenrath and Michael Hammes and Stefan Wagenpfeil and Wolfgang Weidenhammer and Dieter Melchart},
  journal={Headache: The Journal of Head and Face Pain},
  year={2006},
  volume={46}
}
Objectives.—In a randomized controlled multicenter trial extending over 24 weeks, we investigated whether acupuncture is as effective and safe as metoprolol in the prophylactic treatment of migraine under conditions similar to routine care. 
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This is a systematic review of data from existing randomized trials that compare the effectiveness of acupuncture treatment with conventional migraine preventative medications.
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Although there are fewer studies performed on acupuncture than those of drug therapy for the treatment of migraine, the literature still suggests that acupuncture is a useful alternative, especially for patients unable or unwilling to take medication.
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TLDR
The scientific data generated from basic science and clinical research is provided to help clinicians gain better knowledge on the role of acupuncture treatment in pain management.
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TLDR
There have been no medications that were designed with the specific purpose to decrease the number of migraine attacks, which prompts a search for alternative interventions that could be valuable, such as acupuncture.
Efficacy of acupuncture for migraine prophylaxis: a trial sequential meta-analysis
TLDR
Acupuncture can reduce migraine episodes compared to sham one and can be an alternative and safe prophylactic treatment for conventional drugs therapy, but it should be further verified through more RCTs.
Acupuncture versus propranolol in migraine prophylaxis: an indirect treatment comparison meta-analysis
TLDR
Acupuncture had a better effect than propranolol in reducing migraine episodes in indirect comparison, and this result should be confirmed in subsequent head-to-head studies.
The pharmacological management of migraine, part 1: overview and abortive therapy.
  • G. Demaagd
  • Medicine, Psychology
    P & T : a peer-reviewed journal for formulary management
  • 2008
TLDR
Part 1 of a two-part series presents a summary of treatments used to reduce the severity and duration of migraine and its associated symptoms and also discusses the comorbidities, clinical presentation, and risk factors associated with this affliction.
Role of acupuncture in the treatment of migraine
TLDR
A 6-week course of acupuncture is not inferior to a 6-month prophylactic drug treatment, but that specific Chinese point selection, point stimulation and needling depth are not as important as had been thought.
Is acupuncture as effective as pharmacological management in migraine prophylaxis
TLDR
There is evidence to suggest that acupuncture could be considered as a first line treatment for chronic migraine, particularly in patients who cannot tolerate standardized drug therapy, and Forthcoming trials need to be redesigned to optimize the full potential of acupuncture in the treatment of migraine.
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