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Wiley InterScience

European Journal of Neurology

European Journal of Neurology

Volume 14 Issue 6, Pages 701 - 703

Published Online: 29 May 2007

Journal compilation © 2010 European Federation of Neurological Societies



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SHORT COMMUNICATION
Efficacy of lisinopril in migraine prophylaxis – an open label study
S. Schuh-Hofer a,b , U. Flach b , A. Meisel b , H. Israel b , U. Reuter b and G. Arnold b,c
  a Department of Neurology, Universitätsklinikum Tuebingen, Tuebingen, Germany ;   b Department of Neurology, Charité Universitätsmedizin Berlin, Berlin, Germany ; and   c Department of Neurology, Klinikum Suedwest (Sindelfingen-Boeblingen), Leipzig, Germany
Correspondence to Dr Sigrid Schuh-Hofer, Department of Neurology, Universität Tübingen, Hoppe-Seyler Str. 3, 72076 Tübingen, Germany (tel.: 07071–29–86508; fax: 07071–29–5620; e-mail: sigrid.schuh-hofer@gmx.net).
Copyright 2007 EFNS
KEYWORDS
angiotensin converting enzyme • lisinopril • migraine • prophylaxis

ABSTRACT

The ACE-inhibitor lisinopril has previously been shown to be effective in migraine prophylaxis at a daily dose of 20 mg. To test the effect of a low dose of lisinopril (5 mg daily) in migraine prevention, we performed an open label study in 21 migraineurs. The primary outcome measure was frequency of migraine attacks. Secondary efficacy measures were migraine hours, intake of acute migraine drugs, pain intensity and responder rate. Compared with baseline conditions, the attack frequency of migraine attacks was significantly reduced (P < 0.0005). The number of acute migraine drugs dropped significantly (P = 0.002). Three patients dropped out because of intolerable cough. Our study suggests that even low doses of lisinopril may be effective in migraine treatment. However, its use may be limited by intolerable side-effects.


Received 4 August 2006 Accepted 19 January 2007

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1468-1331.2007.01764.x About DOI

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