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- Title
Evaluation of Safety and Efficacy of Add‐on Alpha‐Lipoic Acid on Migraine Prophylaxis in an Adolescent Population: A Randomized Controlled Trial.
- Authors
Puliappadamb, Haridas Mundot; Satpathy, Amit Kumar; Mishra, Biswa Ranjan; Maiti, Rituparna; Jena, Monalisa
- Abstract
Nutraceuticals like alpha‐lipoic acid (ALA) may have potential benefits as prophylactic agents for adolescent migraine, with fewer adverse events than existing medications. The present study was conducted to evaluate the safety and efficacy of add‐on ALA for prophylaxis in adolescent migraine. A randomized, open‐label, add‐on clinical trial was conducted with 60 adolescent migraineurs, who were randomized to receive flunarizine or flunarizine with an add‐on ALA. A clinical evaluation of the frequency and severity of migraine, responder rate, Pediatric Migraine Disability Assessment (PedMIDAS) scoring, serum thiol, and serum calcitonin gene‐related peptide (CGRP) was performed both at baseline and following 12 weeks of treatment. The frequency of acute attacks of migraine decreased significantly (P =.001) in the test group compared with the control group. The responder rate was found to be significantly higher (80%) in the test group than in the control group (33.3%) (P =.001). The mean monthly migraine headache days in the test group showed a significant reduction (−7.7 days, 95%CI −9.1 to −6.3 days; P =.010). The severity of acute migraine attacks (mild, moderate, severe) also showed a significant reduction in the test group (P =.001). PedMIDAS scores showed significant improvement in the test group (P =.021), in comparison with the control group. Serum thiol levels were significantly increased in the test group (18 mmol/L, 95%CI 13.5 to 36.1 mmol/L; P =.001). Serum CGRP levels showed a significant reduction with adjunctive ALA therapy (−122.4 pg/mL, 95%CI −142.3 to −89.0 pg/mL; P =.006). Add‐on ALA with flunarizine as a prophylactic agent for migraine in adolescents can improve clinical outcomes by improving clinical and biochemical parameters.
- Subjects
INDIA; MIGRAINE prevention; CONFIDENCE intervals; HETEROCYCLIC compounds; TREATMENT effectiveness; RANDOMIZED controlled trials; ADOLESCENT health; LIPOIC acid; DESCRIPTIVE statistics; QUESTIONNAIRES; COMBINED modality therapy; STATISTICAL sampling; HEADACHE; PATIENT safety; ENZYME inhibitors; ADOLESCENCE
- Publication
Journal of Clinical Pharmacology, 2023, Vol 63, Issue 12, p1398
- ISSN
0091-2700
- Publication type
Article
- DOI
10.1002/jcph.2331