Migraine
Conditions
Keywords
Migraine prevention, Crossover, Melatonin
Brief summary
The circadian system with its centre in the hypothalamus is involved in migraine pathophysiology. Whether it plays a pivotal role is not clarified. The investigators postulate that a destabilized circadian system may increase migraine attack susceptibility, and that stabilization by supplying melatonin a migraine preventive effect will be achieved. A previous open label study has shown effects that certainly warrant a placebo controlled study.
Interventions
Circadin (melatonin) 2 mg ret. TAB vesp. for 8 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients between 18 and 65 years, both male and females. * Migraine present for at least 1 year and fulfilling diagnostic criteria that conform to those of the International Headache Society (HIS) \[2\] but otherwise healthy. * Attacks of migraine should occur 4-6 times per month, there should be no regular use of other drugs, and the patient has to be able to differentiate between migraine headache and non-migrainous headache. * Preventive drugs for migraine should not have been used the last three months. * Conventional acute attack treatment is accepted, but not sporadic use of other drugs like hypnotics and anxiolytics. * Residence of North-Norway.
Exclusion criteria
* Medication overuse headache, chronic migraine. * Pregnant and breast feeding women. * Patient with either serious co-morbidity or conditions requiring medical treatment or caution. * Psychiatric disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Migraine attack frequency | 8 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Pittsburgh Sleep Quality Index score | 8 weeks |
| Night time sleep quality | 8 weeks |
| Point prevalence of insomnia | 8 weeks |
Countries
Norway