Compare the safety and efficacy of Propranolol versus Nortriptyline as Monotherapy for Migraine Prophylaxis.
DOI:
https://doi.org/10.69980/ajpr.v28i5.629Keywords:
.Abstract
Objective: To compare the safety and efficacy of Propranolol and Nortriptyline as monotherapy in the prophylactic treatment of migraine.
Methods: This study evaluated patients diagnosed with migraine who were treated with either Propranolol or Nortriptyline. The primary endpoints included reduction in frequency, severity, and duration of migraine attacks. Secondary outcomes assessed the tolerability and side effect profile of each medication.
Results: Nortriptyline demonstrated superior efficacy compared to Propranolol, significantly reducing the frequency, intensity, and duration of migraine episodes. However, Propranolol was better tolerated, with fewer and less severe side effects reported.
Conclusion: In This study indicates that Nortriptyline is more effective than Propranolol in migraine prevention, particularly in reducing the frequency, severity, and duration of attacks. However, Propranolol demonstrates better tolerability with fewer side effects. While Nortriptyline appears to be the more efficacious option for migraine prophylaxis, Propranolol may be preferred in patients who prioritize minimal adverse effects.
References
1. The Global Burden of Migraine: A 30-Year Trend Review and Future Projections by Age, Sex, Country, and Region:2024 Dec 11;14(1):297–315.
2. The International Classification of Headache Disorders, 3rd edition Volume 38, Issue 1 , January 2018, Pages 1-211
3. Britt W. et al Defining migraine days, based on longitudinal E-diary data Volume 43, Issue 5 , May 2023
4. Terrin, A., Mainardi, F., Lisotto, G. (2020). A prospective study on osmophobia in migraine versus tension-type headache in a large series of attacks. Cephalalgia, 40(10), 1063–1070.
5. Roberta M. et al Tracking the evolution of non-headache symptoms through the migraine attack:2022 Nov 23;23(1):149
6. Stovner, L. J., Hagen, K., Jensen, R., T. J. (2022). The global prevalence of headache: An update, with analysis of the influence of methodological factors on prevalence estimates. Journal of Headache and Pain, 23(1), 1–18
7. Rebecca C. The prevalence and burden of migraine and severe headache in the United States:2015 Jan;55(1):21-34.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 American Journal of Psychiatric Rehabilitation

This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License permitting all use, distribution, and reproduction in any medium, provided the work is properly cited.