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Table 1 Is recurrence attack- or patient-dependent?

From: What can be learned from the history of recurrence in migraine? A comment

References

Methods

Result

Rapoport et al. [22], Ferrari et al. [23], Scott et al. [24]

Administration of sumatriptan 100 mg or placebo as a second dose after 2–4 h for the prevention of recurrence

No effect of sumatriptan on the incidence of recurrence compared with placebo

Visser et al. [26]

Analysis of 366 migraine patients

Recurrence more frequently with severe attacks and long duration of untreated attacks

Visser et al. [1]

Pharmacokinetic and pharmacodynamic evaluation after subcutaneous sumatriptan in migraine patients outside attacks

No differences between patients with recurrence and non-recurrence patients

Dodick et al. [27]

Multivariate logistic regression analysis identified predictors of headache recurrence in the eletriptan trial program

Predictors of recurrence were: >35 years old, females, and severe attacks at baseline

Tfelt-Hansen [32]

RCT of frovatriptan (t½ = 26 h) versus sumatriptan (t½ = 2 h)

Frovatriptan (25% recurrence) was not different from sumatriptan (31% recurrence)a

Saxena and Tfelt-Hansen [16]

Comparative RCTs of a triptan versus ergot alkaloids

In five out of six RCTs significant less recurrence with ergot alkaloids than with a triptan

Brandes et al. [25]

RCT of naproxen plus sumatriptan versus sumatriptan

More sustained pain-free (24%) after naproxen plus sumatriptan than after sumatriptan (15%)

  1. aSee Fig. 1 for a possible explanation