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Table 9 Preventive medication against chronic migraine with recommended doses

From: Reference programme: diagnosis and treatment of headache disorders and facial pain. Danish Headache Society, 3rd edition, 2020

Drug

Daily dose

Beta-blockers:

 Metoprolol

50–200 mg

 Propranolol

40–240 mg

 Candesartancilexetil

16 (24–32) mg

 Topiramate

50–100 (200) mg

 Amitriptyline

10–100 mg

 Botulinum type a toxin

155–195 units i.m. Every 12 weeks

CGRP-antibodies:

 Erenumab

70–140 mg s.c. every 4 weeks

 Fremanezumab

225 mg s.c. every month or 675 mg s.c. every 3 months

 Galcanezumab

Start dose 240 mg s.c. followed by 120 mg s.c. every month.

 Eptinezumab

100–300 mg i.v. every 3 months

  1. s.c. subcutaneous, i.m. intramuscular, iv. intravenous