PED-DEX
2026 NEWIn this small single-center RCT, adjunctive IV dexamethasone did not reduce 48-h migraine relapse or improve pain, functional recovery, or health-care use in children and adolescents.
Which treatment strategy—withdrawal, prevention (oral, anti-CGRP, botulinum toxin), education, neurostimulation, or combinations—is most effective at reducing monthly headache days in patients with medication-overuse headache?
Network meta-analysis comparing efficacy of different strategies on medication-overuse headache
Bottom Line: Combination therapies—particularly abrupt withdrawal + oral prevention + greater occipital nerve block, and restriction + oral prevention + anti-CGRP(R) therapy—are the most effective initial strategies for medication-overuse headache. Oral prevention, anti-CGRP(R) therapies, and botulinum toxin all significantly reduce monthly headache days with similar efficacy as monotherapies. Abrupt withdrawal alone is…
In this small single-center RCT, adjunctive IV dexamethasone did not reduce 48-h migraine relapse or improve pain, functional recovery, or health-care use in children and adolescents.
In a small (n=16) double-blind, placebo-controlled, two-way crossover provocation study, IV CGRP triggered typical IIH headache in 44% of women and was accompanied by elevations in 8 pro-nociceptive a...
Is IV fosphenytoin superior to placebo in reducing pain intensity at 120 minutes in patients with acute trigeminal neuralgia exacerbations?
Is vaporized cannabis effective for the acute treatment of migraine attacks?
Does a single intravenous infusion of Lu AG09222, an anti-PACAP monoclonal antibody, reduce migraine days in patients with prior preventive treatment failures?
Is vaporized cannabis (THC-dominant, CBD-dominant, or THC+CBD) superior to placebo for the acute treatment of migraine attacks?
Is CGRP inhibitor use associated with an increased risk of cardiovascular events in patients with migraine?
Can a CGRP antibody actually prevent migraines in children and teens?
Which treatment strategy—withdrawal, prevention (oral, anti-CGRP, botulinum toxin), education, neurostimulation, or combinations—is most effective at reducing monthly headache days in patients with medication-overuse headache?
Does adding a 28-day prednisone taper to galcanezumab improve outcomes in medication overuse headache compared with either treatment alone?
Is atogepant effective for preventive treatment of chronic migraine in patients with and without acute medication overuse?
Do anti-CGRP monoclonal antibodies effectively prevent attacks in episodic and chronic cluster headache?
Can a CGRP antibody prevent episodic cluster headache attacks?
Is eptinezumab 400 mg IV every 12 weeks safe, tolerable, and effective for long-term prevention of chronic cluster headache?
Does fremanezumab reduce monthly migraine days and depressive symptoms in patients with migraine and comorbid DSM-5 major depressive disorder?
Is amitriptyline an effective migraine prophylactic, and is the benefit independent of its antidepressant action?
Does eptinezumab combined with brief patient education reduce migraine burden more than patient education alone in adults with chronic migraine and medication-overuse headache?