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. 2011 Aug 16;11:102. doi: 10.1186/1471-2377-11-102

Table 2.

Response to treatment in 30 cases with cyclic vomiting syndrome

Amitriptyline Cyproheptadine Coenzyme Q10 L-carnitine Outcome:
Episodes
Resolved
Outcome:
Episodes >
75%
Improvement
Outcome:
Episodes >
50%
Improvement
Outcome:
Treatment
Failure
+ + 3 3a

+ 1 1 b

+ + 3 c

+ + 2 d

+ + + 10 1 b 2 b

+ 1

+ + 1

+ + 1

+ + + 1

a All 3 families elected not to treat with amitriptyline despite symptoms

bSee text

cIn one of those cases, amitriptyline was not tolerated, yet episodes resolved on topiramate + co-enzyme Q10

dIn one of those cases, episodes returned years later, then resolved on topiramate, while still on carnitine.