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. 2022 Mar 29;16:821–839. doi: 10.2147/PPA.S346660

Table 1.

Conventional Preventive Medications for Migraine by Drug Class and Drug Category

Drug
Category
Drug Class
Conventional Preventive Treatments for Migraine (Standard-of-Care [SOC]) Cohort Level C Possibly Effective Level U Inadequate or Conflicting Data Other Established as Possibly or Probably Ineffective
Level A Established Efficacy Level B Probably Effective Other
Antiepileptics Divalproex Na or Na valproate
Topiramate
Carbamaze-pine Gabapentin Lamotrigine
Clonazepam
Oxcarbazepine
Beta-blockers Metoprolol
Propranolol
Timolol
Atenolol
Nadolol
Nebivolol
Pindolol
Bisoprolol Acebutolol
Antidepressants Amitriptyline
Venlafaxine
Fluoxetine
Fluvoxamine
Protriptyline
Clomipramine
Non-specific Onabotulinum-toxinA
ACE inhibitor Lisinopril
Angiotensin receptor blockers Candesartan Telmisartan
Alpha-Agonists Clonidine
Guanfacine
Antithrombotic Coumadin
Calcium Channel Blockers Nicardipine
Nifedipine
Nimodipine
Verapamil
Diuretic Acetazolamide
NSAID Nabumetone

Note: Reference table modified from Silberstein et al, 2012.9.

Abbreviations: ACE, angiotensin-converting enzyme; Na, sodium; NSAID, nonsteroidal anti-inflammatory drug; SOC, standard-of-care.