Combination monoamine oxidase inhibitor and β-blocker treatment of migraine, with anxiety and depression

This paper presents the results of a study comparing the effectiveness of a β-adrenergic blocking agent, atenolol, a monoamine oxidase inhibitor (MAO-I), phenelzine, and the combination in treatment of 61 adults with migraine headache. The goals of the study are (1) to investigate the safety of conc...

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Veröffentlicht in:Biological psychiatry (1969) 1995-11, Vol.38 (9), p.603-610
Hauptverfasser: Merikangas, Kathleen R., Merikangas, James R.
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Merikangas, James R.
description This paper presents the results of a study comparing the effectiveness of a β-adrenergic blocking agent, atenolol, a monoamine oxidase inhibitor (MAO-I), phenelzine, and the combination in treatment of 61 adults with migraine headache. The goals of the study are (1) to investigate the safety of concomitant treatment of migraine with β-blockers and phenelzine, (2) to assess whether orthostatic hypertension and other side effects would be relieved, and (3) to compare the results of this open trial of phenelzine to those of a previous study using similar methods. Phenelzine was associated with a large decrease in the frequency and severity of migraine attacks. Anxiety and depression were also reduced by phenelzine both alone, and in combination with a β-blocker. The results show that the combination of MAO-I's and β-blockers can be administered safely, and can lead to the reduction in the side effects with either drug alone.
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subjects Adrenergic beta-Antagonists - pharmacology
Adrenergic beta-Antagonists - therapeutic use
Adult
Anxiety - complications
Anxiety - diagnosis
Anxiety - drug therapy
atenolol
Atenolol - pharmacology
Atenolol - therapeutic use
Biological and medical sciences
Blood Pressure - drug effects
Depressive Disorder - complications
Depressive Disorder - diagnosis
Depressive Disorder - drug therapy
Disability Evaluation
Drug Administration Schedule
Drug Therapy, Combination
Female
Humans
Male
Medical sciences
migraine
Migraine Disorders - complications
Migraine Disorders - diagnosis
Migraine Disorders - drug therapy
monoamine oxidase inhibitor
Monoamine Oxidase Inhibitors - pharmacology
Monoamine Oxidase Inhibitors - therapeutic use
Neuropharmacology
Pharmacology. Drug treatments
phenelzine
Phenelzine - pharmacology
Phenelzine - therapeutic use
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease)
Psychology. Psychoanalysis. Psychiatry
Psychopharmacology
Treatment Outcome
β-Adrenergic blocking agent
title Combination monoamine oxidase inhibitor and β-blocker treatment of migraine, with anxiety and depression
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