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Lifestyle changes, dietary restrictions, and nutraceuticals in migraine prevention
Techniques in Regional Anesthesia and Pain Management, 06/25/09

Taylor FR - This article discusses this practitioner's empiric recommendation for lifestyle changes and graded evidence for dietary changes and nutraceuticals in migraineurs. Alcohol, aspartame, nitrates, and monosodium glutamate are Grade B-rated dietary substances needing restriction, with MSG lacking data specific for migraine. No consensus yet exists on the hierarchy of efficacy for the nutraceuticals. Given the number of patients studied and data consistency or lack thereof regarding efficacy, Petadolex appears to have best proof followed by magnesium > feverfew (no commercially available MIG-99 forms) > riboflavin > coenzyme Q10 > thiotic acid.

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