Chronic migraine is a debilitating condition that affects a significant portion of the population, often leading to reduced quality of life and increased healthcare costs. OnabotulinumtoxinA has emerged as an effective preventive treatment for chronic migraines, but the optimal dosage remains a topic of interest. This retrospective paired comparison study analyzed the effects of two different dosages of onabotulinumtoxinA (150 units and 200 units) on 175 patients with chronic migraines. The study found that increasing the dosage to 200 units resulted in a notable reduction in both headache days and severe headache days, compared to the lower 150-unit dosage. Specifically, headache days decreased from 13.62 to 11.02, and severe headache days dropped from 5.88 to 4.01. Additionally, patients who received the higher dose reported a reduction in the wearing off period, suggesting a longer-lasting effect of the treatment. The results indicate that a higher dose of onabotulinumtoxinA may be more effective in reducing the frequency and severity of chronic migraine symptoms. However, the study emphasizes the need for further randomized clinical trials to confirm the findings and assess the long-term impact of higher dosages in chronic migraine therapy. Given the growing burden of chronic migraines, understanding the dose-dependent effects of onabotulinumtoxinA could lead to more personalized and effective treatment strategies for patients.
Zandieh A, Cutrer FM. OnabotulinumtoxinA in chronic migraine: is the response dose dependent? BMC Neurol.
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Zandieh A, Cutrer FM. OnabotulinumtoxinA in chronic migraine: is the response dose dependent? BMC Neurol.
Zandieh A, Cutrer FM. OnabotulinumtoxinA in chronic migraine: is the response dose dependent? BMC Neurol.
Zandieh A, Cutrer FM. OnabotulinumtoxinA in chronic migraine: is the response dose dependent? BMC Neurol.