Abstract

Opioids are commonly used for acute migraine treatment despite evidence suggesting that they may increase the risk of migraine chronification. Limited evidence also suggests that prior use of opioids by migraine patients may reduce responsiveness to subsequent acute migraine therapies including triptans. Telcagepant is a novel investigational oral CGRP receptor antagonist with acute antimigraine efficacy comparable to oral triptans. We performed a post-hoc analysis of data from a randomized double-blind placebo-controlled trial to explore whether the efficacy of telcagepant appeared to be influenced by patient's prior use of, and response to, opioids.

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