The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Following a 28-day baseline period, qualifying subjects will be entered into an 84-day treatment period. Listing a study does not mean it has been evaluated by the U. Subjects will be titrated over the first four weeks to a dose of 120mg or their maximally tolerated dose (MTD). This is a single-center, open-label, pilot trial to collect and evaluate data on the safety and efficacy of duloxetine in the preventive treatment of subjects experiencing episodic migraine headaches. The dose adjustments will be based on individual subject response and/or subject's tolerability. Subjects will maintain a daily diary capturing detailed information on migraine headache days. Pharmacologic therapy of migraine headaches can be divided into two types: acute treatment and prophylactic treatment. Acute headache medication is intended to relieve the pain and disability of an acute attack and stop its progression. Duloxetine was approved for the treatment of major depression in 2004. While duloxetine has demonstrated improvement in depression-related symptoms compared to placebo, comparisons of duloxetine to other antidepressant medications have been less successful. A 2012 Cochrane Review did not find greater efficacy of duloxetine compared to SSRIs and newer antidepressants. Additionally, the review found evidence that duloxetine has increased side effects and reduced tolerability compared to other antidepressants. It thus did not recommend duloxetine as a first line treatment for major depressive disorder, given the (then) high cost of duloxetine compared to inexpensive off-patent antidepressants and lack of increased efficacy. do not list duloxetine among the recommended treatment options. A review from the Annals of Internal Medicine lists duloxetine among the first line drug treatments, however, along with citalopram, escitalopram, sertraline, paroxetine, and venlafaxine. Doxycycline dental infection Zoloft missed dose Find patient medical information for Cymbalta Oral on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. Duloxetine, sold under the brand name Cymbalta among others, is a medication used to treat major depressive disorder, generalized anxiety disorder. By Nancy Harris Bonk April 23, 2015 at pm Moderator. Hi chiaragtl, Yes, I tried Cymbalta for migraine prevention, but did not have good results with it. Cymbalta is used for migraine prevention and you may find it works well for you. Duloxetine is a selective serotonin and norepinephrine reuptake inhibitor antidepressant (SSNRI). Duloxetine affects chemicals in the brain that may be unbalanced in people with depression. Duloxetine is used to treat major depressive disorder in adults. It is also used to treat general anxiety disorder in adults and children who are at least 7 years old. Duloxetine is also used in adults to treat fibromyalgia (a chronic pain disorder), or chronic muscle or joint pain (such as low back pain and osteoarthritis pain). Duloxetine is also used to treat pain caused by nerve damage in adults with diabetes (diabetic neuropathy). Do not take duloxetine within 5 days before or 14 days after you have used an MAO inhibitor, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine. Some young people have thoughts about suicide when first taking an antidepressant. Report any new or worsening symptoms to your doctor. Before choosing any preventative treatments, it is important to eliminate frequent headache triggers. The most common triggers include irregular sleep, missed meals, caffeine, and chocolate. Other common triggers, which are not preventable, are menstrual cycles, weather fronts, and stress releases. Once the most common preventable triggers have been eliminated, the next most important step is to make sure headaches are not rebound headaches. Rebound headaches are usually caused by medications that are taken daily. However, any medication that is being more than twice weekly could potentially be causing rebound headaches. Migraine prevention programs are less likely to be successful if a patient continues to take a rebounding medication. Duloxetine for migraine Duloxetine May Be an Effective Prophylactic for Episodic Migraines., Duloxetine - Wikipedia What is prednisone for Cymbalta has been approved by the FDA as a medication to treat depressive disorder, diabetic neuropathy, and fibromyalgia. However, there is no evidence to support the effectiveness of Cymbalta as a medication to offer relief from migraines and tension headaches. Migraines Effectiveness and Side Effects of Cymbalta.. Cymbalta. Prevention of Migraine. Headache JAMA JAMA Network. Cymbalta and chronic migraine New Topic Reply. Currenty, I am on Topamax for migraine prevention and every 3 months I take Botox injections for migraines. My. Feb 13, 2017. The SNRIs venlafaxine Effexor, and others and duloxetine Cymbalta, and generics may also be effective in preventing migraine.22,35,36. OBJECTIVE This case series is a retrospective chart analysis conducted to evaluate the efficacy of duloxetine as a migraine preventive medication and to.