Can Celexa prevent migraines? (+3 precautions)

In this article, we will discuss the effectiveness of Celexa in preventing migraines. We will also discuss research-based evidence indicating the use of Celexa in migraines, the mechanism of Celexa in preventing migraines, and precautions to avoid a migraine attack.

Can Celexa prevent migraines?

Yes, Celexa can be used to prevent migraines. Celexa (Citalopram) is an SSRI antidepressant indicated for the treatment of a variety of conditions like depression, panic disorder, and generalized anxiety disorder (GAD) (1).

Celexa has also been effective in preventing migraines. However, due to a lack of evidence, it is not commonly prescribed to prevent migraines.

A migraine is a type of headache that results in symptoms like nausea, vomiting, and light and sound sensitivity. Some individuals may also experience throbbing pain only on one side of their head (2).

People with depression and anxiety often experience migraines and headaches; therefore, antidepressants like SSRIs (Celexa), SNRIs (Venlafaxine), and tricyclic antidepressants (Amitriptyline) are often used in the prevention of migraines (1).

What does research suggest?

A limited number of studies have indicated the effectiveness of Celexa in preventing migraines. One research study aimed at determining the role of Celexa in migraine prevention concludes that Celexa at a dose of 30 mg/day effectively reduces the frequency, duration, and severity of migraines (1).

This was a two-month study that involved 226 participants divided into two groups. The treatment group received a daily 30 mg dose of Celexa, while the control group received a placebo at the same dose (1).

Initially, there was no significant difference observed between the two groups. However, within two months, there was a drastic difference between the two groups in terms of the frequency, duration, and severity of migraine episodes (1).

As a result, the study concluded that administering Celexa for 1-2 months can effectively prevent migraines (1).

How can Celexa prevent migraines?

The mechanism by which Celexa and other antidepressants prevent migraines is not fully understood. Serotonin, a neurotransmitter, is thought to play a major role in the development of migraines. Serotonin is associated with migraines in two ways: (1):

  • Serotonin levels in the brain appear to be lower during a migraine episode.
  • Serotonin also triggers the trigeminal nerve to produce a neuropeptide. This neuropeptide causes vasodilation on the brain’s outer layers, leading to an inflammatory response resulting in a migraine episode.

Celexa prevents migraines by inhibiting the reuptake of serotonin in the central nervous system (CNS). This action leads to an increase in serotonin levels in the brain, thus reducing the intensity of migraines (1).

Precautions to avoid migraine attacks

The following precautions are recommended to avoid a migraine attack (3):

  • Sleeping in a room with few or no lights is recommended during a migraine episode.
  • Avoid foods that may trigger migraines, such as aspartame sweeteners, and tyramine-containing foods like beans and cheese, yoghurt, etc.
  • Keep yourself hydrated and limit your caffeine and alcohol intake.
  • It is recommended that you maintain a healthy weight.
  • Eat regularly; it is recommended never to skip your meals, as skipping meals can also trigger a migraine attack.
  • Be more physically active, as exercise or other moderate physical activities can reduce the frequency of migraines.
  • It is recommended to get at least 8 hours of sleep every day. Poor sleeping habits are also associated with triggering a migraine episode.
  • Stress can also trigger migraines. Therefore, it is recommended to avoid stressful situations to reduce the frequency of migraine episodes.

Conclusion

In this article, we have discussed the effectiveness of Celexa in preventing migraines. We have also discussed research-based evidence indicating the use of Celexa in migraines, the mechanism of Celexa in preventing migraines, and precautions to avoid a migraine attack.

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References

1.-

Torabipour, S., Roohani, Y., Davati, A., Ansari, I., Roghani, M., Akhavirad, S. M. B., Pourfarzam, S., Moghadamnia, M., Afshinmajd, S. Preventive effect of citalopram on migraine headaches: a double-blinded randomized clinical trial. Journal of Basic and Clinical Pathophysiology, 2020; 8(2): 1-6. doi: 10.22070/jbcp.2020.13785.1137 https://jbcp.shahed.ac.ir/article_3064.html#:~:text=Conclusion%3A%20The%20outcome%20of%20this,severe%20and%20shorter%20migraine%20episodes.

 

 

2.-

Migraine: MedlinePlus Medical Encyclopedia [Internet]. Available from: https://medlineplus.gov/ency/article/000709.htm

 

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