Can Trazodone be used to treat migraines? (3+ Alternatives that you can take)

In this article, we will discuss the use of Trazodone, an antidepressant, in the management and treatment of migraines. We will also discuss some research studies and the mechanism through which Trazodone can manage migraines.

Can Trazodone be used to treat migraines?

Yes, Trazodone can be used to treat migraines, but it is neither approved for this purpose by the FDA nor is it the go-to drug for the treatment of migraines.

Migraines are intense and often debilitating headaches that can cause severe throbbing pain, usually on one side of the head. Besides the excruciating pain, migraines may also be accompanied by other symptoms such as nausea, vomiting, and sensitivity to light and sound. (3)

What does research suggest?

The effectiveness of trazodone for migraine treatment is still being studied, and more research is needed to determine its efficacy.

One study, published in the journal Neurology, found that trazodone was effective in reducing the frequency and severity of migraines in people who had failed to respond to other preventive medications. (5).

Another study published in the Journal of Headache Pain found that trazodone was effective in reducing the frequency and intensity of migraines in patients with chronic migraines. (3)

While it is not yet approved by the FDA for this use, some healthcare providers may prescribe it off-label for migraines.

How Does Trazodone Work as a Migraine Treatment?

The exact mechanism of how trazodone works for migraines is not fully understood. However, it is thought to work by affecting several different pathways, including:

  • Serotonin: Serotonin is a neurotransmitter that controls mood, sleep, and pain. Trazodone increases the levels of serotonin in the brain.
  • Inflammation: Trazodone contains anti-inflammatory effects, making it useful for treating inflammation. Inflammation is believed to play a role in migraine development.
  • Blood vessel function: Trazodone stabilizes blood vessel function. This may help prevent migraines from developing.

Are there any alternative treatments for migraines?

If trazodone is not suitable for you or if you prefer to explore alternative treatments, there are several options available. These include: (4)

  • Lifestyle changes: Getting a proper amount of sleep and avoiding stress can reduce the frequency of migraines.
  • Over-the-counter pain relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and aspirin can be used to relieve mild to moderate migraines and headaches.
  • Prescription medications: Triptans, such as sumatriptan, are a class of drugs used to specifically treat migraines. They are the drug of choice prescribed by physicians.
  • Botox injections: Botox injections have been approved by the FDA for the treatment of chronic migraines. They may be used when all other alternatives do not work.

What are the side effects of Trazodone?

Like all medicines, Trazodone might also have some side effects, although it is a pretty safe drug. If you experience any of these symptoms, you should consult your healthcare provider:

The most common side effects of Trazodone include (2):

What are the precautions when using Trazodone for migraines?

Before using trazodone for migraine treatment, it is important to consult with a healthcare provider. Trazodone can interact with other medications and cause serious side effects in some individuals.

Additionally, trazodone should not be used by individuals who have a history of bipolar disorder or who are currently taking monoamine oxidase inhibitors (MAOIs). It should also be avoided by people under 18 years of age.

Conclusion

Trazodone is an FDA-approved drug used to treat depressive and sleep disorders. Trazodone can be considered an option for migraine relief in certain cases, but its effectiveness varies among individuals. It should only be used after proper consultation with your healthcare professional, and precautions must be taken to ensure safety.

Remember that migraine management is highly individualized, and what works for one person may not work for another. Always consult with your healthcare provider to explore the most suitable treatment options for your specific condition.

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References

1.-

Khouzam HR. A review of trazodone use in psychiatric and medical conditions. Postgraduate Medicine. 2016 Oct 28;129(1):140–8. [cited 2023 Sep 20]. Available from: https://pubmed.ncbi.nlm.nih.gov/27744763/

 

2.-

Trazodone: MedlinePlus Drug Information [Internet]. medlineplus.gov. 2022 [cited 2023 Sep 20]. Available from: https://medlineplus.gov/druginfo/meds/a681038.html

 

3.-

Ailani J, Burch RC, Robbins MS. The American Headache Society Consensus Statement: Update on integrating new migraine treatments into clinical practice. Headache: The Journal of Head and Face Pain [Internet]. 2021 Jun 23 [cited 2023 Sep 20];61(7):1021–39. Available from: https://headachejournal.onlinelibrary.wiley.com/doi/10.1111/head.14153

 

4.-

Mayans L, Walling A. Acute Migraine Headache: Treatment Strategies. American Family Physician [Internet]. 2018 Feb 15 [cited 2023 Sep 20];97(4):243–51. Available from: https://pubmed.ncbi.nlm.nih.gov/29671521/

5.-

Mansueto G, De Cesaris F, Geppetti P, Cosci F. Protocol and methods for testing the efficacy of well-being therapy in chronic migraine patients: a randomized controlled trial. Trials. 2018 Oct 16;19(1). [cited 2023 Sep 21];97(4):243–51. Available from: https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-018-2944-5

 

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