Page last updated: 2024-10-22

amitriptyline and Headache Disorders

amitriptyline has been researched along with Headache Disorders in 17 studies

Amitriptyline: Tricyclic antidepressant with anticholinergic and sedative properties. It appears to prevent the re-uptake of norepinephrine and serotonin at nerve terminals, thus potentiating the action of these neurotransmitters. Amitriptyline also appears to antagonize cholinergic and alpha-1 adrenergic responses to bioactive amines.
amitriptyline : An organic tricyclic compound that is 10,11-dihydro-5H-dibenzo[a,d][7]annulene substituted by a 3-(dimethylamino)propylidene group at position 5.

Headache Disorders: Various conditions with the symptom of HEADACHE. Headache disorders are classified into major groups, such as PRIMARY HEADACHE DISORDERS (based on characteristics of their headache symptoms) and SECONDARY HEADACHE DISORDERS (based on their etiologies). (International Classification of Headache Disorders, 2nd ed. Cephalalgia 2004: suppl 1)

Research Excerpts

ExcerptRelevanceReference
"The tricyclic anti-depressant amitriptyline is widely used in the treatment of chronic tension-type headache."9.09Amitriptyline reduces myofascial tenderness in patients with chronic tension-type headache. ( Bendtsen, L; Jensen, R, 2000)
" Childhood and Adolescent Migraine Prevention study participants completed headache diaries during a 28-day baseline period and a 168-day active treatment period during which youth took amitriptyline, topiramate, or placebo."5.51Trajectory of treatment response in the child and adolescent migraine prevention (CHAMP) study: A randomized clinical trial. ( Chamberlin, LA; Coffey, CS; Ecklund, DJ; Hershey, AD; Kabbouche, MA; Kacperski, J; Klingner, EA; Korbee, LL; Peugh, J; Porter, LL; Powers, SW; Reidy, BL; Yankey, JW, 2022)
"The tricyclic anti-depressant amitriptyline is widely used in the treatment of chronic tension-type headache."5.09Amitriptyline reduces myofascial tenderness in patients with chronic tension-type headache. ( Bendtsen, L; Jensen, R, 2000)
"The most effective long-term treatments for tension-type mid-facial pain and facial migraine were low-dose amitriptyline and low-dose amitriptyline and triptans, respectively."3.80Prospective three-year follow up of a cohort study of 240 patients with chronic facial pain. ( Agius, AM; Jones, NS; Muscat, R, 2014)
"Self-reported and "nosology-derived" migraine days during the baseline and treatment phases were strongly associated (r's = 0."3.30Impact of preventive pill-based treatment on migraine days: A secondary outcome study of the Childhood and Adolescent Migraine Prevention (CHAMP) trial and a comparison of self-report to nosology-derived assessments. ( Chamberlin, LA; Coffey, CS; Ecklund, D; Gibler, RC; Hershey, AD; Kabbouche, M; Kacperski, J; Klingner, E; Korbee, LL; Peugh, JL; Porter, LL; Powers, SW; Reidy, BL; Yankey, J, 2023)
"Amitriptyline was superior to placebo in number with improvement in frequency of ≥ 50% at 8 weeks (25% vs 5% [P = ."2.76Amitriptyline in the prophylactic treatment of migraine and chronic daily headache. ( Couch, JR, 2011)
"The Childhood and Adolescent Migraine Prevention Study (CHAMP) was developed to examine the effectiveness of two of the most widely prescribed preventive medications for pediatric migraine and help narrow this gap."2.55New Developments in the Prophylactic Drug Treatment of Pediatric Migraine: What Is New in 2017 and Where Does It Leave Us? ( Bazarsky, A; Kacperski, J, 2017)
"In over 40% of migraineurs the condition begins before 18 years of age."2.42Primary headaches in children and adolescents. ( Grazzi, L, 2004)
"Management of patients affected by chronic daily headache (CDH) with medication overuse constitutes one of the most important unresolved problems."1.36The efficacy of withdrawal therapy in subjects with chronic daily headache and medication overuse following prophylaxis with topiramate and amitriptyline. ( Tanganelli, P; Valguarnera, F, 2010)

Research

Studies (17)

TimeframeStudies, this research(%)All Research%
pre-19901 (5.88)18.7374
1990's0 (0.00)18.2507
2000's7 (41.18)29.6817
2010's6 (35.29)24.3611
2020's3 (17.65)2.80

Authors

AuthorsStudies
Gibler, RC1
Peugh, JL1
Coffey, CS2
Chamberlin, LA2
Ecklund, D1
Klingner, E1
Yankey, J1
Korbee, LL2
Kabbouche, M1
Kacperski, J3
Porter, LL2
Reidy, BL2
Hershey, AD2
Powers, SW2
García-Iglesias, C1
González-Celestino, A1
Sierra Mencía, Á1
González Osorio, Y1
Recio García, A1
Martínez-Badillo, C1
Echavarría Íñiguez, A1
Varona-Galán, B1
García-Azorín, D1
Guerrero-Peral, ÁL1
Peugh, J1
Ecklund, DJ1
Klingner, EA1
Yankey, JW1
Kabbouche, MA1
Bazarsky, A1
Sezer, T1
Kandemir, H1
Alehan, F1
Agius, AM1
Jones, NS1
Muscat, R1
Guerrero, AL1
Cuadrado, ML1
Porta-Etessam, J1
García-Ramos, R1
Gómez-Vicente, L1
Herrero, S1
Peñas, ML1
Fernández, R1
Valguarnera, F1
Tanganelli, P1
Couch, JR1
LANCE, JW1
CURRAN, DA1
Croissant, B1
Brosi, K1
Hermann, D1
Mann, K1
Grazzi, L1
Capuano, A1
Vollono, C1
Rubino, M1
Mei, D1
Calì, C1
De Angelis, A1
Di Trapani, G1
Servidei, S1
Della Marca, G1
Trifirò, G1
Barbui, C1
Spina, E1
Moretti, S1
Tari, M1
Alacqua, M1
Caputi, AP1
Arcoraci, V1
Purdy, RA1
Di Lorenzo, C1
Ambrosini, A1
Coppola, G1
Pierelli, F1
Bendtsen, L1
Jensen, R1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Amitriptyline and Topiramate in the Prevention of Childhood Migraine[NCT01581281]Phase 3488 participants (Actual)Interventional2012-06-30Terminated (stopped due to Interim assessment provided sufficient data to answer study questions)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Absolute Headache Disability Score on PedMIDAS

"The PedMIDAS scale which evaluated the impact of headaches in school, home, play, and social activities, is comprised of six items that pertain to days missed in various activities over the past 90 days. Questions were answered by the youth in consultation with their parents and reviewed by study staff. The PedMIDAS scale was administered at baseline (covering the three months prior to enrollment) and at the 24-week endpoint visit (the end of the maintenance period, covering three months of enrollment). A total PedMIDAS score (sum of items 1-6) was used in this trial. Scores range from 0-240; with a score of 0-10 indicating no disability, 11-30 mild disability, 31-50 moderate disability, and more than 50 severe disability in daily activities. The main outcome measure for this comparison will be the difference in the baseline and endpoint (24 week) PedMIDAS total scores for:~Amitriptyline vs. Placebo~Topiramate vs. Placebo~Amitriptyline vs Topiramate" (NCT01581281)
Timeframe: baseline and 24 week endpoint

Interventionunits on a scale (Mean)
Topiramate-26.8
Placebo-22.6
Amitriptyline-22.5

Change in Number of Headache Days

"This outcomes measure examines whether the rate of absolute number of headache days, per 28 day period, differs between treatment groups over time. This was assessed longitudinally based on the actual number of headache days from the 28 days prior to randomization to the last 28 days of this 24 week trial. The change in absolute headache days was compared between:~Amitriptyline vs. placebo~Topiramate vs. placebo~Amitriptyline vs. Topiramate" (NCT01581281)
Timeframe: 4 week baseline period and last 4 weeks of the 24-week trial

Interventiondays (Mean)
Topiramate-6.7
Placebo-5.9
Amitriptyline-6.7

Number (Percentage) of Participants Reporting a ≥ 50% Reduction in Headache Days

"The primary endpoint was a ≥ 50% reduction in headache frequency from the 28 days (4 weeks) baseline period prior to randomization to the last 28 days (4 weeks) of the trial. Headache frequency was defined as the number of days with headache for a given four week 28 day (4 week) period. A headache day was defined as any day during which any headache occurs within a 24 hour period, starting and ending at midnight.~For each participant, the primary endpoint involved a determination of whether a 50% or greater reduction in headache frequency was observed during the last 4 weeks of active treatment as compared with the headache frequency during the 4-week baseline period. Results were compared across the three treatment groups." (NCT01581281)
Timeframe: 4 week baseline period and last 4 weeks of the 24-week trial

InterventionParticipants (Count of Participants)
Topiramate72
Placebo40
Amitriptyline69

Occurrence of Treatment Emergent Serious Adverse Events

To determine if amitriptyline or topiramate differ from placebo on the occurrence of treatment emergent serious adverse events. (NCT01581281)
Timeframe: 24 weeks of the trial

Interventionserious adverse events (Number)
Topiramate4
Placebo2
Amitriptyline6

Tolerability, as Indicated by the Number (Percentage) of Participants That Completed the 24-week Treatment Phase

To assess tolerability, the percentage of subjects who complete the entire 24-week treatment period will be estimated in each of the three groups. (NCT01581281)
Timeframe: 24 weeks

InterventionParticipants (Count of Participants)
Topiramate102
Placebo59
Amitriptyline106

Reviews

2 reviews available for amitriptyline and Headache Disorders

ArticleYear
New Developments in the Prophylactic Drug Treatment of Pediatric Migraine: What Is New in 2017 and Where Does It Leave Us?
    Current pain and headache reports, 2017, Volume: 21, Issue:8

    Topics: Amitriptyline; Analgesics, Non-Narcotic; Child; Controlled Clinical Trials as Topic; Fructose; Heada

2017
Primary headaches in children and adolescents.
    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2004, Volume: 25 Suppl 3

    Topics: Adolescent; Amitriptyline; Antidepressive Agents, Tricyclic; Child; Headache Disorders; Humans; Migr

2004

Trials

5 trials available for amitriptyline and Headache Disorders

ArticleYear
Impact of preventive pill-based treatment on migraine days: A secondary outcome study of the Childhood and Adolescent Migraine Prevention (CHAMP) trial and a comparison of self-report to nosology-derived assessments.
    Headache, 2023, Volume: 63, Issue:6

    Topics: Adolescent; Amitriptyline; Child; Double-Blind Method; Fructose; Headache; Headache Disorders; Human

2023
Trajectory of treatment response in the child and adolescent migraine prevention (CHAMP) study: A randomized clinical trial.
    Cephalalgia : an international journal of headache, 2022, Volume: 42, Issue:1

    Topics: Adolescent; Amitriptyline; Child; Double-Blind Method; Headache; Headache Disorders; Humans; Migrain

2022
A randomized trial comparing amitriptyline versus topiramate for the prophylaxis of chronic daily headache in pediatric patients.
    The International journal of neuroscience, 2013, Volume: 123, Issue:8

    Topics: Adolescent; Amitriptyline; Analgesics, Non-Narcotic; Anticonvulsants; Child; Double-Blind Method; Fe

2013
Amitriptyline in the prophylactic treatment of migraine and chronic daily headache.
    Headache, 2011, Volume: 51, Issue:1

    Topics: Adolescent; Adult; Aged; Aging; Amitriptyline; Antidepressive Agents, Tricyclic; Double-Blind Method

2011
Amitriptyline reduces myofascial tenderness in patients with chronic tension-type headache.
    Cephalalgia : an international journal of headache, 2000, Volume: 20, Issue:6

    Topics: Adult; Amitriptyline; Analgesics; Citalopram; Double-Blind Method; Electric Stimulation; Female; Hea

2000

Other Studies

10 other studies available for amitriptyline and Headache Disorders

ArticleYear
Long-term outcomes of nummular headache: A series of 168 patients and 1198 patient-years of follow-up.
    Cephalalgia : an international journal of headache, 2023, Volume: 43, Issue:9

    Topics: Adult; Amitriptyline; Follow-Up Studies; Headache; Headache Disorders; Humans; Pain

2023
Prospective three-year follow up of a cohort study of 240 patients with chronic facial pain.
    The Journal of laryngology and otology, 2014, Volume: 128, Issue:6

    Topics: Adolescent; Adult; Amitriptyline; Analgesics, Non-Narcotic; Carbamazepine; Chronic Pain; Facial Pain

2014
Epicrania fugax: ten new cases and therapeutic results.
    Headache, 2010, Volume: 50, Issue:3

    Topics: Acetaminophen; Adult; Aged; Aged, 80 and over; Amines; Amitriptyline; Analgesics; Cluster Headache;

2010
The efficacy of withdrawal therapy in subjects with chronic daily headache and medication overuse following prophylaxis with topiramate and amitriptyline.
    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2010, Volume: 31 Suppl 1

    Topics: Adult; Aged; Aged, 80 and over; Amitriptyline; Analgesics, Non-Narcotic; Chronic Disease; Female; Fr

2010
TREATMENT OF CHRONIC TENSION HEADACHE.
    Lancet (London, England), 1964, Jun-06, Volume: 1, Issue:7345

    Topics: Amitriptyline; Amobarbital; Anxiety; Anxiety Disorders; Biomedical Research; Chlordiazepoxide; Diaze

1964
[Drug-induced headache and pain reduction medication with amitriptyline in an 11-year old pupil].
    Der Nervenarzt, 2004, Volume: 75, Issue:5

    Topics: Amitriptyline; Analgesics; Antihypertensive Agents; Aspirin; Child; Dipyrone; Headache Disorders; Hu

2004
Hypnic headache: actigraphic and polysomnographic study of a case.
    Cephalalgia : an international journal of headache, 2005, Volume: 25, Issue:6

    Topics: Amitriptyline; Analgesics, Non-Narcotic; Female; Headache Disorders; Humans; Middle Aged; Polysomnog

2005
Antidepressant drugs: prevalence, incidence and indication of use in general practice of Southern Italy during the years 2003-2004.
    Pharmacoepidemiology and drug safety, 2007, Volume: 16, Issue:5

    Topics: Adult; Aged; Amitriptyline; Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricycl

2007
Teaching case: recurrent headache in a child.
    Headache, 2007, Volume: 47, Issue:2

    Topics: Adrenergic Uptake Inhibitors; Amitriptyline; Anti-Inflammatory Agents, Non-Steroidal; Child; Female;

2007
Heat stress disorders and headache: a case of new daily persistent headache secondary to heat stroke.
    Journal of neurology, neurosurgery, and psychiatry, 2008, Volume: 79, Issue:5

    Topics: Amines; Amitriptyline; Analgesics; Cyclohexanecarboxylic Acids; Dose-Response Relationship, Drug; Dr

2008