Alcohol and Migraine: What Should We Tell Patients?

Panconesi, Alessandro; Bartolozzi, Maria Letizia; Guidi, Leonello

doi:10.1007/s11916-011-0184-4

Cited by 34 publications

(32 citation statements)

References 50 publications

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“…Only few participants reported susceptibility to dietary factors like chocolate (5%), Chinese food (0.1%), spicy food (0.1%), sweets (0.1%), consumption tea/alcohol/coffee (1.1%) and fruits like grapes and pineapple (0.1%), these finding are consistent with other studies [26][30], [39], [40][41] .…”

Section: Discussionsupporting

confidence: 88%

Clinical Profile of Migraine Headache with Special Reference to Trigger Factors in Medical College Set Up

2017

IJSR

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Background and objectives: Migraine is one of the disabling primary headache in the population. It affects the individual and society at large by loss of productivity by the sufferers and enormous economic burden. There are multiple factors which can trigger migraine. If properly controlled, it can reduce the burden of migraine. Health care professionals are exposed to multiple trigger factors like sleep disturbance, stress and untimely food habits which give rise to increase in migraine frequency. We conducted this study of detailed clinical profile and trigger factors among the 2050 subjects (MBBS students: 909, BDS students: 323, Nursing students: 268, Post graduates students and staff: 550) in our medical institute Methods: Subjects were given questionnaires on migraine headache and instructed to give details of clinical features with special reference to trigger factors. The assessment tools used were visual analogue scale (VAS) and migraine disability assessment scale (MIDAS). Results: Out of 2050 subjects 697 suffered from migraine headache. The overall prevalence of migraine headache was 34%. Out of which females had higher prevalence (66.1%) as compared to males (33.8%). Headache experienced by majority of student population was unilateral (31.4%), pulsating type (51.6%) and of moderate intensity (77.1%). Common associated symptoms were nausea associated with other factors (40%) and photophobia & phonophobia (18.6%). Stress (72.1%) & decreased sleep (49.4%) were the most common triggering factors. Practice of self-medication was reported by 80.2% of subjects. Specific anti migraine medication use in migraineurs was found to be low (7.7%) showing inadequate management of migraine headache in our study population. Conclusion: Our study noted high frequency of trigger factors in medical professionals and most common triggering factor was stress and disturbed sleep. There was very low usage of specific anti migraine medications among them. To our knowledge this is the first large study to evaluate migraine among medical professionals.

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Section: Discussionsupporting

confidence: 88%

Clinical Profile of Migraine Headache with Special Reference to Trigger Factors in Medical College Set Up

2017

IJSR

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“…In fact, ethanol infusion decreased the propagation rate of CSD, indicating a decline of tissue excitability and in the initiation mechanisms of CSD [13]. The cited alcohol activities are not easily compatible with headache triggered by AD, and a different activity of alcohol itself or of the other components of AD has been debated to be involved in headache provocation [1,12]. The action of alcohol on central pain circuits, in particular through serotonin (5-HT) release, has been suggested, in agreement with the migraine-provoking effect of 5-HT releasing drugs [12,14].…”

Section: Discussionmentioning

confidence: 99%

Alcohol as a dietary trigger of primary headaches: what triggering site could be compatible?

Panconesi¹,

Bartolozzi²,

Mugnai³

et al. 2012

Neurol Sci

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Alcoholic drinks (AD) have been known as migraine triggers in about one-third of migraine patients in retrospective studies. We have reviewed the studies concerning the role of AD in triggering the various types of primary headaches published after the International Headache Society classification of 1988. There are many studies showing that AD are triggers of migraine without aura (MO), migraine with aura (MA), cluster headache (CH) and tension-type headache (TH). About one-third of MO and half of CH patients reported AD as trigger factors. Some studies show that AD are triggers in MA and TH in a similar percentage to that found in MO, but there are also discordant findings. There are sparse reports that AD are also triggers of less frequent types of primary headache such as familial hemiplegic migraine, hemicrania continua and paroxysmal hemicrania. The mechanism of alcohol-provoking headache is debated and should be compatible with the principal pathogenetic theories of primary headaches. If AD are capable of triggering practically all primary headaches, they should act at a common pathogenetic level. Vasodilatation is unlikely to be compatible as common mechanism. An action at cortical or more likely at subcortical level is plausible.

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“…Another limitation was the difficulty of precisely defining hangover headache. Differentiating between hangover headache or delayed alcohol-induced headache and usual headache or migraine triggered by alcohol is sometimes difficult in non-migrainous headache and migraine subjects [27]. Alcohol hangover is a set of unpleasant symptoms that includes headache, nausea, anorexia, fatigue, and diarrhea in the morning after alcohol intake [11, 23], and some of these symptoms are very common in a migraine attack.…”

Section: Discussionmentioning

confidence: 99%

Interactions between migraine and tension-type headache and alcohol drinking, alcohol flushing, and hangover in Japanese

Yokoyama

Suzuki²,

Yokoyama

et al. 2012

J Headache Pain

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The aim of the study was to investigate associations between headache types and alcohol drinking, alcohol flushing, and hangover. Alcohol consumption is inhibited by the presence of inactive aldehyde dehydrogenase-2 (ALDH2) whose carriers are susceptible to alcohol flushing and hangovers. We conducted a cross-sectional study of the 2,577 subjects (men/women: 1,018/1,559) who reported having ever experienced headaches unrelated to common colds and alcohol hangovers among 5,408 (2,778/2,630) Tokyo health checkup examinees. We used a questionnaire inquiring about current and past facial flushing after drinking a glass of beer which identifies the presence of inactive ALDH2 with a sensitivity and specificity of approximately 90%. Based on ICHD-II criteria migraine was diagnosed in 419 (75/344) subjects, and tension-type headache (TTH) in 613 (249/364). We classified the headaches of the remaining 1,545 (694/851) of headaches sufferers into the category “other headaches (OH)”. The migraineurs drank alcohol less frequently than the subjects with TTH among current/past alcohol flushers and than the subjects with OH regardless of flushing category. No such difference in drinking frequency was observed between TTH and OH. Current/past flushers drank alcohol less frequently than never flushers, and the likelihood that male migraineurs would avoid alcohol drinking than men with TTH or OH was stronger among current/past flushers than among never flushers. Flushers and women were more susceptible to hangover than never flushers and men, respectively, regardless of headache type. Among never flushers, women with migraine were more susceptible to hangover than women with OH. The difference in alcohol sensitivity may partly explain less alcohol consumption by migraineurs.

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Alcohol and Migraine: What Should We Tell Patients?

Cited by 34 publications

References 50 publications

Clinical Profile of Migraine Headache with Special Reference to Trigger Factors in Medical College Set Up

Clinical Profile of Migraine Headache with Special Reference to Trigger Factors in Medical College Set Up

Alcohol as a dietary trigger of primary headaches: what triggering site could be compatible?

Interactions between migraine and tension-type headache and alcohol drinking, alcohol flushing, and hangover in Japanese

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