Journal
HEADACHE
Volume 51, Issue 4, Pages 613-616Publisher
WILEY
DOI: 10.1111/j.1526-4610.2011.01863.x
Keywords
antiepileptic drugs; topiramate; migraine; bone density; energy X-ray absorptiometry scan; vitamin D
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Antiepileptic drugs (AEDs) are commonly used for prevention of migraine headaches. Bone loss is a known complication, particularly associated with use of older AEDs. Topiramate is a newer AED, widely used for migraine prevention, but no evidence is currently available on its effect on bone metabolism. In a clinic-based pilot study, we evaluated bone health by examining biochemical and radiological markers of bone metabolism, in women with migraine. Osteopenia was noted in 53% of the patients and was associated with the duration of exposure to topiramate (P=.04).
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