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Épisode 165 – Le casse-tête de la migraine – Partie 3
Monday, 20 October, 2025

Un nouvel épisode du Pharmascope est disponible! Dans ce 165e épisode, Nicolas, Isabelle et Olivier discutent d’un sujet douloureux… La migraine! Dans cette dernière partie d’une série de trois épisodes, nous abordons la migraine chronique et la céphalée par abus médicamenteux Les objectifs pour cet épisode sont les suivants: Discuter de l’évaluation et du diagnostic de la migraine chronique et de la céphalée médicamenteuse Discuter de la prise en charge de la migraine chronique Discuter de la prise en charge de la céphalée d’abus médicamenteux Ressources pertinentes en lien avec l’épisode Ashina M. Migraine. N Engl J Med. 2020;383(19):1866-1876. Medrea I et coll. Updated Canadian Headache Society Migraine Prevention Guideline with Systematic Review and Meta-analysis. Can J Neurol Sci. 2024 Nov 7:1-23. Pozo-Rosich P et coll. Atogepant for the preventive treatment of chronic migraine (PROGRESS): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2023 Sep 2;402(10404):775-785. Chowdhury D et coll. TOP-PRO study: A randomized double-blind controlled trial of topiramate versus propranolol for prevention of chronic migraine. Cephalalgia. 2022 Apr;42(4-5):396-408. Dodick DW et coll.; PREEMPT Chronic Migraine Study Group. OnabotulinumtoxinA for treatment of chronic migraine: pooled results from the double-blind, randomized, placebo-controlled phases of the PREEMPT clinical program. Headache. 2010 Jun;50(6):921-36. Ashina S et coll. Medication overuse headache. Nat Rev Dis Primers. 2023 Feb 2;9(1):5. Rossi P et coll. Advice alone vs. structured detoxification programmes for medication overuse headache: a prospective, randomized, open-label trial in transformed migraine patients with low medical needs. Cephalalgia. 2006 Sep;26(9):1097-105. Hagen K et coll. Management of medication overuse headache: 1-year randomized multicentre open-label trial. Cephalalgia. 2009 Feb;29(2):221-32. Carlsen LN et coll. Comparison of 3 Treatment Strategies for Medication Overuse Headache: A Randomized Clinical Trial. JAMA Neurol. 2020 Sep 1;77(9):1069-1078. Tepper SJ et coll. Efficacy and Safety of Erenumab for Nonopioid Medication Overuse Headache in Chronic Migraine: A Phase 4, Randomized, Placebo-Controlled Trial. JAMA Neurol. 2024 Sep 16;81(11):1140-9. de Goffau MJ, Klaver ARE, Willemsen MG, Bindels PJE, Verhagen AP. The Effectiveness of Treatments for Patients With Medication Overuse Headache: A Systematic Review and Meta-Analysis. J Pain. 2017 Jun;18(6):615-627. Grazzi L et coll. Efficacy of mindfulness added to treatment as usual in patients with chronic migraine and medication overuse headache: a phase-III single-blind randomized-controlled trial (the MIND-CM study). J Headache Pain. 2023 Jul 14;24(1):86.

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