Chemistry:List of investigational headache and migraine drugs
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Short description: Investigational antimigraine drugs
This is a list of investigational headache and migraine drugs, or drugs that are currently under development for clinical use in the treatment of headaches and/or migraines but are not yet approved. They may also be referred to as investigational antimigraine agents.
Chemical/generic names are listed first, with developmental code names, synonyms, and brand names in parentheses. The format of list items is "Name (Synonyms) – Mechanism of Action – Indication [Reference]".
This list was last comprehensively updated in September 2025. It is likely to become outdated with time.
Under development
Phase 3
- Botulinum toxin A (AboBoNT-A; AbobotulinumtoxinA; Alluzience; Azzalure; BoNT-A; BTX-A; Dysport; Reloxin) – acetylcholine release inhibitor and neuromuscular blocking agent – migraine [1]
- Botulinum toxin A (Bocouture; Incobotulinum toxin A; NT-201; Vibe/Xeomin; ViXe; Xeomeen; Xeomin; Zeomaine) – acetylcholine release inhibitor and neuromuscular blocking agent – migraine [2]
- Eptinezumab (ALD-403; Lu-AG09221; Vyepti) – monoclonal antibody against calcitonin gene-related peptide (CGRP) – cluster headache [3]
- Naproxen/rizatriptan (rizatriptan/naproxen) – combination of naproxen (COX inhibitor/NSAID) and rizatriptan (triptan) – migraine [4]
- Promethazine/sumatriptan (CL-H1T) – combination of promethazine (anthistamine, anticholinergic, other actions) and sumatriptan (triptan) – migraine [5]
Phase 2/3
- Acetaminophen/naltrexone – combination of acetaminophen (analgesic) and naltrexone (opioid receptor antagonist) – migraine [6]
Phase 2
- AGX-201 (histamine dihydrochloride salt) – histamine H1 receptor antagonist and histamine H3 receptor agonist – migraine [7][1][2]
- BHV-2100 – transient receptor potential cation channel subfamily M member 3 (TRPM3) antagonist – migraine [8]
- Botulinum toxin A longer acting (IPN-10200; mrBoNT) – acetylcholine release inhibitor and neuromuscular blocking agent – migraine [9]
- CAM-01 (C-AM-01) – undefined mechanism of action – migraine [10]
- Dihydroergotamine mesilate (DFN-19) – non-selective monoamine receptor modulator and ergoline – migraine [11]
- Doxepin intranasal (Dolorac) – tricyclic antidepressant (non-selective monoamine reuptake inhibitor and receptor modulator and other actions) – headache [12]
- Elismetrep (K-304; MT-8554) – transient receptor potential cation channel subfamily M member 8 (TRPM8) antagonist – migraine [13]
- Erenumab (Aimovig; AMG-334) – monoclonal antibody against calcitonin gene-related peptide receptor (CGRPR) – headache [14]
- Eslicarbazepine acetate (Aptiom; BIA 2-093; ESL; Exalief; SEP-0002093; SEP-2093; Stedesa; Zebinix) – sodium channel blocker – migraine [15]
- IONIS-PKKRx (ISIS-546254; ISIS-PKKRx) – antisense oligonucleotide against kallikrein – migraine [16]
- Ketoprofen topical (ELS-M11; Topofen) – COX inhibitor/NSAID – migraine [17]
- LAT-8881 (AOD9604; Tyr-hGH171191) – human growth hormone protein fragment and lanthionine synthetase C-like protein (LanCL) ligand – migraine [18]
- LU-AG09222 (ALD-1910) – monoclonal antibody against pituitary adenylate cyclase-activating polypeptide (PACAP) – migraine [19]
- LY-3451838 (PACAP-38 antibody) – monoclonal antibody against pituitary adenylate cyclase-activating polypeptide (PACAP) – migraine [20]
- Lysergic acid diethylamide (LSD; MM-120) – non-selective serotonin receptor agonist and psychedelic hallucinogen – cluster headache [21]
- MTX-101 – undefined mechanism of action – migraine [22]
- Pasireotide (Signifor; SOM-230) – somatostatin receptor agonist – cluster headache [23]
- Prabotulinumtoxin A (ABP-450; DWP-450; Evosyal; Jeuveau; Nabota; Nuceiva) – acetylcholine release inhibitor and neuromuscular blocking agent – migraine [24]
- Sepranolone (isoallopregnanolone; UC-1010) – GABAA receptor negative allosteric modulator and neurosteroid – menstrual migraine [25]
- TRV-250 – δ-opioid receptor (DOR) agonist – migraine [26]
- (R)-Verapamil – calcium channel blocker and other actions – cluster headache [27]
- Zelminemab (AMG-301) – monoclonal antibody against pituitary adenylate cyclase-activating polypeptide type I receptor (PAC1R) – migraine [28]
Phase 1/2
- XC-101 (XC101; XC101-D13H) – serotonin 5-HT1B and 5-HT7 receptor agonist, serotonin 5-HT1D and 5-HT1F receptor partial agonist, and serotonin 5-HT2A, 5-HT2B, and 5-HT2C receptor antagonist – migraine [29]
Phase 1
- 2-Bromo-LSD (bromolysergide; BOL-148; NYPRG-101) – non-hallucinogenic serotonin 5-HT2A receptor agonist and other actions – cluster headache, migraine[3][4][5]
- JS-010 – monoclonal antibody against calcitonin gene-related peptide (CGRP) – migraine [30]
- Meloxicam – COX inhibitor/NSAID – migraine [31]
Preclinical
- 2-Bromo-LSD (bromolysergide; BOL-148; BETR-001, TD-0148A) – non-hallucinogenic serotonin 5-HT2A receptor agonist and other actions – cluster headache [6][7][8]
- GA-2601 – undefined mechanism of action – migraine [32]
- MST-02 – undefined mechanism of action – migraine [33]
- TACT908 – serotonin 5-HT1B receptor agonist and non-hallucinogenic serotonin 5-HT2A receptor partial agonist – cluster headache [5][9][10]
Research
- Research programme: Neurological disorder therapeutics - Lario Therapeutics – undefined mechanism of action – migraine [34]
Phase unknown
- AST-004 – adenosine A1 and A3 receptor agonist – migraine [35]
- Propofol hemisuccinate (EP-102; EP-103) – GABAA receptor positive allosteric modulator (propofol prodrug) – migraine [36]
- Topiramate oral suspension – various actions – migraine [37]
Not under development
Preregistration submission withdrawal
- Frovatriptan (Allegro; Auradol; EN-3266; Frova; Isimig; Migard; Pitunal; Rilamig; SB-209509; SB-209509AX; VML-251) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – menstrual migraine [38]
Suspended
- Zolmitriptan transdermal (M-207; Qtrypta; triptan microneedle patch) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – cluster headache, migraine [39]
No development reported
- AF-130 – purinergic P2X3 receptor antagonist – migraine [40]
- B-244 (AOB-101; AOB-102; AOB-103; AOB-201; AOB-202; AOB-203; B244; nitrosomonas eutropha D23) – bacteria replacement – migraine [41]
- Carabersat (SB-204269) – undefined mechanism of action (anticonvulsant) – migraine [42]
- CLE-500 – undefined mechanism of action – cluster headache [43]
- CT-044 analogues - CERSCI Therapeutics – reactive oxygen species (ROS) inhibitor – migraine [44]
- Cyclobenzaprine extended release (Amrix; Bonelax; EUR-1002) – tricyclic antidepressant (non-selective monoamine reuptake inhibitor and receptor modulator and other actions) – migraine [45]
- Donepezil (Allydone; Aricept; E-2020; E-2022; Eranz) – acetylcholinesterase inhibitor – migraine [46]
- Donitriptan mesilate (F-12640) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – migraine [47]
- Estetrol (E4; Donesta) – estrogen (estrogen receptor agonist) – migraine [48]
- Filorexant (MK-6096) – orexin OX1 and OX2 receptor antagonist – migraine [49]
- Flunarizine (XEN-007) – calcium channel blocker, non-selective monoamine receptor modulator, other actions – migraine [50]
- Ibudilast (AV-411; Eyevinal; Ibinal; KC-404; Ketas; MN-166; Pinatos) – phosphodiesterase PDE4 inhibitor – headache [51]
- IPX-232 – undefined mechanism of action – migraine [52]
- Ketamine hydrochloride intranasal – ionotropic glutamate NMDA receptor antagonist and dissociative hallucinogen – cluster headache [53]
- Ondansetron/rizatriptan oral transmucosal film (rizatriptan/ondansetron; MSRX-202) – combination of ondansetron (serotonin 5-HT3 receptor antagonist and antiemetic) and rizatriptan (triptan) [54]
- Oxytocin (TI-001; TI-114; TNX-1900; TNX-2900) – oxytocin receptor agonist – headache [55]
- Piroxicam betadex (β-cyclodextrin piroxicam; Brexecam; Brexidol; Brexin; Brexine; Brexinil; CHF 1194; Cicladol; Cycladol; Flogene; piroxicam β-cyclodextrin) – COX inhibitor/NSAID – migraine, tension-type headache [56]
- Psilocybin (low-dose psilocybin; BPL-PSILO) – non-selective serotonin receptor agonist and psychedelic hallucinogen – headache [57]
- Psilocybin (MYCO-001; MYCO-003) – non-selective serotonin receptor agonist and psychedelic hallucinogen – headache [58]
- Psilocybin (SYNP-101; synthetic psilocybin) – non-selective serotonin receptor agonist and psychedelic hallucinogen – cluster headache, migraine [59]
- Relutrigine (PRAX-562) – sodium channel blocker – headache [60]
- Research programme: calcitonin gene-related peptide receptor antagonists - Merck (CGRP receptor antagonists; Imidazoazepanes; MK-2918; MK-8825) – calcitonin gene-related peptide receptor (CGRPR) antagonists [61]
- Research programme: GPCR modulators - Nxera Pharma – various actions [62]
- Research programme: migraine and pain therapeutics - NeurAxon – various actions – migraine [63]
- Research programme: pain and migraine therapy - OptiNose (OPT-1005) – undefined mechanism of action – migraine [64]
- Rizatriptan intranasal – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – migraine [65]
- Rizatriptan oral film – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – migraine [66]
- Salubrin (PH80; PH-80; ORG-39479) – vomeropherine – migraine [67] [68]
- Sumatriptan (Imigran Nasal Spray; Imitrex Nasal Spray) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – menstrual migraine [69]
- Sumatriptan transmucosal (Omexa) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – migraine [70]
- Zucapsaicin (cis-capsaicin; Civamide; Civanex; Dolorac; Neuroderm; Zuacta) – transient receptor potential cation channel subfamily V member 1 (TRPV1) agonist – cluster headache, migraine [71]
Discontinued
- Alniditan (R-91274) – serotonin 5-HT1B and 5-HT1D receptor agonist – migraine [72]
- Avitriptan (BMS-180048) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – migraine [73]
- Bezisterim (HE-3286; NE-3107; Triolex; 17α-ethynyl-5-androstene-3β,7β,17β-triol) – undefined mechanism of action (synthetic androstenetriol analogue and anti-inflammatory) – migraine [74]
- BI-44370 (BI44370) – calcitonin gene-related peptide receptor (CGRPR) antagonist – migraine [75]
- Botulinum toxin A topical (RT-001) – acetylcholine release inhibitor and neuromuscular blocking agent – migraine [76]
- Carisbamate (Comfyde; JNJ-10234094; RWJ-333369; YKP-509) – unknown mechanism of action – migraine [77][11]
- Dasolampanel (NGX-426) – ionotropic glutamate AMPA and kainate receptor antagonist – migraine [78]
- Dextromethorphan/quinidine (DXM/Q; AVP-923; Neurodex; Nuedexta; Zenvia) – combination of dextromethorphan (various actions) and quinidine (various actions) – migraine [79]
- Dihydroergocryptine (SRN-001) – non-selective monoamine receptor modulator and ergoline – migraine [80]
- Donitriptan (F-11356) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – migraine [81]
- Dotarizine (Dotaricin; FI-6026) – calcium channel blocker and serotonin 5-HT1A, 5-HT2A, and 5-HT2C receptor antagonist – migraine [82]
- Dronabinol (Δ9-THC; Δ9-tetrahydrocannabinol; Deltanyne; Elevat; Marinol) – cannabinoid CB1 and CB2 receptor agonist – migraine [83]
- Ergotamine inhalation (Tempo-ergotamine) – non-selective monoamine receptor modulator and ergoline – migraine [84]
- Esprolol – beta blocker (β-adrenergic receptor antagonist) – migraine [85]
- Ethinylestradiol/levonorgestrel (DP3; DR-103; DR-105; LoSeasonique; Seasonique) – combination of ethinylestradiol (an estrogen) and levonorgestrel (a progestogen) and a combined oral contraceptive – menstrual migraine [86]
- (S)-Ethylisothiouronium diethylphosphate (Difetur; MTR-104; MTR-105; MTR-106; MTR-107; MTR-108; Raviclust; Ravimig; Raviten) – nitric oxide synthase (NOS) inhibitor [87]
- Fremanezumab (Ajovy; LBR-101; PF-04427429; PF-4427429; RN-307; TEV-48125) – monoclonal antibody against calcitonin gene-related peptide (CGRP) – cluster headache, headache [88]
- Gabapentin (CI-945; Gabapen; GOE-3450; Neurontin) – gabapentinoid (α2δ subunit-containing voltage-gated calcium channel ligand) – migraine [89]
- Gabapentin enacarbil (1838262; ASP8825; GSK-1838262; Horizant; Regnite; Solzira; XP13512) – gabapentinoid (α2δ subunit-containing voltage-gated calcium channel ligand) – migraine [90]
- Ganaxolone (CCD-1042; Ztalmy) – GABAA receptor positive allosteric modulator and neurosteroid – migraine [91]
- HTL-0022562 (BHV-3100; HTL-22562) – calcitonin gene-related peptide receptor (CGRPR) antagonist – migraine [92]
- IS-159 – serotonin 5-HT1D receptor agonist – migraine [93]
- Lacosamide (ADD-234037; Erlosamide; Harkoseride; SPM-927; SPM-929; Vimpat; Vimpato) – various actions – migraine [94]
- Lanepitant (LY-303870) – neurokinin NK1 receptor antagonist – migraine [95]
- Lidocaine transdermal patch (ADL-87223; LidoPAIN) – sodium channel blocker – headache [96]
- Lornoxicam (Bosporon; Chlortenoxicam; HN-10000; RO-139297; Safem; TS-110; Xefo) – COX inhibitor/NSAID – migraine [97]
- LY-2300559 – metabotropic glutamate receptor 2 (mGluR2) positive allosteric modulator and cysteinyl leukotriene receptor 1 (CysLTR1) antagonist – migraine [98][12]
- LY-334370 – serotonin 5-HT1F receptor agonist and triptan – migraine [99]
- MEDI-0618 – monoclonal antibody against protease-activated receptor 2 (PAR2) – migraine [100]
- Olcegepant (BIBN-4096; BIBN-4096BS) – calcitonin gene-related peptide receptor (CGRPR) antagonist – migraine [101]
- Oxytocin (TI-001; TI-114; TNX-1900; TNX-2900) – oxytocin receptor agonist – migraine [102]
- Perampanel (E-2007; ER-155055-90; Fycompa) – AMPA receptor antagonist – migraine [103]
- PF-5180999 (PF-05180999) – phosphodiesterase PDE2 inhibitor – migraine [104]
- PNU-142633 (PNU-142633F) – serotonin 5-HT1D receptor agonist – cluster headache, headache, migraine [105]
- Prochlorperazine inhalation (AZ-001) – typical antipsychotic (non-selective monoamine receptor modulator) – migraine [106]
- Propisergide (ergalgin) – serotonin receptor modulator and ergoline – migraine
- Propofol phosphate (Neuprox; propofol prodrug) – GABAA receptor positive allosteric modulator (propofol prodrug) – migraine [107]
- Research programme: migraine therapy - Orexo (OX-40; OX641) – undefined mechanism of action – migraine [108]
- Selurampanel (BGG-492; BGG-492A) – ionotropic glutamate AMPA and kainate receptor antagonist – migraine [109]
- Sergolexole (LY-281067) – serotonin 5-HT2 receptor antagonist and ergoline – migraine [110]
- Telcagepant (MK-0974) – calcitonin gene-related peptide receptor (CGRPR) antagonist – migraine [111]
- Tezampanel (LY-293558; NGX-424; PRN-001-01) – ionotropic glutamate AMPA and kainate receptor antagonist – migraine [112]
- Tizanidine (AN-021A; AN-021; DS-103282; Sirdalud; Ternelin; Zanaflex) – α2-adrenergic receptor agonist – migraine [113]
- Tonabersat (SB-220453; USL-260; Xiflam) – connexin 43 (GJA1) inhibitor – migraine [114]
- Zolmitriptan inhalation (CVT-427) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – migraine [115]
- Zonisamide (AD-810; CI-912; Excegran; Kinaplase; PD-110843; Tremode; Trerief; Zonegran) – calcium channel blocker, sodium channel blocker, and other actions – migraine [116]
Clinically used drugs
Approved drugs
COX inhibitors/NSAIDs
- Celecoxib (DFN-15; Elyxyb) – COX inhibitor/NSAID – migraine [117]
- Dexibuprofen (Daxfen; DexOptifen; Movone; (S)-(+)-ibuprofen; Seractil; Ultraprofen) – COX inhibitor/NSAID – headache [118]
Triptans (serotonin 5-HT1B and 5-HT1D receptor agonists)
- Almotriptan (Almogran; Axert; LAS-31416) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – migraine [119]
- Eletriptan (Relert; Relpax; UK-116044) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – migraine, menstrual migraine [120]
- Frovatriptan (Allegro; Auradol; EN-3266; Frova; Isimig; Migard; Pitunal; Rilamig; SB-209509; SB-209509AX; VML-251) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – migraine [121]
- Naratriptan (Amerge; GR-85548; GR-85548A; Naramig; SMP-948) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – migraine [122]
- Rizatriptan (L-705126; Maxalt; MK-0462; MK-462) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – migraine [123]
- Rizatriptan oral film (INT-0008; RHB-103; Rizafilm; VersaFilm; RizaPort) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – migraine [124]
- Sumatriptan (Imigran Nasal Spray; Imitrex Nasal Spray) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – migraine [125]
- Zolmitriptan (311-C90; 311C; AscoTop; BW-311C90; Zomig; Zomigon) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – cluster headache, menstrual migraine, migraine [126]
- Zolmitriptan oral dispersible film (zolmitriptan ODF; Zolmitriptan PharmaFilm; Zolmitriptan RapidFilm; Zolmitriptan Renantos Schmelzfilm) – serotonin 5-HT1B and 5-HT1D receptor agonist and triptan – migraine [127]
Ergolines (non-selective monoamine receptor modulators)
- Dihydroergotamine (DHE; INP-104; POD-DHE; Trudhesa) – non-selective monoamine receptor modulator and ergoline – migraine [128]
- Dihydroergotamine mesilate intranasal (Atzumi; STS-101; TO-2070) – non-selective monoamine receptor modulator and ergoline – migraine [129]
- Dihydroergotamine mesylate intranasal (Migranal) – non-selective monoamine receptor modulator and ergoline – migraine [130]
Calcitonin gene-related peptide (CGRP) inhibitors
- Atogepant (AGN-241689; Aquipta; MK-8031; Qulipta) – calcitonin gene-related peptide receptor (CGRPR) antagonist – migraine [131]
- Eptinezumab (ALD-403; Lu-AG09221; Vyepti) – monoclonal antibody against calcitonin gene-related peptide (CGRP) – migraine [132]
- Erenumab (Aimovig; AMG-334) – monoclonal antibody against calcitonin gene-related peptide receptor (CGRPR) – migraine [133]
- Fremanezumab (Ajovy; LBR-101; PF-04427429; PF-4427429; RN-307; TEV-48125) – monoclonal antibody against calcitonin gene-related peptide (CGRP) – migraine [134]
- Galcanezumab (Emgality; LY-2951742) – monoclonal antibody against calcitonin gene-related peptide (CGRP) – cluster headache, migraine [135]
- Rimegepant (BHV-3000; BMS-927711; Nurtec; Vydura) – calcitonin gene-related peptide receptor (CGRPR) antagonist – migraine [136]
- Ubrogepant (MK-1602; Ubrelvy) – calcitonin gene-related peptide receptor (CGRPR) antagonist – migraine [137]
- Zavegepant (BHV-3500; BMS-742413; PF-07930207; Vazegepant; Zavzpret) – calcitonin gene-related peptide receptor (CGRPR) antagonist – migraine [138]
Combination drugs
- Butalbital/acetaminophen (Butapap) – combination of butalbital (GABAA receptor positive allosteric modulator and barbiturate) and acetaminophen (analgesic)
- Ergotamine/caffeine (Cafergot) – combination of ergotamine (non-selective monoamine receptor modulator and ergoline) and caffeine (adenosine receptor antagonist)
- Ergotamine/chlorcyclizine/caffeine (Anervan) – combination of ergotamine (non-selective monoamine receptor modulator and ergoline), chlorcyclizine (antihistamine and other actions), and caffeine (adenosine receptor antagonist)
- Meloxicam/rizatriptan (AXS-07; Symbravo) – combination of meloxicam (COX inhibitor/NSAID) and rizatriptan (triptan) [139]
- Naproxen sodium/sumatriptan (MT-400; SumaRT/Nap; Suvexx; Trexima; Treximet) – combination of naproxen (COX inhibitor/NSAID) and sumatriptan (triptan) – migraine [140]
- Paracetamol/codeine/buclizine (Migraleve Yellow) – combination of paracetamol (analgesic) and codeine (opioid)
- Paracetamol/codeine/buclizine (Migraleve Pink) – combination of paracetamol (analgesic), codeine (opioid), and buclizine (antihistamine and other actions)
- Paracetamol/dichloralphenazone/isometheptene (Amidrine) – combination of paracetamol (analgesic), dichloralphenazone (phenazone (COX inhibitor/NSAID) and chloral hydrate (GABAA receptor positive allosteric modulator)), and isometheptene (adrenergic receptor agonist)
- Paracetamol/metoclopramide (Paramax) – combination of paracetamol (analgesic) and metoclopramide (various actions)
- Sumatriptan/naproxen (Treximet) – combination of sumatriptan (triptan) and naproxen (COX inhibitor/NSAID)
Other drugs
- Alpiropride (Revistel, Rivistel, Rivestel) – dopamine D2 receptor antagonist – migraine
- Dimetotiazine (Banistyl, Normelin) – non-selective monoamine receptor modulator – migraine
- Flumedroxone acetate (Demigran, Leomigran) – progestogen (progesterone receptor agonist) – migraine[13][14]
- Iprazochrome (Divascan) – serotonin receptor antagonist – migraine
- Lasmiditan (COL-144; LY-573144; Rayvow; Reyvow) – serotonin 5-HT1F receptor agonist – migraine [141]
- Lomerizine (DE-090; KB-2796; Migsis) – non-selective monoamine receptor modulator, other actions – migraine [142]
- Onabotulinum toxin A (BoNTA; Botox; GSK-1358820; OnabotA X; Vistabel; Vistabex) – acetylcholine release inhibitor and neuromuscular blocking agent – migraine [143]
- Oxetorone (Nocertone, Oxedix) – non-selective monoamine receptor modulator – migraine
- Topiramate (Epitomax; KW-6485; MCN-4853; RWJ-17021; Topamax; Topimax; Topina) – various actions – migraine [144]
- Topiramate oral (Eprontia; ET-101) – various actions – migraine [145]
- Topiramate extended-release (SPN-538; TPM XR; Trokendi XR; Trokesa) – various actions – migraine [146]
- Valproate semisodium (Depakote; Divalproex; Divalproex sodium; Epival; LA40220) – various actions – migraine [147]
Off-label drugs
- α2-Adrenergic receptor agonists (e.g., clonidine, tizanidine)[15][16][17]
- Acetaminophen (paracetamol)[18]
- Adenosine receptor antagonists (e.g., caffeine)[19][18]
- Angiotensin-converting-enzyme inhibitors (ACE inhibitors) (e.g., lisinopril)[17]
- Angiotensin receptor antagonists (e.g., candesartan, telmisartan)[17]
- Antipsychotics and related (e.g., prochlorperazine, metoclopramide, haloperidol, promethazine, chlorpromazine)[20][21][22][23]
- Anticonvulsants (e.g., valproic acid)[24]
- Barbiturates (e.g., butalbital, proxibarbital)[25][26]
- Beta blockers (β-adrenergic receptor antagonists) (e.g., propranolol, metoprolol, nadolol, timolol, atenolol)[27][17]
- Calcium channel blockers (e.g., verapamil, nimodipine, nifedipine, diltiazem)[17]
- Cannabinoids (cannabinoid receptor agonists) (e.g., cannabis, tetrahydrocannabinol (THC))[28][29][30]
- Corticosteroids (e.g., dexamethasone, prednisone)[31][32]
- Ergoline monoamine receptor modulators (e.g., ergotamine, methylergometrine, methysergide, dihydroergocryptine, bromocriptine, lisuride)[33][34][35]
- Estrogens (estrogen receptor agonists) (e.g., estradiol, ethinylestradiol)[36][37]
- Gabapentinoids (α2δ subunit-containing volate-gated calcium channel ligands) (e.g., gabapentin, pregabalin)[38][24]
- Melatonin[39][40]
- Nonsteroidal anti-inflammatory drugs (NSAIDs; COX inhibitors) (e.g., ibuprofen, aspirin, naproxen, diclofenac, ketorolac, ketoprofen)[41][18]
- Opioids (μ-opioid receptor agonists) (e.g., morphine, codeine, oxycodone, hydrocodone)[42][43]
- Progestogens (progesterone receptor agonists) (e.g., progesterone, medroxyprogesterone acetate)[37][13]
- Propofol[44][45]
- Serotonergic psychedelics (e.g., psilocybin, lysergic acid diethylamide (LSD), dimethyltryptamine (DMT))[46][47][48]
- Serotonin receptor antagonists (e.g., methysergide, pizotifen, cyproheptadine)[49][50]
- Sodium channel blockers (e.g., lidocaine)[51]
- Tetracyclic antidepressants (TeCAs) (e.g., mianserin, mirtazapine)[50][52]
- Tricyclic antidepressants (TCAs) (e.g., amitriptyline, nortriptyline, imipramine)[53][54]
See also
- List of investigational drugs
- Antimigraine drug
- Management of migraine
References
- ↑ Devadoss, Thangaraj; Pingili, Ravindra Babu (2024). "Drugs Under Clinical Trials for the Treatment of Migraine". Management of Migraine Pain. Singapore: Springer Nature Singapore. pp. 229–249. doi:10.1007/978-981-97-4529-6_12. ISBN 978-981--974528-9. https://link.springer.com/10.1007/978-981-97-4529-6_12. Retrieved 1 October 2025. "The AGX-201 is chemically 2-(4-imidazolyl)ethylamine dihydrochloride, refer to Fig. 12.7 for the chemical structure. [...] AGX-201 is a dihydrochloride salt of histamine. [...]"
- ↑ "Pharmacological management of migraine: current strategies and future directions". Expert Opin Pharmacother 25 (6): 673–683. April 2024. doi:10.1080/14656566.2024.2349791. PMID 38720629. "AGX-201 is a histamine receptor modulator that acts as an antagonist at H1 receptors and an agonist at H3 receptors. This dual mechanism of action offer a unique approach to mitigate migraine symptoms by reducing the release of proinflammatory neuropeptides from trigeminal nerve endings. Subcutaneous AGX-201 is currently tested in a phase II trial (NCT02021474) enrolling subjects with migraine requiring prophylactic treatment.".
- ↑ "A Phase 1 clinical trial of NYPRG-101 in healthy adult participants - AdisInsight". https://adisinsight.springer.com/trials/700360718.
- ↑ "Ceruvia Lifesciences Announces First Participant Dosed in BOL-148 Phase 1 Clinical Trial". 17 January 2023. https://www.biospace.com/ceruvia-lifesciences-announces-first-participant-dosed-in-bol-148-phase-1-clinical-trial.
- ↑ 5.0 5.1 Michael Haichin (2024). "Psychedelics Drug Development Tracker". https://psychedelicalpha.com/data/psychedelic-drug-development-tracker.
- ↑ "BETR 001 - AdisInsight". https://adisinsight.springer.com/drugs/800061475.
- ↑ "Delving into the Latest Updates on Bromolysergide with Synapse". https://synapse.patsnap.com/drug/3bcabbea8776452d8fcd680529dec52c.
- ↑ "A non-hallucinogenic LSD analog with therapeutic potential for mood disorders". Cell Rep 42 (3). March 2023. doi:10.1016/j.celrep.2023.112203. PMID 36884348.
- ↑ "Tactogen Inc – Pipeline". 8 February 2021. https://tactogen.com/pipeline/.
- ↑ Matthew J. Baggott, "Indolizine compounds for the treatment of mental disorders or inflammation", WO patent 2023183613A2, published 2023 September 28, assigned to Tactogen
- ↑ "Carisbamate (RWJ-333369)". Neurotherapeutics 4 (1): 106–109. January 2007. doi:10.1016/j.nurt.2006.11.016. PMID 17199023.
- ↑ Johnson, K. W.; Smith, A. C.; Davis, R. J.; Schkeryantz, J. M.; Johnson, M. P. (1 August 2013). "Preclinical Characterization of LY2300559, a Dual Acting mGlu2 Receptor Positive Allosteric Modulator (PAM) and Leukotriene CysLT1 Receptor Antagonist, for Potential Use as a Migraine Therapy". Cephalalgia (SAGE): 975. ISSN 0333-1024. https://www.researchgate.net/publication/298144552. Retrieved 19 September 2025.
- ↑ 13.0 13.1 "Endocrinology of Headache: A Review". Updating in Headache. Springer Science & Business Media. 6 December 2012. pp. 229–. ISBN 978-3-642-88581-5. https://books.google.com/books?id=czSSBgAAQBAJ&pg=PA229.
- ↑ The Dictionary of Drugs: Chemical Data: Chemical Data, Structures and Bibliographies. Springer. 14 November 2014. pp. 560–. ISBN 978-1-4757-2085-3. https://books.google.com/books?id=0vXTBwAAQBAJ&pg=PA560.
- ↑ "Preventative treatment for migraine and tension-type headaches: do drugs having effects on muscle spasm and tone have a role?". CNS Drugs 17 (6): 373–381. 2003. doi:10.2165/00023210-200317060-00001. PMID 12696998.
- ↑ "Other Preventive Anti-Migraine Treatments: ACE Inhibitors, ARBs, Calcium Channel Blockers, Serotonin Antagonists, and NMDA Receptor Antagonists". Curr Treat Options Neurol 21 (4). March 2019. doi:10.1007/s11940-019-0559-0. PMID 30880363.
- ↑ 17.0 17.1 17.2 17.3 17.4 "The effect of blood pressure lowering medications on the prevention of episodic migraine: A systematic review and meta-analysis". Cephalalgia 43 (6): 3331024231183166. June 2023. doi:10.1177/03331024231183166. PMID 37350141.
- ↑ 18.0 18.1 18.2 "Aspirin, paracetamol (acetaminophen) and caffeine for the treatment of acute migraine attacks: A systemic review and meta-analysis of randomized placebo-controlled trials". Eur J Neurol 29 (1): 350–357. January 2022. doi:10.1111/ene.15103. PMID 34519136.
- ↑ "Caffeine in the management of patients with headache". J Headache Pain 18 (1). October 2017. doi:10.1186/s10194-017-0806-2. PMID 29067618.
- ↑ "Are butyrophenones effective for the treatment of primary headache in the emergency department?". CJEM 13 (2): 96–104. March 2011. doi:10.2310/8000.2011.100301. PMID 21435315.
- ↑ "Canadian Headache Society systematic review and recommendations on the treatment of migraine pain in emergency settings". Cephalalgia 35 (3): 271–284. March 2015. doi:10.1177/0333102414535997. PMID 24875925.
- ↑ "Parenteral treatment of episodic tension-type headache: a systematic review". Headache 54 (2): 260–268. February 2014. doi:10.1111/head.12287. PMID 24433525.
- ↑ "Rescue therapy for acute migraine, part 2: neuroleptics, antihistamines, and others". Headache 52 (2): 292–306. February 2012. doi:10.1111/j.1526-4610.2011.02070.x. PMID 22309235.
- ↑ 24.0 24.1 "Current Status of Antiepileptic Drugs as Preventive Migraine Therapy". Curr Treat Options Neurol 21 (4). March 2019. doi:10.1007/s11940-019-0558-1. PMID 30880369.
- ↑ "Butalbital in the treatment of headache: history, pharmacology, and efficacy". Headache 41 (10): 953–967. 2001. doi:10.1046/j.1526-4610.2001.01189.x. PMID 11903523.
- ↑ "Do butalbital-containing products have a role in the management of migraine?". Pharmacotherapy 22 (8): 1029–1035. August 2002. doi:10.1592/phco.22.12.1029.33595. PMID 12173787.
- ↑ "β-blockers: Their new life from hypertension to cancer and migraine". Pharmacol Res 151. January 2020. doi:10.1016/j.phrs.2019.104587. PMID 31809852.
- ↑ "The Exploration of Cannabis and Cannabinoid Therapies for Migraine". Curr Pain Headache Rep 27 (9): 339–350. September 2023. doi:10.1007/s11916-023-01144-z. PMID 37515745.
- ↑ "Cannabinoids in headache: helpful or harmful?". Curr Opin Neurol 38 (3): 277–280. June 2025. doi:10.1097/WCO.0000000000001364. PMID 40152937.
- ↑ "Medical Cannabis for Headache Pain: a Primer for Clinicians". Curr Pain Headache Rep 25 (10). October 2021. doi:10.1007/s11916-021-00974-z. PMID 34628531.
- ↑ "What is the evidence for the use of corticosteroids in migraine?". Curr Pain Headache Rep 18 (12). December 2014. doi:10.1007/s11916-014-0464-x. PMID 25373608.
- ↑ "Corticosteroid treatment in cluster headache: evidence, rationale, and practice". Curr Pain Headache Rep 9 (2): 126–131. April 2005. doi:10.1007/s11916-005-0050-3. PMID 15745623.
- ↑ "Dihydroergotamine, ergotamine, methysergide and sumatriptan - basic science in relation to migraine treatment". Headache 52 (4): 707–714. April 2012. doi:10.1111/j.1526-4610.2012.02124.x. PMID 22444161.
- ↑ "What happens to the old headache medicines?". Headache 52 (4): 701–706. April 2012. doi:10.1111/j.1526-4610.2012.02123.x. PMID 22486742.
- ↑ "Dopamine and migraine: biology and clinical implications". Cephalalgia 27 (11): 1308–1314. November 2007. doi:10.1111/j.1468-2982.2007.01478.x. PMID 17970991.
- ↑ "The complex relationship between estrogen and migraines: a scoping review". Syst Rev 10 (1). March 2021. doi:10.1186/s13643-021-01618-4. PMID 33691790.
- ↑ 37.0 37.1 "Ovarian hormones and migraine headache: understanding mechanisms and pathogenesis--part 2". Headache 46 (3): 365–386. March 2006. doi:10.1111/j.1526-4610.2006.00370.x. PMID 16618254.
- ↑ "Gabapentin or pregabalin for the prophylaxis of episodic migraine in adults". Cochrane Database Syst Rev 2013 (6). June 2013. doi:10.1002/14651858.CD010609. PMID 23797675.
- ↑ "The Role of Melatonin in the Treatment of Primary Headache Disorders". Headache 56 (8): 1257–1266. September 2016. doi:10.1111/head.12862. PMID 27316772.
- ↑ "Therapeutic role of melatonin in migraine prophylaxis: A systematic review". Medicine (Baltimore) 98 (3). January 2019. doi:10.1097/MD.0000000000014099. PMID 30653130.
- ↑ "Evidence-based guideline update: NSAIDs and other complementary treatments for episodic migraine prevention in adults: report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Headache Society". Neurology 78 (17): 1346–1353. April 2012. doi:10.1212/WNL.0b013e3182535d0c. PMID 22529203.
- ↑ "Opioids in headache". Headache 54 (1): 12–21. January 2014. doi:10.1111/head.12266. PMID 24127913.
- ↑ "Opioid Treatment of Migraine: Risk Factors and Behavioral Issues". Curr Pain Headache Rep 20 (9). September 2016. doi:10.1007/s11916-016-0581-9. PMID 27474093.
- ↑ "Propofol in the treatment of refractory migraine headaches". Expert Rev Neurother 16 (9): 1007–1011. September 2016. doi:10.1080/14737175.2016.1216795. PMID 27454834.
- ↑ "Propofol for Treatment of Acute Migraine in the Emergency Department: A Systematic Review". Acad Emerg Med 27 (2): 148–160. February 2020. doi:10.1111/acem.13870. PMID 31621134.
- ↑ "Exploring the Potential of Psychedelics in the Treatment of Headache Disorders: Clinical Considerations and Exploratory Insights". Curr Pain Headache Rep 29 (1). January 2025. doi:10.1007/s11916-024-01321-8. PMID 39820774.
- ↑ "Psychedelics and Headache Disorders: an Update". Curr Neurol Neurosci Rep 25 (1). August 2025. doi:10.1007/s11910-025-01446-2. PMID 40782223.
- ↑ "Licit and illicit drug use in cluster headache". Curr Pain Headache Rep 18 (5). May 2014. doi:10.1007/s11916-014-0413-8. PMID 24715619.
- ↑ "Putative role of 5-HT2B receptors in migraine pathophysiology". Cephalalgia 37 (4): 365–371. April 2017. doi:10.1177/0333102416646760. PMID 27127104. https://nbn-resolving.org/urn:nbn:de:bvb:29-opus4-112198.
- ↑ 50.0 50.1 "5-HT2 receptor antagonists and migraine therapy". J Neurol 238 Suppl 1: S45–52. 1991. doi:10.1007/BF01642906. PMID 2045831.
- ↑ "The Use and Method of Action of Intravenous Lidocaine and Its Metabolite in Headache Disorders". Headache 58 (5): 783–789. May 2018. doi:10.1111/head.13298. PMID 29536530.
- ↑ "Tension-type headache: the most common, but also the most neglected, headache disorder". Curr Opin Neurol 19 (3): 305–309. June 2006. doi:10.1097/01.wco.0000227043.00824.a9. PMID 16702840.
- ↑ "Antidepressants for Preventive Treatment of Migraine". Curr Treat Options Neurol 21 (4). March 2019. doi:10.1007/s11940-019-0557-2. PMID 30895388.
- ↑ "Treatment of chronic headache with antidepressants: a meta-analysis". Am J Med 111 (1): 54–63. July 2001. doi:10.1016/s0002-9343(01)00762-8. PMID 11448661.
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