Case Report

Mirtazapine for Migraine Headaches

Mehmet Akif Camkurt1, Carolina Olmos1, Hanjing Emily Wu1
1University of Texas Health Science Center at Houston, McGovern Medical School, Department of Psychiatry and Behavioral Sciences

Worldwide Medicine 2019; 1(2): 33-36 | DOI: 10.5455/ww.41954      PDF


Abstract


Migraine is one of the most common headache syndromes which occurs almost three times more common in women than men. Due to high prevalence, migraine is considered to be an important cause for living years with disability by World Health Organization. Even considerable effort put in the field, pathophysiology of migraines still remains unclear. On one side interaction between afferent neurons and intracranial vessels takes an important place, however on the other side central nervous system play an important role in trigger of migraine attacks. Furthermore, especially aura of migraine is likely to be caused by cortical spreading depression. Along with genetic predisposition, environmental factors, especially stress is strongly associated with migraine headaches. Our case presentation is a 34 years old single female, who presented to outpatient psychiatry clinic due to prescription refill for Mirtazapine 30 mg. Patient reported that she was prescribed Mirtazapine 6 months ago for migraine headaches.

Keywords: Migraine, mirtazapine, anxiety, depression