A combination of coenzyme Q10, feverfew and magnesium for migraine prophylaxis: a prospective observational study.
Study Goal
The researchers aimed to evaluate the safety and efficacy of a proprietary supplement containing Feverfew, coenzyme Q10, and magnesium for migraine prophylaxis in adult patients.
Results Summary
The supplement significantly reduced the number of migraine days, with a progressive decrease over three months, and improved quality of life while being well tolerated. A high proportion of patients (75%) achieved at least a 50% reduction in migraine days by the third month.
Population
Adult patients with migraine (≥2 attacks in the previous month), excluding chronic migraine and medication overuse.
Effective Dosage
100 mg Feverfew, 100 mg coenzyme Q10, and 112.5 mg magnesium per day.
Duration
3 months.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Supplementation with a fixed combination of feverfew, coenzyme Q10 and magnesium (Antemig®, PiLeJe) | decrease | number of days with migraine headache during third month of supplementation | Adult patients suffering from migraine | 1.3 days ±1.5 versus 4.9 days ±2.6 | significantly reduced | #1 |
Supplementation with a fixed combination of feverfew, coenzyme Q10 and magnesium (Antemig®, PiLeJe) | decrease | number of days with migraine headache | Adult patients suffering from migraine | 1st month: -2.5 days ±3.1; 2nd month: -3 days ±2.8 | decrease was progressive over the period of supplementation and significant from first month | #2 |
Supplementation with a fixed combination of feverfew, coenzyme Q10 and magnesium (Antemig®, PiLeJe) | increase | proportion of patients with a reduction of at least 50% in the number of days with migraine headache | Adult patients suffering from migraine | 75% (51/68) after 3 months | proportion of patients with a reduction of at least 50% in the number of days with migraine headache was 75% | #3 |
Supplementation with a fixed combination of feverfew, coenzyme Q10 and magnesium (Antemig®, PiLeJe) | increase | proportion of patients with a reduction of at least 50% in the number of days with migraine headache | Adult patients suffering from migraine | 63.2% (43/68) after 1 month and 70.6% (48/68) after 2 months | progressive increase over the period of supplementation | #4 |
Supplementation with a fixed combination of feverfew, coenzyme Q10 and magnesium (Antemig®, PiLeJe) | decrease | proportion of patients with anxiety and depressive symptoms (Hospital Anxiety and Depression Scale) | Adult patients suffering from migraine | from 61.9% (39/63) to 35% (21/60) for depression and from 52.4% (33/63) to 30% (18/60) for anxiety | decreased | #5 |
Supplementation with a fixed combination of feverfew, coenzyme Q10 and magnesium (Antemig®, PiLeJe) | increase | quality of life | Adult patients suffering from migraine | - | An improvement of quality of life (Qualité de Vie et Migraine questionnaire) was also observed | #6 |
Supplementation with a fixed combination of feverfew, coenzyme Q10 and magnesium (Antemig®, PiLeJe) | no change | tolerability | Adult patients suffering from migraine | - | was well tolerated | #7 |
BACKGROUND: Feverfew (Tanacetum parthenium L.), magnesium and coenzyme Q10 are frequently used for migraine prophylaxis. Supplementation with a fixed combination of these three agents (Antemig®, PiLeJe) was investigated in an observational study. METHODS: Adult patients suffering from migraine according to the criteria of the International Headache Society were enrolled by general practitioners (≥2 migraine attacks during previous month; exclusion of chronic migraine and medication overuse) and after a one-month baseline phase, supplemented with one tablet of 100 mg feverfew, 100 mg coenzyme Q10 and 112.5 mg magnesium per day for 3 months. RESULTS: Supplementation significantly reduced the number of days with migraine headache during third month of supplementation compared to baseline phase (1.3 days ±1.5 versus 4.9 days ±2.6, p < 0.0001; n = 68 intention to treat; primary criterion). The decrease was progressive over the period of supplementation and significant from first month (1st month: -2.5 days ±3.1, p < 0.0001; 2nd month: -3 days ±2.8, p < 0.0001). The proportion of patients with a reduction of at least 50% in the number of days with migraine headache was 75% (51/68) after 3 months, with a progressive increase over the period of supplementation (63.2% [43/68] after 1 month and 70.6% [48/68] after 2 months). The proportion of patients with anxiety and depressive symptoms (Hospital Anxiety and Depression Scale) decreased between baseline phase and third month of supplementation from 61.9% (39/63 patients with information available) to 35% (21/60) for depression and from 52.4% (33/63) to 30% (18/60) for anxiety. An improvement of quality of life (Qualité de Vie et Migraine questionnaire) was also observed. The combination was well tolerated. CONCLUSIONS: Results suggest that the proprietary supplement containing feverfew, coenzyme Q10 and magnesium assessed could be beneficial and safe for the prevention of migraine in adult patients and merits further study. TRIAL REGISTRATION: ClinicalTrials.gov: NCT02901756 , retrospectively registered on August 24, 2016.