Preventive treatment of headaches

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Abstract
To review recent advances in preventive headache treatment. Migraine may be a progressive disorder. Aggressive treatment may stop progression. Propranolol, the β-blocker, and the anticonvulsant topiramate are effective for migraine prevention. Feverfew, montelukast and acupuncture have not proven effective. New drugs and other treatment strategies expand the spectrum of preventive migraine treatments.