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Harnessing the Power of Placebo to Fight the Pain of Migraine

Placebo power can make a difference, even when it comes to treating migraine headaches.  A fascinating study of 66 migraine headache sufferers tested the placebo hypothesis by having the volunteers record symptoms of an untreated migraine at the start of the trial. Then, as they developed migraines later in the study, the participants were given a pill (in an envelope, so neither the patient nor the researchers knew at that point what it was) and a message that indicated the pill was the powerful anti-migraine medicine rizatriptan (Maxalt) or a look-alike placebo. The message was not always correctly matched to the treatment.

Even when the subjects received a placebo pill and a message saying it was a placebo, however, they got some relief compared to their untreated migraine. Pain relief was twice as great when the message with a rizatriptan pill said it was the real deal. The investigators conclude that a positive message administered with medicine can contribute significantly to its effectiveness.

[Science Translational Medicine, online Jan. 8, 2014]

There is more information on medication for migraines as well as non-drug approaches that may prove helpful in our Guide to Headaches & Migraines. 

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About the Author
Terry Graedon, PhD, is a medical anthropologist and co-host of The People’s Pharmacy radio show, co-author of The People’s Pharmacy syndicated newspaper columns and numerous books, and co-founder of The People’s Pharmacy website. Terry taught in the Duke University School of Nursing and was an adjunct assistant professor in the Department of Anthropology. She is a Fellow of the Society of Applied Anthropology. Terry is one of the country's leading authorities on the science behind folk remedies..
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