Therapeutic effect of memantine on patients with posttraumatic headache: A randomized double-blinded clinical trial

Background: Traumatic brain injury (TBI) can result in different complications. Posttraumatic headache (PTH) is a disabling complication of TBI. We investigated the therapeutic effect of memantine on patients with PTH. Materials and Methods: This randomized and double-blinded clinical trial was perf...

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Main Authors: Fariborz Khorvash, Elham Bani, Rasool Soltani, Majid Rezvani, Mohammad Saadatnia, Noushin Maktoobian, Mohsen Kheradmand
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-03-01
Series:Journal of Research in Medical Sciences
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Online Access:https://journals.lww.com/10.4103/jrms.jrms_542_24
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author Fariborz Khorvash
Elham Bani
Rasool Soltani
Majid Rezvani
Mohammad Saadatnia
Noushin Maktoobian
Mohsen Kheradmand
author_facet Fariborz Khorvash
Elham Bani
Rasool Soltani
Majid Rezvani
Mohammad Saadatnia
Noushin Maktoobian
Mohsen Kheradmand
author_sort Fariborz Khorvash
collection DOAJ
description Background: Traumatic brain injury (TBI) can result in different complications. Posttraumatic headache (PTH) is a disabling complication of TBI. We investigated the therapeutic effect of memantine on patients with PTH. Materials and Methods: This randomized and double-blinded clinical trial was performed in 2020 in a hospital on 90 patients with head trauma. Patients were divided into two groups. The active group received 5 mg memantine tablet for 2 weeks followed by 10 mg tablet daily for up to 6 months. The control arm received identical placebo tablets. Patients were evaluated at 3 months and 6 months. Headache severity was measured with a Visual Analog Scale for Pain. Headache frequency (per week) and duration were also recorded. Results: After 3 months, the patients in the memantine group had significantly lower headache severity (P = 001) and frequency (P = 0.008) in comparison to baseline of the study. However, in the placebo group, there was only significant reduction in the headache duration (P = 0.001), and there was no significant reduction in headache intensity and frequency. After 6 months, there was a significant reduction in headache intensity and duration in both groups (P < 0.05), but only in the memantine group, headache frequency was significantly reduced (P < 0.001). Finally, patients in the memantine group had less headache intensity, frequency, and duration after 6 months of taking memantin than the placebo group.(P < 0.05 for all). Conclusion: The administration of memantine for 6 months could significantly lower the severity, duration, and frequency of PTHs.
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spelling doaj-art-ea22861673dd41b3adf46d905f5a98f32025-08-20T02:11:55ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362025-03-01301151510.4103/jrms.jrms_542_24Therapeutic effect of memantine on patients with posttraumatic headache: A randomized double-blinded clinical trialFariborz KhorvashElham BaniRasool SoltaniMajid RezvaniMohammad SaadatniaNoushin MaktoobianMohsen KheradmandBackground: Traumatic brain injury (TBI) can result in different complications. Posttraumatic headache (PTH) is a disabling complication of TBI. We investigated the therapeutic effect of memantine on patients with PTH. Materials and Methods: This randomized and double-blinded clinical trial was performed in 2020 in a hospital on 90 patients with head trauma. Patients were divided into two groups. The active group received 5 mg memantine tablet for 2 weeks followed by 10 mg tablet daily for up to 6 months. The control arm received identical placebo tablets. Patients were evaluated at 3 months and 6 months. Headache severity was measured with a Visual Analog Scale for Pain. Headache frequency (per week) and duration were also recorded. Results: After 3 months, the patients in the memantine group had significantly lower headache severity (P = 001) and frequency (P = 0.008) in comparison to baseline of the study. However, in the placebo group, there was only significant reduction in the headache duration (P = 0.001), and there was no significant reduction in headache intensity and frequency. After 6 months, there was a significant reduction in headache intensity and duration in both groups (P < 0.05), but only in the memantine group, headache frequency was significantly reduced (P < 0.001). Finally, patients in the memantine group had less headache intensity, frequency, and duration after 6 months of taking memantin than the placebo group.(P < 0.05 for all). Conclusion: The administration of memantine for 6 months could significantly lower the severity, duration, and frequency of PTHs.https://journals.lww.com/10.4103/jrms.jrms_542_24durationfrequencyheadachememantineseveritytraumatic brain injury
spellingShingle Fariborz Khorvash
Elham Bani
Rasool Soltani
Majid Rezvani
Mohammad Saadatnia
Noushin Maktoobian
Mohsen Kheradmand
Therapeutic effect of memantine on patients with posttraumatic headache: A randomized double-blinded clinical trial
Journal of Research in Medical Sciences
duration
frequency
headache
memantine
severity
traumatic brain injury
title Therapeutic effect of memantine on patients with posttraumatic headache: A randomized double-blinded clinical trial
title_full Therapeutic effect of memantine on patients with posttraumatic headache: A randomized double-blinded clinical trial
title_fullStr Therapeutic effect of memantine on patients with posttraumatic headache: A randomized double-blinded clinical trial
title_full_unstemmed Therapeutic effect of memantine on patients with posttraumatic headache: A randomized double-blinded clinical trial
title_short Therapeutic effect of memantine on patients with posttraumatic headache: A randomized double-blinded clinical trial
title_sort therapeutic effect of memantine on patients with posttraumatic headache a randomized double blinded clinical trial
topic duration
frequency
headache
memantine
severity
traumatic brain injury
url https://journals.lww.com/10.4103/jrms.jrms_542_24
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