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Butterbur (Petasites hybridus) for migraine headaches

Petasites hybridus plant extract, known as butterbur, has been used for years to prevent migraine headaches. Studies show it is effective at reducing the frequency of migraines.1

Experts are not sure what causes migraines.

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Understanding Migraine -- Prevention

In addition to prophylactic (preventive) medications, you can help prevent migraines by regularly getting enough sleep, avoiding foods that trigger migraines in some people, and learning behavioral techniques shown to be effective in preventing migraine episodes or lessening their duration or severity. Food and drinks that are commonly thought to worsen migraines include chocolate, red wine, MSG, meats with sodium nitrates, aged cheese, wheat, oranges, eggs, tea and coffee, milk, corn syrup, and...

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Researchers are unclear exactly how butterbur helps to prevent migraines. However, some research suggests that it may prevent swelling and relieve pressure on the blood vessels. Another theory is that it may affect calcium channels, which experts also believe may be related to migraines. More research is needed to determine how butterbur helps prevent migraines.

Butterbur is available as a supplement (tablet or capsule) in the United States and is marketed under the brand name Petadolex. It is important to find butterbur that has been standardized (which means you receive the same amount of active ingredient in every dose) with guaranteed potency. Do not consume butterbur from the plant itself because it has toxic properties, which have been removed in the standardized supplement.

Some people may experience stomach upset, including gas, when they take butterbur. It is not recommended for young children or women who are pregnant or breast-feeding.

Be sure to tell your doctor before you take butterbur. Like any drug, it can interact with other medications you may be taking or affect your health in ways you may not be aware of.

Citations

  1. Lipton RB, et al. (2004). Petasites hybridus root (butterbur) is an effective preventive treatment for migraine. Neurology, 63(12): 2240-2244.

By Healthwise Staff
Primary Medical Reviewer Martin Gabica, MD - Family Medicine
Primary Medical Reviewer Kathleen Romito, MD - Family Medicine
Specialist Medical Reviewer Colin Chalk, MD, CM, FRCPC - Neurology
Last Revised June 30, 2009

WebMD Medical Reference from Healthwise

Last Updated: June 30, 2009
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.

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