Evidence map›Paper›PMID 35829760›Full record

ArticleJournal of neurology2022

Amitriptyline for post-COVID headache: effectiveness, tolerability, and response predictors.

Alicia Gonzalez-Martinez, Ángel Luis Guerrero-Peral, Susana Arias-Rivas, Lorenzo Silva, Álvaro Sierra, Ana Beatriz Gago-Veiga, David García-Azorín

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Health equity, care access and quality in headache - part 1.The journal of headache and pain · 2024
    Review
  7. Headache in COVID-19 and Long COVID: to Know Facts for Clinical Practice.Current neurology and neuroscience reports · 2023
    Review
  8. Review
  9. Common Clinical and Molecular Pathways between Migraine and Sarcoidosis.International journal of molecular sciences · 2023
    Review
  10. Review
  11. Exploring the Role of Amitriptyline in Modulating Gag Reflex Sensitivity.Iranian journal of pharmaceutical research : IJPR
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Alicia Gonzalez-MartinezHeadache Unit, Department of Neurology, Hospital Universitario de La Princesa and Instituto de Investigación Sanitaria Princesa (IIS Princesa), Madrid, Spain.ORCID http://orcid.org/0000-0002-1228-1503
Ángel Luis Guerrero-PeralHeadache Unit, Department of Neurology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain. gueneurol@gmail.com.ORCID http://orcid.org/0000-0001-7493-6002
Susana Arias-RivasDepartment of Neurology, Hospital Santiago de Compostela, Galicia, Spain.
Lorenzo SilvaDepartment of Neurology, Hospital Universitario Puerta de Hierro, Madrid, Spain.
Álvaro SierraHeadache Unit, Department of Neurology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
Ana Beatriz Gago-VeigaHeadache Unit, Department of Neurology, Hospital Universitario de La Princesa and Instituto de Investigación Sanitaria Princesa (IIS Princesa), Madrid, Spain.
David García-AzorínHeadache Unit, Department of Neurology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.ORCID http://orcid.org/0000-0002-3132-1064
Hospital Universitario de La Princesa · ESUniversidad de Valladolid · ESHospital Clínico Universitario de Valladolid · ESHospital Universitario Puerta de Hierro Majadahonda · ESUniversidade de Santiago de Compostela · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeadache is one of the most frequently reported symptoms in post-COVID patients. The clinical phenotype of COVID-19 headache combines phenotypic features of both tension-type headache (TTH) and migraine. We aimed to assess the effectiveness, side effects and predictors of amitriptyline (AMT) response in a real-world study setting.

methodsWe performed an observational multicentric study with a retrospective cohort. All consecutive patients with confirmed COVID-19 infection who received AMT for post-COVID headache from March 2020 to May 2021 were included. Response was evaluated by the reduction in the number of headache days per month (HDM) between weeks 8 and 12, compared with the baseline. We explored which variables were associated with a higher probability of response to AMT.

resultsForty-eight patients were eligible for the study, 40/48 (83.3%) females, aged 46.85 (SD: 13.59) years. Patients had history of migraine 15/48 (31.3%) or TTH 5/48 (10.4%). The mean reduction of HDM was 9.6 (SD: 10.9; 95% CI 6.5, 12.7) days. Only 2/48 (5%) of patients discontinued AMT due to poor tolerability. History of TTH (10.9, 95% CI 1.3, 20.6) and nausea (- 8.5, 95% CI - 14.6, - 2.5) were associated with AMT response.

conclusionsThis study provides real-world evidence of the potential benefit of AMT in patients with post-COVID-19 headache, especially in patients with history of TTH and without concomitant nausea.

Indexed as

COVID-19Migraine DisordersTension-Type HeadacheAmitriptylineFemaleHeadacheHumansMaleNauseaRetrospective StudiesAmitriptylineAdverse eventsAmitriptylineCOVID-19Long-haulersLong-term effectMigrainePost-COVID-19 headacheReal-world effectivenessReal-world evidenceTension-type headache

Identifiers

PMID35829760
PMCPMC9553757
OpenAlexW4285091298

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.