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FACT
Focus on Alternative and Complementary Therapies

Feverfew as a preventive treatment for migraine: a systematic review

Vogler BK, Pittler MH, Ernst E
Department of Complementary Medicine, School of Postgraduate Medicine & Health Sciences, University of Exeter, 25 Victoria Park Road, Exeter, EX2 4NT, UK

Background

Feverfew is a popular herbal remedy advocated for the prevention of migraine.

Aim

The aim of this systematic review was to review the evidence for or against the clinical effectiveness of feverfew for migraine prevention.

Data sources

Literature searches were performed using the following databases: Medline, Embase, Biosis, CISCOM and the Cochrane Library (all from their inception to April 1998).

Study selection

Only randomised, placebo-controlled, double-blind trials were included.

Data extraction

All articles were read by two independent reviewers. Data were extracted in a pre-defined, standardised fashion. The methodological quality of all trials was evaluated by the Jadad score.

Main results

Five trials met the inclusion/exclusion criteria. The majority favour feverfew over placebo. Yet important caveats exist.

Conclusions

The clinical effectiveness of feverfew in the prevention of migraine has not been established beyond reasonable doubt.

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