Evidence map›Paper›PMID 39885408›Full record

ReviewThe journal of headache and pain2025

Effects of proton pump inhibitor (PPI) use on migraine - a critical review.

Viktoria Tischler-Strasser, Irma Burdiladze, Goncalo Cabral, Esme Ekizoglu, Olga Grodzka, Keshet Pardo, Patryk Sochan, Laura Zaunandra, Antoinette MaassenVanDenBrink, Christian Lampl and 1 more

Abstract readReview
In one paragraph

Review in The journal of headache and pain, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Viktoria Tischler-StrasserDepartment of Neurology, Koventhospital Barmherzige Brüder, Linz, Austria.
Irma BurdiladzeDepartment of Neurology, Tbilisi Central Hospital, Tbilisi, Georgia.
Goncalo CabralNeurology Department, Hospital de Egas Moniz, Rua da Junqueira, Lisbon, Portugal.
Esme EkizogluDepartment of Neurology, Istanbul Faculty of Medicine, Istanbul, Turkey.
Olga GrodzkaDepartment of Neurology, Faculty of Medicine and Dentistry, Medical University of Warsaw, Warsaw, Poland.
Keshet PardoDepartment of Neurology, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.
Patryk SochanDepartment of Neurology, Faculty of Medicine and Dentistry, Medical University, Bielanski Hospital, Warsaw, Poland.
Laura ZaunandraNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Antoinette MaassenVanDenBrink *Department of Internal Medicine, Division of Vascular Medicine and Pharmacology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
Christian Lampl *Department of Neurology, Koventhospital Barmherzige Brüder, Linz, Austria. christian.lampl@bblinz.at.
European Headache Federation School of Advanced Studies (EHF-SAS)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProton pump inhibitor (PPI) drugs are widely used and are among the most significant achievements of modern pharmacology. Their primary purpose is treating and preventing gastric acid-related disorders. Migraine and PPI intake are prevalent, and many people are affected by both. In the last few years, a potential link between PPI intake and the development of headaches-especially migraine-has come to increased attention. In this review, we critically examine the scientific data concerning the co-occurrence of these two entities.

findingsThere seems to be a possible link between the use of PPIs and the occurrence of headache, especially migraine, suggesting a pathophysiological connection on several levels. Moreover, PPI use is only partially without side effects, even if these may not occur immediately. Whether the relation is causative or merely co-existential is currently not yet clear. The influence of genetics, environment, gut microbiome, medication intake and evolution of headache is multidirectional.

conclusionA relation between the prevalence of migraine and the use of PPIs on a population and personal level seems likely. Although PPIs have many advantages, they should be prescribed with caution, especially in patients who suffer from headaches and migraine. In this narrative review, we aim to critically evaluate existing data and offer a potential approach to accurately identify any connections and interactions, leading to a better understanding of how these conditions may influence each other.

Indexed as

Migraine DisordersProton Pump InhibitorsHumansProton Pump InhibitorsCytochrome P450Gut dysbiosisHeadacheMigrainePPI

Identifiers

PMID39885408
PMCPMC11783727

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.