Question:

Drugs used in the prophylaxis of migraine include all of the following EXCEPT?

Show Hint

Three are recognised migraine preventives; one is purely an antiepileptic with no preventive role.
Updated On: Jun 24, 2026
  • Propranolol
  • Flunarizine
  • Topiramate
  • Levetiracetam
Show Solution
collegedunia
Verified By Collegedunia

The Correct Option is D

Solution and Explanation

Step 1: The question asks which drug is NOT used for migraine prophylaxis. Prophylaxis is preventive therapy given to reduce the frequency and severity of attacks, distinct from acute abortive therapy.
Step 2: Propranolol is a non-selective beta blocker and is a first-line agent for migraine prophylaxis. It reduces attack frequency and is one of the most commonly prescribed preventives.
Step 3: Flunarizine is a calcium channel blocker with proven efficacy in migraine prophylaxis and is widely used, especially in patients with frequent attacks.
Step 4: Topiramate is an antiepileptic drug that is also approved and first-line for migraine prophylaxis; it stabilizes neuronal membranes and reduces cortical excitability.
Step 5: Levetiracetam is an antiepileptic used mainly for seizure control. It is NOT an established agent for migraine prophylaxis. Therefore the correct answer is Levetiracetam.
Conclusion: The printed key marks option D (Levetiracetam), which is medically correct.
Was this answer helpful?
0
0