Drug Interactions with Common Migraine Meds

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Key Questions
  • What’s the difference between a side effect and an adverse event to a medication?
  • How common are side effects and adverse events?
  • Why are migraine patients at higher risk of medication-related adverse events?
  • What are typical side effects for common migraine medications, such as topiramate, propranolol, valproate, antidepressants, and triptans?
  • What is serotonin syndrome and how do you know if you have it?
  • What are the most common supplements migraine patients take, and what are their potential side effects?
  • When should a migraine patient report symptoms of a possible adverse event?
  • What should you do if you’re taking a brand new drug and you think you may be experiencing an adverse event?
  • What is pharmacogenetics and why is it important for migraine patients?
Interview Notes

Find more about Shivang Joshi, MD, RPh and his work here:

Shivang Joshi

Shivang Joshi, MD, MPH, RPh

Associate Professor of Clinical Pharmacy Practice and Headache Specialist
University of Buffalo School of Pharmacy, DENT Neurological Institute

Dr. Shivang Joshi is a doctor, pharmacist, and migraine and pharmacology expert. He is board-certified in neurology and headache medicine. Dr. Joshi is also an associate professor of clinical pharmacy practice at the University at Buffalo School of Pharmacy. He is an award-winning researcher and teacher. He is a recipient of the American Headache Society’s 2012 “Frontiers in Headache Research” Scholarship Award for Cluster Headache Research, and the “Outstanding Teaching Award” from the Albert Einstein College of Medicine. He has recently joined DENT Neurologic Institute, where he treats existing and new patients.

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