Pine Bark for Migraine?

Only study on Pine bark for migraine I could find used 1200 mg/day and did get impressive results on resistant migraines. But the best price I could get for that was $4/day..

Efficacy of Pinus Radiata Bark Extract and Vitamin C Combination Product as a Prophylactic Therapy for Recalcitrant Migraine and Long-term Results
Sirichai Chayasirisobhon
Acta Neurol Taiwan 2013;22:13-21
http://www.ant-tnsjournal.com/Mag_Files/22-1/003.pdf

  • Pinus radiata bark extract  1200 mg daily in combination with vitamin C 150 mg daily – not sure why latter but one could easily just take a vitamin c capsule. Some migraine sufferers get worse on corn and citrus so might have to take rosehip vitamin C.
  • No response to least two prophylactic medications of beta-blockers, antidepressants, or anticonvulsant.
  • Open label so not greatest plan
  • 44 females, 6 males
  • 1200 mg/day –  now the highest strength Pycnogenol bark extract is $0.33/100 mg so comes to about $4/day for 12. A recent study checking for toxic effect did not find any:
    Li, Ying-Ya, et al.
    Pine Bark Extracts: Nutraceutical, Pharmacological and Toxicological Evaluation.
    Journal of Pharmacology and Experimental Therapeutics (2015): jpet-114.
    http://jpet.aspetjournals.org/content/early/2015/01/16/jpet.114.220277.short

Results:- must be a 45% reduction in headache frequency

migraine_barkWhat did other placebo controlled trials find :

  • Magnesium – no reduction in migraine hours in either group
    Cephalalgia. 1996 Oct;16(6):436-40.
    Magnesium in the prophylaxis of migraine–a double-blind placebo-controlled
    study.
    Pfaffenrath V et al
    http://www.ncbi.nlm.nih.gov/pubmed/8902254
  • Homeopathic – 16% or 18% reduction in headache frequency
    Cephalalgia. 1997 Aug;17(5):600-4.
    Double-blind randomized placebo-controlled study of homoeopathic prophylaxis of migraine.
    Whitmarsh TE et al
    http://www.ncbi.nlm.nih.gov/pubmed/9251877
  • Thioctic acid:- no change in placebo group re headache frequency
    A Randomized Double-Blind Placebo-Controlled Trial of Thioctic Acid in Migraine Prophylaxis
    Delphine Magis et al
    Headache: The Journal of Head and Face Pain Volume 47, Issue 1, pages 52–57, January 2007
    http://onlinelibrary.wiley.com/doi/10.1111/j.1526-4610.2006.00626.x/abstract
  • Transcranial DC stim – no decrease in attacks
    Migraine Prophylaxis by Anodal Transcranial Direct Current Stimulation, A Randomized,
    Placebo-Controlled Trial
    Paradee Auvichayapat et al
    J Med Assoc Thai 2012; 95 (8): 1003-12
    http://www.researchgate.net/publication/232245025_Migraine_prophylaxis_by_anodal_transcranial_direct_current_stimulation_a_randomized_placebo-controlled_trial
  • Low-frequency (16 Hz),pulsed (5 μTs) magnetic wave.  -“All patients wore the device on a ribbon around the neck not more than 12 inches away from the head for 4 weeks. In pilot studies, a therapeutic effect was often visible after 1 to 3 weeks.” –  active cut frequency in half but control no difference
    Impulse Magnetic-Field Therapy for Migraine and Other Headaches: A Double-Blind, Placebo- Controlled Study
    Rainer B. Pelka et al
    Advances in Therapy 18(3) May 2001, 101-113
    http://link.springer.com/article/10.1007%2FBF02850298

    with a 555 timer chip and a 9 volt battery I think I could always make one of those but how to measure magnetic field…

Ok, I’m willing to accept a 45% reduction in headache frequency is probably not placebo.

Comment –  treatment would cost $4/day and require taking 12 caps of Pycnogenol 100 mg.  So those living in a pine forest might take note:

Antioxidant, immunomodulatory and anti-breast cancer activities of phenolic extract from pine (Pinus massoniana Lamb) bark
Limei Yu et al
Innovative Food Science & Emerging Technologies Jan. 2008 9(1) 122-128

  • air dry pine bark
  • ground powder
  • 60% alcohol-?vodka
  • 1:20 w/v – extract 200 gm each in ?4 liters – maybe try 2
  • 2 hours at 50º C
  • filtered through muslin ?cheesecloth
  • dry –  Have to find someway to recycle vodka but then you’d need a still…

If I’d missed any studies using less dose, let me know.

 

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