Riboflavin 400 mg AM + Mg glycinate evening (16 wks update): I started at 10 attack days a month with 8 triptan days — what worked for others here?
I started at 10 attack days a month with 8 triptan days. Month 1 gave little change. Magnesium oxide gave me diarrhea, so I switched to glycinate and the issue resolved. By week 12, attack days were down to 5 and triptan days to 4. I added CoQ10 ubiquinol 100 mg twice daily at week 6 with food. I kept a diary of attacks, sleep hours and cycle days. I also checked my kidney function with my clinician before raising the magnesium dose. The biggest practical gains were consistent timing and the 12-week patience window. This is my experience, not a recommendation.
A randomized trial of CoQ10 300 mg/day (100 mg three times daily) reported a 50% responder rate of 47.6% versus 14.4% on placebo (Sandor 2005, n=42). Riboflavin 400 mg/day and magnesium are both rated Level B by the AAN/AHS guideline.