Objective: Complementary therapies have been increasingly used for the prevention and treatment of migraine so that there is a need for studies in this setting. This study sought to determine the effects of basil essential oil on the severity and frequency of migraine attack headaches. Methods: A triple-blind clinical trial study was performed on 144 patients diagnosed with migraine. Patients were randomly allocated by a stratified method to four groups of 36 titled basil essential oil 2, 4, 6%, and placebo groups. Medications were used topically every 8 h for 3 successive months. In addition, each individual received 325 mg of acetaminophen every 12 h. The severity and frequency of migraine attacks were measured prior to the study, at weeks 2, 4, 8, and 12. The visual analog scale was used to measure pain intensity. The marginal model and generalized estimation equations were used to compare changes in the intensity and frequency of pain over time. Results: The interaction of the dose and time factors was significant on both pain intensity (p < 0.001) and frequency of attack (p < 0.001). The odds ratio of higher pain intensity and rate ratio of higher frequency of attack in the intervention groups compared to the placebo group were decreased over the study time. Conclusion: Time lapse and higher doses of basil essential oil would reduce both the intensity and frequency of migraine attacks.

1.
Goadsby
PJ
,
Holland
PR
,
Martins-Oliveira
M
,
Hoffmann
J
,
Schankin
C
,
Akerman
S
.
Pathophysiology of migraine: a disorder of sensory processing
.
Physiol Rev
.
2017
Apr
;
97
(
2
):
553
622
.
[PubMed]
0031-9333
2.
Ashtiani
AR
,
Jadidi
A
,
Hezave
AK
,
Safarabadi
M
,
Pour
SM
,
Ghassami
K
, et al
An analgesic effect of Stachys lavandulifolia in patients with migraine: A double-blind randomised clinical trial study
.
Advances in Human Biology.
2019
;
9
(
1
):
76
.
3.
Grosberg
B
,
Saper
J
,
Purdy
A
.
Traditional Pharmacotherapy for Migraine and Headache
.
The Medical Roundtable General Medicine Edition
;
2019
.
4.
MaassenVanDenBrink
A
,
Terwindt
GM
,
van den Maagdenberg
AM
.
Calcitonin gene-related peptide (receptor) antibodies: an exciting avenue for migraine treatment
.
Genome Med
.
2018
Feb
;
10
(
1
):
10
.
[PubMed]
1756-994X
5.
Hoffmann
J
,
Goadsby
PJ
.
Emerging targets in migraine
.
CNS Drugs
.
2014
Jan
;
28
(
1
):
11
7
.
[PubMed]
1172-7047
6.
Tfelt-Hansen
PC
.
Triptans and ergot alkaloids in the acute treatment of migraine: similarities and differences
.
Taylor & Francis
;
2013
.
7.
Zargaran
A
,
Borhani-Haghighi
A
,
Faridi
P
,
Daneshamouz
S
,
Mohagheghzadeh
A
.
A review on the management of migraine in the Avicenna’s Canon of Medicine
.
Neurol Sci
.
2016
Mar
;
37
(
3
):
471
8
.
[PubMed]
1590-1874
8.
Binfalah
M
,
Alghawi
E
,
Shosha
E
,
Alhilly
A
,
Bakheet
M.
Sphenopalatine Ganglion Block for the Treatment of Acute Migraine Headache.
Pain research and treatment.
2018
;2018.
9.
Hepp
Z
,
Dodick
DW
,
Varon
SF
,
Gillard
P
,
Hansen
RN
,
Devine
EB
.
Adherence to oral migraine-preventive medications among patients with chronic migraine
.
Cephalalgia
.
2015
May
;
35
(
6
):
478
88
.
[PubMed]
0333-1024
10.
Niazi
M
,
Hashempur
MH
,
Taghizadeh
M
,
Heydari
M
,
Shariat
A
.
Efficacy of topical Rose (Rosa damascena Mill.) oil for migraine headache: A randomized double-blinded placebo-controlled cross-over trial
.
[eng.]
.
Complement Ther Med
.
2017
Oct
;
34
:
35
41
.
[PubMed]
0965-2299
11.
Lipton
RB
,
Fanning
KM
,
Serrano
D
,
Reed
ML
,
Cady
R
,
Buse
DC
.
Ineffective acute treatment of episodic migraine is associated with new-onset chronic migraine
.
Neurology
.
2015
Feb
;
84
(
7
):
688
95
.
[PubMed]
0028-3878
12.
Lipton
RB
,
Silberstein
SD
.
Episodic and chronic migraine headache: breaking down barriers to optimal treatment and prevention
.
Headache
.
2015
Mar
;
55
Suppl 2
:
103
22
.
[PubMed]
0017-8748
13.
Rizzoli
PB
.
Acute and preventive treatment of migraine.
CONTINUUM: Lifelong Learning in Neurology.
2012
;18(4, Headache):764-82.
14.
Hashempur
MH
,
Ghasemi
MS
,
Daneshfard
B
,
Ghoreishi
PS
,
Lari
ZN
,
Homayouni
K
, et al
Efficacy of topical chamomile oil for mild and moderate carpal tunnel syndrome: A randomized double-blind placebo-controlled clinical trial.
Complementary therapies in clinical practice.
2017
2017/02/01/;26:61-7.
15.
Rhee
TG
,
Harris
IM
.
Reasons for and perceived benefits of utilizing complementary and alternative medicine in U.S. adults with migraines/severe headaches
.
Complement Ther Clin Pract
.
2018
Feb
;
30
:
44
9
.
[PubMed]
1744-3881
16.
Arnadottir
TS
,
Sigurdardottir
AK
.
Is craniosacral therapy effective for migraine? Tested with HIT-6 Questionnaire
.
Complement Ther Clin Pract
.
2013
Feb
;
19
(
1
):
11
4
.
[PubMed]
1744-3881
17.
Sharma
VM
,
Manjunath
NK
,
Nagendra
HR
,
Ertsey
C
.
Combination of Ayurveda and Yoga therapy reduces pain intensity and improves quality of life in patients with migraine headache
.
[eng.]
.
Complement Ther Clin Pract
.
2018
Aug
;
32
:
85
91
.
[PubMed]
1744-3881
18.
Chaibi
A
,
Tuchin
PJ
,
Russell
MB
.
Manual therapies for migraine: a systematic review
.
J Headache Pain
.
2011
Apr
;
12
(
2
):
127
33
.
[PubMed]
1129-2369
19.
Levin
M
.
Herbal treatment of headache
.
Headache
.
2012
Oct
;
52
Suppl 2
:
76
80
.
[PubMed]
0017-8748
20.
Holland
S
,
Silberstein
SD
,
Freitag
F
,
Dodick
DW
,
Argoff
C
,
Ashman
E
;
Quality Standards Subcommittee of the American Academy of Neurology and the American Headache Society
.
Evidence-based guideline update: NSAIDs and other complementary treatments for episodic migraine prevention in adults: report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Headache Society
.
Neurology
.
2012
Apr
;
78
(
17
):
1346
53
.
[PubMed]
0028-3878
21.
Posadzki
P
,
Ernst
E
.
Systematic reviews of spinal manipulations for headaches: an attempt to clear up the confusion
.
Headache
.
2011
Oct
;
51
(
9
):
1419
25
.
[PubMed]
0017-8748
22.
Borhani Haghighi
A
,
Motazedian
S
,
Rezaii
R
,
Mohammadi
F
,
Salarian
L
,
Pourmokhtari
M
, et al
Cutaneous application of menthol 10% solution as an abortive treatment of migraine without aura: a randomised, double-blind, placebo-controlled, crossed-over study
.
Int J Clin Pract
.
2010
Mar
;
64
(
4
):
451
6
.
[PubMed]
1368-5031
23.
Rafie
S
,
Namjoyan
F
,
Golfakhrabadi
F
,
Yousefbeyk
F
,
Hassanzadeh
A
.
Effect of lavender essential oil as a prophylactic therapy for migraine: a randomized controlled clinical trial
.
J Herb Med
.
2016
;
6
(
1
):
18
23
. 2210-8033
24.
Wang
L
,
Zhang
J
,
Hong
Y
,
Feng
Y
,
Chen
M
,
Wang
Y
.
Phytochemical and pharmacological review of da chuanxiong formula: a famous herb pair composed of chuanxiong rhizoma and gastrodiae rhizoma for headache.
Evidence-Based Complementary and Alternative Medicine.
2013
;2013.
25.
Dzida
K
.
Nutrients contents in sweet basil (Ocimum basilicum L.) herb depending on calcium carbonate dose and cultivar
.
Acta Sci Pol Hortorum Cultus
.
2010
;
9
(
4
):
143
51
.1644-0692
26.
Sajjadi
SE
. Analysis of the essential oil of two cultivated Basil (Ocimum basilicum L.) from Iran2012.
27.
Telci
I
,
Bayram
E
,
Yılmaz
G
,
Avci
B
. Variability in essential oil composition of Turkish basils (Ocimum basilicum L.)
2006
. 489-97 p.
28.
Saki
K
,
Bahmani
M
,
Rafieian-Kopaei
M
,
Hassanzadazar
H
,
Dehghan
K
,
Bahmani
F
, et al
The most common native medicinal plants used for psychiatric and neurological disorders in Urmia city, northwest of Iran
.
Asian Pac J Trop Dis
.
2014
;
4
:
S895
901
. 2222-1808
29.
Shimizu
T
,
Torres
MP
,
Chakraborty
S
,
Souchek
JJ
,
Rachagani
S
,
Kaur
S
, et al
Holy Basil leaf extract decreases tumorigenicity and metastasis of aggressive human pancreatic cancer cells in vitro and in vivo: potential role in therapy
.
Cancer Lett
.
2013
Aug
;
336
(
2
):
270
80
.
[PubMed]
0304-3835
30.
Zarshenas
MM
,
Petramfar
P
,
Firoozabadi
A
,
Moein
MR
,
Mohagheghzadeh
A
.
Types of headache and those remedies in traditional persian medicine
.
[eng.]
.
Pharmacogn Rev
.
2013
Jan
;
7
(
13
):
17
26
.
[PubMed]
0973-7847
31.
Drees
F
,
Rafieian-Kopaei
M
,
Salehi
E
,
Rokni
N
,
Sharafati-Chaleshtori
R
.
Antioxidant and Antibacterial Activity of Basil (Ocimum basilicum L.)
.
Essential Oil in Beef Burger
;
2018
.
32.
Singh
S
,
Gaikwad
KK
,
Lee
YS
.
Antimicrobial and antioxidant properties of polyvinyl alcohol bio composite films containing seaweed extracted cellulose nano-crystal and basil leaves extract
.
Int J Biol Macromol
.
2018
Feb
;
107
Pt B
:
1879
87
.
[PubMed]
0141-8130
33.
Bulboacă
AE
,
Bolboacă
SD
,
Stănescu
IC
,
Sfrângeu
CA
,
Porfire
A
,
Tefas
L
, et al
The effect of intravenous administration of liposomal curcumin in addition to sumatriptan treatment in an experimental migraine model in rats
.
Int J Nanomedicine
.
2018
May
;
13
:
3093
103
.
[PubMed]
1176-9114
34.
Dahri
M
,
Tarighat-Esfanjani
A
,
Asghari-Jafarabadi
M
,
Hashemilar
M
.
Oral coenzyme Q10 supplementation in patients with migraine: effects on clinical features and inflammatory markers
.
Nutr Neurosci
.
2018
;
•••
:
1
9
.
[PubMed]
1028-415X
35.
Yigit
M
,
Sogut
O
,
Tataroglu
Ö
,
Yamanoglu
A
,
Yigit
E
,
Güler
EM
, et al
Oxidative/antioxidative status, lymphocyte DNA damage, and urotensin-2 receptor level in patients with migraine attacks. Neuropsychiatric Disease and Treatment.
2018
01/24;14:367-74. PubMed PMID: PMC5788931.
36.
Khan
H
,
Eto
B
,
De Feo
V
,
Gilani
A-U-H
.
Evidence based alternative medicines in pain management.
Evidence-Based Complementary and Alternative Medicine.
2015
;2015.
37.
Quintans-Júnior
LJ
,
Barreto
RS
,
Menezes
PP
,
Almeida
JR
,
Viana
AF
,
Oliveira
RC
, et al
β-Cyclodextrin-complexed (-)-linalool produces antinociceptive effect superior to that of (-)-linalool in experimental pain protocols
.
Basic Clin Pharmacol Toxicol
.
2013
Sep
;
113
(
3
):
167
72
.
[PubMed]
1742-7835
38.
Złotek
U
,
Szymanowska
U
,
Karaś
M
,
Świeca
M
.
Antioxidative and anti‐inflammatory potential of phenolics from purple basil (Ocimum basilicum L.) leaves induced by jasmonic, arachidonic and β‐aminobutyric acid elicitation
.
Int J Food Sci Technol
.
2016
;
51
(
1
):
163
70
. 0950-5423
39.
Sasannejad
P
,
Saeedi
M
,
Shoeibi
A
,
Gorji
A
,
Abbasi
M
,
Foroughipour
M
.
Lavender essential oil in the treatment of migraine headache: a placebo-controlled clinical trial
.
[eng.]
.
Eur Neurol
.
2012
;
67
(
5
):
288
91
.
[PubMed]
0014-3022
40.
Kutner
MH
. Applied Linear Statistical Models: McGraw-Hill Irwin;
2005
.
41.
Broglio
K
.
Randomization in clinical trials: permuted blocks and stratification
.
JAMA
.
2018
Jun
;
319
(
21
):
2223
4
.
[PubMed]
0098-7484
42.
Enderlein
G
.
Pocock, SJ: Clinical Trials—a practical approach. John Wiley & Sons, Chichester—New York—Brisbane—Toronto—Singapore 1983, 265 S.,£ 16.95
.
Biom J
.
1985
;
27
(
6
):
634
. 0323-3847
43.
Venâncio
AM
,
Onofre
AS
,
Lira
AF
,
Alves
PB
,
Blank
AF
,
Antoniolli
ÂR
, et al
Chemical composition, acute toxicity, and antinociceptive activity of the essential oil of a plant breeding cultivar of basil (Ocimum basilicum L.)
.
Planta Med
.
2011
May
;
77
(
8
):
825
9
.
[PubMed]
0032-0943
44.
Hosseinzadeh
H
,
Ramezani
M
,
Afarin
Z
.
Effect of Ocimum basilicum L. Aerial Parts Extract and Fractions on Morphine Withdrawal Syndrome in Mice
.
Faslnamah-i Giyahan-i Daruyi
.
2012
;
1
(
41
):
227
38
.1684-0240
45.
Abdolmaleki
A
,
Rajabi
A
,
Sanginabadi
F
.
Evaluation of the analgesic and anti-inflammatory effects of aqueous extract of peppermint (Mentha piperita)
.
Majallah-i Ilmi-i Danishgah-i Ulum-i Pizishki-i Kurdistan
.
2013
;
18
(
1
):
67
74
.1560-652X
46.
Fateme
N
,
Maryam
T
,
Khadije
S
.
The effects of alcoholic leaf extract Ocimum basilicum on angiogenesis in chick chorioallantoic membrane.
Majallah-i dānishgāh-i ̒ulūm-i pizishkī-i Arāk.
2016
;19(7):91-8.
47.
Roy
A
,
Park
H-J
,
Jung
HA
,
Choi
JS
. Estragole Exhibits Anti-inflammatory Activity with the Regulation of NF-κB and Nrf-2 Signaling Pathways in LPS-induced RAW 264.7 cells. Nat Prod Sci.
2018
3/;24(1):13-20.
48.
Juergens
UR
,
Dethlefsen
U
,
Steinkamp
G
,
Gillissen
A
,
Repges
R
,
Vetter
H
.
Anti-inflammatory activity of 1.8-cineol (eucalyptol) in bronchial asthma: a double-blind placebo-controlled trial
.
Respir Med
.
2003
Mar
;
97
(
3
):
250
6
.
[PubMed]
0954-6111
49.
Ponte
EL
,
Sousa
PL
,
Rocha
MV
,
Soares
PM
,
Coelho-de-Souza
AN
,
Leal-Cardoso
JH
, et al
Comparative study of the anti-edematogenic effects of anethole and estragole
.
Pharmacol Rep
.
2012
;
64
(
4
):
984
90
.
[PubMed]
1734-1140
50.
Zargaran
A
,
Borhani-Haghighi
A
,
Faridi
P
,
Daneshamouz
S
,
Kordafshari
G
,
Mohagheghzadeh
A
.
Potential effect and mechanism of action of topical chamomile (Matricaria chammomila L.) oil on migraine headache: A medical hypothesis
.
[eng.]
.
Med Hypotheses
.
2014
Nov
;
83
(
5
):
566
9
.
[PubMed]
0306-9877
51.
Carmona
F
,
Angelucci
MA
,
Sales
DS
,
Chiaratti
TM
,
Honorato
FB
,
Bianchi
RV
, et al
Lippia alba (Mill.) N. E. Brown hydroethanolic extract of the leaves is effective in the treatment of migraine in women
.
Phytomedicine
.
2013
Jul
;
20
(
10
):
947
50
.
[PubMed]
0944-7113
52.
Borhani Haghighi
A
,
Motazedian
S
,
Rezaii
R
.
Therapeutic potentials of menthol in migraine headache: possible mechanisms of action
.
Med Hypotheses
.
2007
;
69
(
2
):
455
.
[PubMed]
0306-9877
53.
Mohammadtaheri
F
,
Gheysari
R
,
Akhlaghdoost
M
.
the effectiveness of oral peppermint extract on migraine
.
Anesthesiology and Pain.
2017
;
7
(
2
):
1
12
.
54.
Aali
E
,
Mahmoudi
R
,
Kazeminia
M
,
Hazrati
R
,
Azarpey
F
.
Essential oils as natural medicinal substances
.
Tehran Univ Med J
.
2017
;
75
(
7
):
480
9
.1683-1764
55.
Mahmoudi
R
.
Effect of Mentha longifolia L. Essential oil on physicochemical properties of the bio-ayran
.
J Essent Oil-Bear Plants
.
2014
;
17
(
1
):
56
66
. 0972-060X
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