Compound or practice · Supplement

Riboflavin (B2)

A B-vitamin with one standout use: high-dose riboflavin genuinely prevents migraines.

Overall grade
Grade B
Last revised
2
graded outcomes
0
references listed

A structured monograph in Prometheus's bundled library. Its grades are the monograph's own reading of the evidence, not a peer-reviewed review.

1 at grade A · 2 at grade B — 3 graded rows

What is known

Each outcome with its grade (how strong the evidence is, A to D), the size of the effect where the entry records one, and how often studies agree.

  • DeficiencyEvidence grade A

    Definitional

    Largehigh

  • Migraine frequencyEvidence grade B

    400 mg/day

    Moderatemixed

Conditions

How the entry reads its effect on diagnosed conditions: the direction first, then the grade. Never a substitute for the person who treats you.

  • Migraine ImprovesProphylactic, high-doseGrade B

What is uncertain

Read off the same rows as above. Nothing here is added that the entry does not itself record.

  • Studies disagree: Migraine frequency (mixed agreement).

Interactions

Documented pairings with supplements and medicines. A medicine on this list is a conversation for whoever prescribes it.

  • MagnesiumWorks together

    Common evidence-based migraine-prevention stack.

The evidence in words

What it is

Riboflavin (vitamin B2) is a water-soluble vitamin and precursor to the FAD/FMN coenzymes of energy metabolism.

How it works

As FAD/FMN it supports mitochondrial energy production; the migraine benefit is thought to reflect improved brain mitochondrial function.

What the evidence shows

Beyond preventing deficiency, 400 mg/day riboflavin has reasonable trial support for reducing migraine frequency and is recommended by several headache guidelines. Otherwise it is a quiet essential.

How to use it

400 mg/day for migraine prophylaxis (give it 2–3 months); requirement is milligrams from food.

Safety & interactions

Very safe; harmless bright-yellow urine at high doses. Magnesium — Common evidence-based migraine-prevention stack.

Bottom line

A cheap, safe, guideline-backed migraine preventive at 400 mg/day. Give it a couple of months.

How it is used

As the entry records it, from the studies it summarises. Not a recommendation for you — doses that suit a trial population may not suit you.

Migraine
400 mg/day, 2–3 months.

Goes with

  • MagnesiumCommon evidence-based migraine-prevention stack.Evidence grade B

Entries that share this one's tags or conditions.

Sources

This entry lists no references of its own.

Last revised . A grade is this entry's reading of the evidence, not medical advice.