Table of ContentsView AllTable of ContentsWhat Is CoQ10?Side EffectsDosageWarnings and Interactions
Table of ContentsView All
View All
Table of Contents
What Is CoQ10?
Side Effects
Dosage
Warnings and Interactions
Coenzyme Q10, also known as CoQ10, is one of a number of non-drug nutritional supplements found to be effective in preventing migraines. As with other “natural” migraine preventives (such as riboflavin), CoQ10 is considerably less likely to cause side effects than prescription drugs. That is one of the reasons for its growing popularity among people with frequentmigraine headaches.
This article discusses CoQ10, its effectiveness for migraines, as well as potential side effects and precautions to consider.
Verywell / Getty Images

Coenzyme Q10 is a compound that is found in mitochondria—the tiny organelles that exist in nearly every cell from which food combines with oxygen to create energy. In fact, mitochondria are often referred to as “the powerhouses of cells.”
When these tiny structures don’t function properly, nearly every system in the body can be affected. Mitochondrial problems are linked to a variety of diseases and conditions.
It is thought that CoQ10 hasantioxidant propertiesthat may thwart oxidative stress in the brains of people with migraines—especially those with severe variants (such ashemiplegic migraine)or who have metabolic abnormalities (such asdiabetesormetabolic syndrome) that make them vulnerable tomigraine triggers.
Because these metabolic imbalances take place not only during migraine attacks but also may exist inbetweenthem, supplementation with CoQ10 may stabilize imbalances, potentially preventingmigraines.
An Overview of Mitochondrial Disease
Can CoQ10 Prevent Migraines?
Only a few studies have looked at coenzyme Q10 as a migraine prophylactic (preventive measure).
However, another systematic review and meta-analysis concluded there is insufficient evidence to determine if coenzyme Q10 is effective for migraine prophylaxis in adults. It stated that high-quality, large randomized control trials are needed to fully evaluate the efficacy and safety.
Several studies suggest CoQ10 may be beneficial in preventing episodic migraines (occurring in fewer than 15 days per month).
Verywell / Gary Ferster

Side Effects of CoQ10
One thing that makes CoQ10 supplementation attractive to people with migraines is that reported side effects have been mild.
People may experience one or more of these side effects:
Talk to your healthcare provider if symptoms continue or are bothersome.
What Dosage of CoQ10 Should You Take
Per the AHS/AAN guidelines for the prevention of migraines, the recommended dosage of CoQ10 is 100 mg taken three times per day.
Coenzyme Q10 can also be derived from food sources, including oily fish (such as salmon and tuna), organ meats (such as liver), and whole grains.However, it would be difficult to get the recommended therapeutic amounts from food sources alone.
How to Choose a SupplementIn the United States, the Food and Drug Administration (FDA) does not regulate supplements the way it regulates prescription drugs. That means some supplement products may not contain what the label says. Whenchoosing a supplement, look for independently tested products (such as the U.S. Pharmacopeia, Consumer Labs, or NSF) and consult a healthcare provider,registered dietitian nutritionist (RD or RDN), or pharmacist.
How to Choose a Supplement
In the United States, the Food and Drug Administration (FDA) does not regulate supplements the way it regulates prescription drugs. That means some supplement products may not contain what the label says. Whenchoosing a supplement, look for independently tested products (such as the U.S. Pharmacopeia, Consumer Labs, or NSF) and consult a healthcare provider,registered dietitian nutritionist (RD or RDN), or pharmacist.
There are few medications known to potentially interact with coenzyme Q10 supplements. They include:
Advise your healthcare provider if you take these or any other medications before trying coenzyme Q10 to prevent migraine headaches.
Coenzyme Q10 has not been established as safe during pregnancy or breastfeeding.So if you are pregnant, planning to conceive, or are breastfeeding, it is best not to take this supplement just to be safe.
Summary
If you have episodic migraine headaches, taking coenzyme Q10 supplements might be a natural and effective way to reduce the frequency of headaches, and possibly prevent them. Side effects are minimal, especially compared to drugs. Before taking CoQ10 or any supplements, talk to your healthcare provider to ensure you can take them safely based on your health needs.
Managing Your Migraines Naturally
18 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Loder E, Burch R, Rizzoli P.The 2012 AHS/AAN guidelines for prevention of episodic migraine: a summary and comparison with other recent clinical practice guidelines.Headache.2012 Jun;52(6):930-45. doi:10.1111/j.1526-4610.2012.02185.x
National Human Genome Research Institute.Mitochondria.
Gross EC, Klement RJ, Schoenen J, D’Agostino DP, Fischer D.Potential protective mechanisms of ketone bodies in migraine prevention.Nutrients. 2019 Apr;11(4):811. doi:10.3390/nu11040811
Maghbooli M, Jameshorani M, Afshar S, et al.The prevalence of metabolic syndrome parameters and their association with headache characteristics among migraineurs. Curr J Neurol. 2021 Oct 7;20(4):190-201. doi: 10.18502/cjn.v20i4.8344
Hassan SA, Farooque U, Choudhry AS, Pillai B, Sheikh FN.Therapeutic implications of altered energy metabolism in migraine: a state-of-the-art review.Cureus.2020 Jun;12(6):e8571. doi:10.7759/cureus.8571
Shoeibi A, Olfati N, Soltani Sabi M, et al.Effectiveness of coenzyme Q10 in prophylactic treatment of migraine headache: an open-label, add-on, controlled trial. Acta Neurol Belg. 2017 Mar;117(1):103-109. doi: 10.1007/s13760-016-0697-z
Parohan M, Sarraf P, Javanbakht MH, et al.Effect of coenzyme Q10 supplementation on clinical features of migraine: a systematic review and dose-response meta-analysis of randomized controlled trials. Nutr Neurosci. 2020 Nov;23(11):868-875. doi: 10.1080/1028415X.2019.1572940
Yaghini O, Hoseini N, Ghazavi MR, et al.A Comparative Study on the Efficacy of Coenzyme Q10 and Amitriptyline in the Prophylactic Treatment of Migraine Headaches in Children: A Randomized Controlled Trial. Adv Biomed Res. 2022 May 30;11:43. doi: 10.4103/abr.abr_235_20
Okoli GN, Rabbani R, Kashani HH, et al.Vitamins and Minerals for Migraine Prophylaxis: A Systematic Review and Meta-analysis. Can J Neurol Sci. 2019 Mar;46(2):224-233. doi: 10.1017/cjn.2018.394
Dahri M, Hashemilar M, Asghari-Jafarabadi M, et al.Efficacy of coenzyme Q10 for the prevention of migraine in women: A randomized, double-blind, placebo-controlled study. European Journal of Integrative Medicine. 2017;16:8-14. doi: 10.1016/j.eujim.2017.10.003
Zeng ZY, Li YP, Lu SY, Huang WS, Di W.Efficacy of CoQ10 as supplementation for migraine: A meta-analysis.Acta Neurol Scand. 2019 Mar;139(3):284-93. doi:10.1111/ane.13051
Sazali S, Badrin S, Norhayati MN, et al.Coenzyme Q10 supplementation for prophylaxis in adult patients with migraine—a meta-analysis. BMJ Open. 2021;11(1):e039358. doi: 10.1136/bmjopen-2020-039358
National Cancer Institute.Coenzyme Q10 (PDQ)-patient version.
Mount Sinai.Coenzyme Q10.
Garrido-Maraver J, Cordero MD, Oropesa-Ávila M, et al.Coenzyme Q10 therapy.Mol Syndromol. 2014 Jul;5(3-4):187-97. doi:10.1159/000360101
Mantle D.Coenzyme Q10 supplementation for diabetes and its complications: an overview. Br J Diabetes. 2017;17(4):145-148. doi: 10.15277/bjd.2017.149
National Center for Complementary and Integrative Health.Coenzyme Q10.
Saini R.Coenzyme Q10: the essential nutrient.J Pharm Bioallied Sci.2011 Jul-Sep;3(3):466-7. doi:10.4103/0975-7406.84471
Meet Our Medical Expert Board
Share Feedback
Was this page helpful?Thanks for your feedback!What is your feedback?OtherHelpfulReport an ErrorSubmit
Was this page helpful?
Thanks for your feedback!
What is your feedback?OtherHelpfulReport an ErrorSubmit
What is your feedback?