A review of the treatment of primary headaches .1. Migraine

被引:10
|
作者
Leone, M [1 ]
Grazzi, L [1 ]
DAmico, D [1 ]
Moschiano, F [1 ]
Bussone, G [1 ]
机构
[1] IST NEUROL CARLO BESTA, CTR CEFALEE, I-20133 MILAN, ITALY
来源
关键词
migraine; acute treatment; prophylaxis; biofeedback; status migrainosus;
D O I
10.1007/BF02230907
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Finding the best treatment for a patient's migraine is often a problem in clinical practice since the condition is very common, often debilitating and may prove refractory to therapy. Over recent years, more effective migraine treatments have been found and validated and the traditional remedies have undergone controlled testing. This article reviews the various therapies available for both the acute treatment and prevention of migraine. Treatments often effective against migraine attacks are: aspirin, analgesics, non steroid anti-inflammatory drugs (NSAIDs), ergot derivatives and sumatriptan. Five main classes of prophylactic drug are currently used: beta-blockers, calcium antagonists, serotonin modulators, NSAIDs and ergot compounds. Biofeedback, one of the most efficacious non-pharmacological preventive treatments of migraine, is also discussed. The variables influencing the choice of acute and preventive treatments, including contraindications and drug availability, are also described in order to provide a practical and up-to-date guide to migraine therapy.
引用
收藏
页码:577 / 586
页数:10
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