Neurol. pro Praxi, 2003; 2: 63-66

Preventívna liečba migrény

doc. MUDr. h. Vladimír Donáth PhD
Neurologické oddelenie, Nemocnica F.D. Roosevelta, Banská Bystrica

Published: December 31, 2003  Show citation

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Donáth HV. Preventívna liečba migrény. Neurol. praxi. 2003;4(2):63-66.

Migréna je pomerne často sa vyskytujúce chronické ochorenie. Prejavuje sa opakovanými záchvatmi intenzívnych jednostranných, zvyčajne pulzujúcich bolestí hlavy. Moľnosti zvládnu» migrénu sú v aplikácii tak preventívnej liečby ako aj akútnej liečby migrénového záchvatu. Cieµom preventívnej liečby je redukcia počtu, trvania a závaľnosti migrénových záchvatov. Vysoká účinnos» profylaktického účinku sa dokumentovala u betablokátorov, valproátu a amitriptylínu. Stredný stupeň účinnosti sa zaznamenal pri inhibítoroch spätného vychytávania serotonínu (SSRI), blokátoroch kalciových kanálov, topiramátu, gabapentínu, riboflavínu a nesteroidných antireumatikách.

Kµúčové slová

serotonín, 5-HT receptory, migréna, prevencia, terapia migrény.

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References

  1. Ablad B, Dahlof C. Migraine and b-blockade: modulation of sympathetic neurotransmission. Cephalalgia 1986; 6: 7-13. Go to original source... Go to PubMed...
  2. Bland SE. Migraine Prophylaxis. Principles, goals and drug therapy. Journal of the Pharmacy Society of Wisconsin Nov/Dec 2000; 20-24.
  3. Couch JR, Ziegler DK, Hassaneur R: Amitriptyline in the prophylaxis of migraine: effectiveness and relationship of antimigraine and antidepressant effects. Neurology 1976; 26: 121. Go to original source... Go to PubMed...
  4. Cutrer FM, Limmroth V, Moskowitz MA. Possible mechanisms of valproate in migraine prophylaxis. Cephalalgia 1997; 17: 93-100. Go to original source... Go to PubMed...
  5. Goadsby PJ. How do the currently used prophylactic agents work in migraine? Cephalalgia 1997; 17: 85-92. Go to original source... Go to PubMed...
  6. Goadsby P. Patophysiology of migraine. In Silberstein SD, Lipton RB, Dalessio DJ: Wolf´s headache and other head pain. Oxford Unversity Press, 2001: 5-72.
  7. Koella WP. CNS-related (side-)effects of b-blockers with special reference to mechanisms of action. Eur J Clin Pharmacol 1985; 28: 55-63. Go to original source... Go to PubMed...
  8. Lance JW, Goadsby PJ. Management of headache. Oxford: Butterworth-Heinemann, 1999: 316 s.
  9. Lee WS, Limmroth V, Ayata C, Cutrer FM, Waeber C, Yu X, Moskowitz MA. Peripheral GABAA receptor mediated effects of sodium valproate on dural plasma extravasation to substance P and trigeminal stimulation. Br J Pharmacol 1995; 116: 1661. Go to original source... Go to PubMed...
  10. Lipton RB, Stewart WF, Von Korff M. Migraine impact and functional disability. Cephalalgia 1995; (Suppl 15): 4-9. Go to original source...
  11. Moskowitz MA. Basic mechanisms in vascular headache. Neurol Clin 1990; 8: 801-815. Go to original source... Go to PubMed...
  12. Olesen J, Lipton RB. Migraine classification and diagnosis: IHS criteria. Neurology 1994; 44 (Suppl 6): 6-10.
  13. Silberstein SD. Practice Parameter-Evidence-based guidelines for migraine headache (an evidence-based review): Report of the Quality Standards Subcommittee of the American Academy of Neurology for the United States Headache Consortium. Neurology 2000; 55: 754-762. Go to original source... Go to PubMed...
  14. Silberstein SD, Saper JR, Freitag FG. Migraine: Diagnosis and Treatment. In Silberstein SD, Lipton RB, Dalessio DJ: Wolf´s headache and other head pain. Oxford Unversity Press, 2001: 121-237.
  15. Silberstein SD, Goadsby PJ. Migraine: preventive treatment. Cephalalgia 2002; 22: 491-512. Go to original source... Go to PubMed...
  16. Wauquier A, Ashton D, Marranes R. The effects of flunarizine in experimental models related to the pathogenesis of migraine. Cephalalgia 1985; 5: 119-120. Go to original source... Go to PubMed...




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