Hartmut Göbel
MMW Fortschr Med. 2007 May 21;149 Suppl 2:79-82.
Migraine therapy focuses on attack treatment for which analgesics, antiemetics and triptans are used. Triptans differ with regard to their effectiveness, tolerability, the speed with which the medication takes effect and duration of effect. Various pharmaceutical forms are available. Triptans are contraindicated for coronary, cerebral and peripheral vascular diseases and are also not suitable for emergency treatment. Primarily patients who have a high frequency of attacks or for whom triptans are contraindicated, not effective or not tolerated must rely on prophylactic migraine medications. Behavioural measures should accompany preventive medication.
偏头痛治疗主要针对发作期治疗，使用的药物有镇痛药、止吐药和曲坦类药物。曲坦类药物在疗效、耐受性、起效速度和作用持续时间方面存在差异。有多种剂型可供选择。曲坦类药物禁用于冠状动脉、脑血管和外周血管疾病患者，也不适用于急诊治疗。主要是那些发作频繁或因曲坦类药物禁忌、无效或不耐受的患者必须依赖预防性偏头痛药物。行为措施应与预防性药物治疗相结合。
