Department of Gynecology and Obstetrics, Women's Headache Center, University of Turin, Via Ventimiglia 3, 10126, Turin, Italy.
Neurol Sci. 2010 Jun;31 Suppl 1(Suppl 1):S115-9. doi: 10.1007/s10072-010-0302-9.
In addition to headache, migraine is characterized by a series of symptoms that negatively affects the quality of life of patients. Generally, these are represented by nausea, vomiting, photophobia, phonophobia and osmophobia, with a cumulative percentage of the onset in about 90% of the patients. From this point of view, menstrually related migraine--a particularly difficult-to-treat form of primary headache--is no different from other forms of migraine. Symptomatic treatment should therefore be evaluated not only in terms of headache relief, but also by considering its effect on these migraine-associated symptoms (MAS). Starting from the data collected in a recently completed multicentre, randomized, double-blind, placebo-controlled, cross-over study with almotriptan in menstrually related migraine, an analysis of the effect of this drug on the evolution of MAS was performed. Data suggest that almotriptan shows excellent efficacy on MAS in comparison to the placebo, with a significant reduction in the percentages of suffering patients over a 2-h period of time.
除了头痛,偏头痛还具有一系列症状,这些症状会对患者的生活质量产生负面影响。通常,这些症状包括恶心、呕吐、畏光、畏声和恐嗅,在大约 90%的患者中出现的累积百分比。从这个角度来看,与月经相关的偏头痛——一种特别难以治疗的原发性头痛形式——与其他形式的偏头痛没有什么不同。因此,对症治疗不仅应考虑到头痛缓解,还应考虑到其对这些偏头痛相关症状(MAS)的影响。基于最近完成的一项关于阿莫曲坦治疗与月经相关偏头痛的多中心、随机、双盲、安慰剂对照、交叉研究的数据,对该药对 MAS 演变的影响进行了分析。数据表明,与安慰剂相比,阿莫曲坦对 MAS 具有优异的疗效,在 2 小时内,患者的痛苦程度显著降低。