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偏头痛概述及当前和新兴治疗选择的总结。

Migraine overview and summary of current and emerging treatment options.

机构信息

Associate Professor, Pharmacy Practice Department-Ambulatory Care Division, St. Louis College of Pharmacy, St. Louis, MO. Email:

出版信息

Am J Manag Care. 2019 Jan;25(2 Suppl):S23-S34.

Abstract

Migraine is a leading cause of disability worldwide. Approximately 15% of Americans experience migraines. Most people who have migraines feel that people who do not have them often underestimate their condition. Migraines affect people's quality of life and ability to participate in work, family, and social events. A new class of medication, calcitonin gene-related peptide (CGRP) antagonists, has been approved for migraine prevention in adults. The newly approved CGRP antagonists are erenumab, fremanezumab, and galcanezumab, while eptinezumab looks to 2020 for approval. Lasmiditan, ubrogepant, and rimegepant are currently emerging acute migraine therapies that may be added to the arsenal of current migraine management.

摘要

偏头痛是全球范围内导致残疾的主要原因之一。大约 15%的美国人患有偏头痛。大多数患有偏头痛的人认为,没有偏头痛的人往往低估了他们的病情。偏头痛影响人们的生活质量和参与工作、家庭和社会活动的能力。一类新的药物,降钙素基因相关肽(CGRP)拮抗剂,已被批准用于成人偏头痛的预防。新批准的 CGRP 拮抗剂为依那西普单抗、fremanezumab 和 galcanezumab,而eptinezumab 有望在 2020 年获得批准。拉米地坦、ubrogepant 和rimegepant 是目前新兴的急性偏头痛治疗方法,可能会被添加到目前偏头痛管理的武器库中。

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