Wauquier A
Funct Neurol. 1986 Oct-Dec;1(4):515-20.
If Ca2+-entry blocking action is the common mechanism of action of flunarizine in both epilepsy and migraine, other calcium entry blockers (CEB's) should possess anticonvulsant activity and antimigraine drugs should be anticonvulsants. Since spreading depression (SD) is suggested to underlie the aura phase of classical migraine, antimigraine drugs, CEB's and anticonvulsants would be expected to alter SD. Several experiments showed flunarizine to be an effective anticonvulsant; in some conditions, it increased the threshold for SD; it reduced epileptic bursts recorded from brain hippocampus. However, pharmacology of other CEB's and of antimigraine drugs failed to establish a link between anticonvulsant action, actions on SD and on spontaneous epileptic bursts of the hippocampus.
如果钙内流阻断作用是氟桂利嗪在癫痫和偏头痛中共同的作用机制,那么其他钙通道阻滞剂(CEB's)应具有抗惊厥活性,且抗偏头痛药物也应是抗惊厥药。由于扩散性抑制(SD)被认为是典型偏头痛先兆期的基础,因此预计抗偏头痛药物、CEB's和抗惊厥药会改变SD。多项实验表明氟桂利嗪是一种有效的抗惊厥药;在某些情况下,它提高了SD的阈值;它减少了从脑海马记录到的癫痫发作。然而,其他CEB's和抗偏头痛药物的药理学未能在抗惊厥作用、对SD的作用以及对海马自发癫痫发作之间建立联系。