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ubrogepant用于治疗成人急性偏头痛。

Ubrogepant to Treat Acute Migraine in Adults.

作者信息

Edinoff Amber N, Casey C Austin, Colon Marc A, Zaheri Alexa R, Gregoire Courtney M, Bourg Margaret M, Kaye Alan D, Kaye Jessica S, Kaye Adam M, Kaye Rachel J, Tirumala Sridhar R, Viswanath Omar, Urits Ivan

机构信息

Department of Psychiatry and Behavioral Medicine, Louisiana State University Health Shreveport, Shreveport, LA 71103, USA.

Shreveport School of Medicine, Louisiana State University, Shreveport, LA 71103, USA.

出版信息

Neurol Int. 2021 Jan 28;13(1):32-45. doi: 10.3390/neurolint13010004.

Abstract

Migraine is a neurobiological headache disorder that affects around 16% of adults in the United States. Medical treatment of mild to moderate migraines include non-prescription non-steroidal anti-inflammatory drugs, acetaminophen, or aspirin and caffeine-containing combination analgesics. Additionally, moderate to severe migraines and those that are mild to moderate that have not responded to analgesics can be treated with triptans, which are drugs specific for migraine treatment. Non-pharmacological treatments include cognitive behavioral therapy and relaxation training. Medications for the prevention of migraines have also been developed since they are more affective in offsetting the symptoms. Ubrogepant's high specificity and selectivity for calcitonin gene-related peptide (CGRP) sets it apart from certain other drugs, which previously limited the treatment of migraines with or without aura due to their decreased selectivity. The most frequently reported side effects are oropharyngeal pain, nasopharyngitis, and headache. Most studies found that participants receiving Ubrogepant were free from pain within 2 h when compared to placebo. Patients taking Ubrogepant should avoid taking it when pregnant or with end stage renal disease. In summary, Ubrogepant has good tolerability and an overall favorable safety profile. It appears to hold promise for the acute treatment of migraines with or without aura in adults.

摘要

偏头痛是一种神经生物学性头痛疾病,在美国约16%的成年人受其影响。轻度至中度偏头痛的药物治疗包括非处方非甾体抗炎药、对乙酰氨基酚或阿司匹林与含咖啡因的复方镇痛药。此外,中度至重度偏头痛以及对镇痛药无反应的轻度至中度偏头痛可用曲坦类药物治疗,这类药物是专门用于治疗偏头痛的。非药物治疗包括认知行为疗法和放松训练。预防偏头痛的药物也已研发出来,因为它们在缓解症状方面更有效。乌布罗吉泮对降钙素基因相关肽(CGRP)具有高度特异性和选择性,这使其有别于某些其他药物,这些其他药物因选择性降低,之前限制了有无先兆偏头痛的治疗。最常报告的副作用是口咽痛、鼻咽炎和头痛。大多数研究发现,与安慰剂相比,服用乌布罗吉泮的参与者在2小时内疼痛缓解。服用乌布罗吉泮的患者在怀孕或患有终末期肾病时应避免服用。总之,乌布罗吉泮具有良好的耐受性和总体良好的安全性。它似乎有望用于成人有无先兆偏头痛的急性治疗。

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