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Titolo:
Therapy of migraine attack and migraine prophylaxis - Recommendations of the German Migraine and Headache Society
Autore:
Diener, HC; Brune, K; Gerber, WD; Pfaffenrath, V; Straube, A;
Indirizzi:
Univ Essen Gesamthsch, Neurol Klin & Poliklin, D-45122 Essen, Germany UnivEssen Gesamthsch Essen Germany D-45122 klin, D-45122 Essen, Germany Univ Erlangen Nurnberg, Inst Expt & Klin Pharmakol & Toxikol, Erlangen, Germany Univ Erlangen Nurnberg Erlangen Germany ol & Toxikol, Erlangen, Germany Univ Kiel, Inst Med Psychol, Kiel, Germany Univ Kiel Kiel GermanyUniv Kiel, Inst Med Psychol, Kiel, Germany Neurol Fachpraxis, Munich, Germany Neurol Fachpraxis Munich GermanyNeurol Fachpraxis, Munich, Germany Univ Munich, Neurol Klin, Munich, Germany Univ Munich Munich GermanyUniv Munich, Neurol Klin, Munich, Germany
Titolo Testata:
NERVENHEILKUNDE
fascicolo: 6, volume: 19, anno: 2000,
pagine: 335 - 345
SICI:
0722-1541(2000)19:6<335:TOMAAM>2.0.ZU;2-8
Fonte:
ISI
Lingua:
GER
Soggetto:
DOUBLE-BLIND; SUBCUTANEOUS SUMATRIPTAN; ACETYLSALICYLIC-ACID; ORAL SUMATRIPTAN; PARALLEL-GROUP; HOMEOPATHIC PROPHYLAXIS; LYSINE ACETYLSALICYLATE; PEDIATRIC MIGRAINE; RECURRENT MIGRAINE; CONTROLLED TRIALS;
Keywords:
migraine attack; triptans; migraine prophylaxis;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
107
Recensione:
Indirizzi per estratti:
Indirizzo: Diener, HC Univ Essen Gesamthsch, Neurol Klin & Poliklin, Hufelandstr 55, D-45122 Essen, Germany Univ Essen Gesamthsch Hufelandstr 55 Essen Germany D-45122 any
Citazione:
H.C. Diener et al., "Therapy of migraine attack and migraine prophylaxis - Recommendations of the German Migraine and Headache Society", NERVENHEILK, 19(6), 2000, pp. 335-345

Abstract

The incidence of migraine is 6-8% for men and 12-14% for women. Migraine attacks lead to pulsating and throbbing hemicrania with autonomic disturbances. Up to 15% of patients suffer from migraine with aura with visual disturbances prior to headache. Mild to moderate attacks are treated with antiemetics (metoclopramide or domperidone) in combination with analgesics (aspirin, paracetamol, ibuprofen, naproxen, diclofenac). Moderate and severe attacks ore treated with 5-HT1B/1D receptor agonists ("triptans"). Ergots in combination with antiemetics ore less effective than triptans. Patients with frequent and severe attacks need medical and non-pharmacological migraine prophylaxis. Drugs of first choice ore the betablockers metoprolol and propranolol and the calcium channel blocker flunarizine. Drugs of second choice ore valproic acid and non-steroidal antiinflammatory drugs. Nonmedical treatment includes relaxation techniques combined with cognitive therapy, stressmamagement and sport therapy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/09/20 alle ore 10:10:09