علاج الشقيقة مع أورا جذع الدماغ حين لم تُقلِّل المسكنات الفموية ومضادات الالتهاب غير الستيرويدية من الصداع خلال ساعتين

References

• The 5-HT1B/1D-agonists (in alphabetical order) almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan and zolmitriptan are the substances with the best efficacy in acute migraine attacks and should be used in severe headache and in migraine attacks which are unresponsive to analgesics or NSAIDs.
• Sumatriptan subcutaneous injection (6 mg) is the most effective therapy of acute migraine attacks.
• Eletriptan and rizatriptan are the most effective oral triptans according to results of meta-analyses.
• For safety reasons, patients who suffer migraine with aura should not take a triptan until the aura has abated and the headache started.
• In a meta-analysis, eletriptan 40 mg and rizatriptan 10 mg showed the highest rate of freedom from pain after 2 h, eletriptan also showed the highest rate of freedom from pain over 24 h.
• If headache recurs after initial effectiveness of a triptan, a second dose of the triptan may not be given for at least 2 h.

DOI: 10.1177/2514183X1882337