医学
偏头痛
降钙素基因相关肽
头痛
不利影响
苏马曲普坦
病理生理学
恶心
降钙素
临床试验
麻醉
药理学
内科学
受体
外科
神经肽
兴奋剂
作者
Usaid Ahmed,Muhammad Meeran Saleem,Mohamed Ashraf Osman,Shamat Fathi Shamat
标识
DOI:10.1097/ms9.0000000000001620
摘要
Migraine is a complex neurological disorder characterized by recurring episodes of severe headaches. The pathophysiology of migraine involves abnormalities in neuronal networks, cortical spreading depression, and sensitization of trigeminovascular pathways. The global prevalence of migraine has increased substantially, warranting advancements in treatment strategies. A significant trigger in migraine pathophysiology is calcitonin gene-related peptide (CGRP). Several drugs, such as gepants and monoclonal antibodies (MABs) targeting CGRP or its receptor, have been developed to antagonize CGRP signaling. Zavegepant (Zavzpret), a novel CGRP receptor antagonist, has recently been approved by the FDA for the acute treatment of migraine. Clinical trials have demonstrated its efficacy in providing headache and symptom relief, with a statistically significant percentage of patients achieving freedom from headaches and most bothersome symptoms. Despite mild adverse effects, such as taste disorders and nausea, Zavzpret's overall safety profile remains acceptable.
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