抗发作药物作为偏头痛预防剂:呼吁采取行动,消除原性和神经发育风险
William Wells-Gatnik1, Paolo Martelletti1
1Department of Clinical and Molecular Medicine, Sapienza University, Rome, Italy.
Expert opinion on drug safety
|August 14, 2023
概括
瓦尔酸和托皮拉酸会增加儿童神经发育障碍的风险. 这些抗发作药物应不建议在孕期妇女服用,因为它们存在重大风险.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 生殖健康 生殖健康
背景情况:
- 新出现的证据将瓦尔酸盐和托皮拉单剂疗法与神经发育障碍的风险增加联系在一起,包括自闭症谱系障碍.
- 监管机构正在重新评估托皮拉在怀孕期间的安全性,这促使对当前治疗指南进行审查.
- 对于那些处方抗发作药物的孕妇来说,人们的担忧越来越大.
研究的目的:
- 审查当前关于烯酸盐和托皮拉在生育年龄妇女使用的风险的研究.
- 为了比较瓦尔酸盐和托皮拉酸盐与替代偏头痛预防疗法的安全性概况,针对这一群体.
主要方法:
- 在多个数据库中进行了全面的文献审查.
- 包括在过去15年内发表的研究,重点关注在孕育年龄的妇女中益酸和托皮拉酸的安全性.
主要成果:
- 有证据表明,随着氨酸和托皮拉酸暴露,神经发育障碍和先天性异常的风险增加.
- 替代性偏头痛预防策略可能为可能怀孕的女性提供更安全的个人资料.
结论:
- 强烈反对在孕育能力的妇女中使用氨酸和托皮拉酸.
- 建议包括更新处方指南和对风险的公众教育.
- 对更安全的替代偏头痛预防药物的进一步研究至关重要.
相关概念视频
Antiepileptic Drugs: Glutamate Antagonists
422
Glutamate is a fundamental neurotransmitter in the central nervous system, playing a vital role in neuronal communication and various cognitive processes. Glutamate stands as the principal excitatory neurotransmitter in the brain. Its presence is crucial for the communication between neurons, underpinning essential processes such as synaptic transmission, neuronal excitability, and plasticity. These functions are vital for higher-order cognitive processes, including learning and memory. The...
422
Antiepileptic Drugs: Sodium Channel Blockers
667
Antiepileptic drugs are specialized medications that prevent seizures in individuals diagnosed with epilepsy. These drugs primarily function by blocking the movement of sodium ions through channels in the neuronal membrane, inhibiting the repetitive firing of action potentials often associated with seizures.
Sodium channel blockers modulate ion channels, particularly voltage-gated sodium channels. They block only sodium ion movement.
Among the most commonly prescribed antiepileptic drugs are...
Sodium channel blockers modulate ion channels, particularly voltage-gated sodium channels. They block only sodium ion movement.
Among the most commonly prescribed antiepileptic drugs are...
667
Antiepileptic Drugs: Calcium Channel Blockers
457
Calcium channel blockers, a class of antiepileptic drugs, regulate the flow of calcium ions within neurons.
Calcium channel blockers exert their antiepileptic effects by targeting T-type calcium channels, which are integral to transmitting nerve signals in the central nervous system. These channels allow the passage of calcium ions, which are vital for neuronal communication. By inhibiting T-type calcium channels, calcium channel blockers effectively reduce the release of neurotransmitters and...
Calcium channel blockers exert their antiepileptic effects by targeting T-type calcium channels, which are integral to transmitting nerve signals in the central nervous system. These channels allow the passage of calcium ions, which are vital for neuronal communication. By inhibiting T-type calcium channels, calcium channel blockers effectively reduce the release of neurotransmitters and...
457
Antiepileptic Drugs: GABAergic Pathway Potentiators
461
γ-aminobutyric acid or GABA, plays a pivotal role as an inhibitory neurotransmitter in the brain. GABA pathway potentiators, also known as GABAergic drugs, are a class of pharmaceutical agents designed to enhance the functioning of the GABAergic system. These medications primarily treat epilepsy, a neurological disorder characterized by recurrent seizures.
The key GABA pathway potentiators used in epilepsy management are as follows.
Benzodiazepines are a well-known class of drugs used for...
The key GABA pathway potentiators used in epilepsy management are as follows.
Benzodiazepines are a well-known class of drugs used for...
461
Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein
346
Antiepileptic drugs, such as levetiracetam (Keppra) and brivaracetam (Briviact), have emerged as crucial tools in managing epilepsy. These medications exert their therapeutic effects by targeting the synaptic vesicle protein SV2A, a transmembrane glycoprotein primarily found in the brain.
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
346
Mania and Antimanic Drugs: Overview
238
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
238


