药物"不充分使用"头痛
Wanakorn Rattanawong1, Alan Rapoport2, Anan Srikiatkhachorn1
1Faculty of Medicine, King Mongkut's Institute of Technology Ladkrabang, Bangkok, Thailand.
Cephalalgia : an international journal of headache
|April 13, 2024
概括
不充分使用偏头痛药物,无论是急性还是预防性,都会导致偏头痛的进展. 优化药物使用可以预防慢性偏头痛并改善治疗结果.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 疼痛管理 疼痛管理
背景情况:
- 偏头痛的进展与诸如药物使用不足等危险因素有关,而这些因素尚未得到充分研究.
- 低于最佳的药物使用风险偏头痛慢性化没有更新的处方指南.
研究的目的:
- 审查关于急性和预防性偏头痛药物的使用不足的证据.
- 定义药物不充分使用,包括不有效使用,使用不足,时间不合适和患者不满.
主要方法:
- 关于偏头痛药物使用不足的研究的综合文献综述.
- 分析导致急性和预防性药物使用不足的因素.
主要成果:
- 急性药物的使用不足 (晚期使用,错误的类型,停止使用) 和预防性药物 (无效,副作用) 推动了偏头痛的进展.
- 抗色素基因相关 (CGRP) 疗法有前途,但早期启动是关键.
- 患者的坚持和药物的有效性对于预防慢性化至关重要.
结论:
- 药物不充分使用是偏头痛慢性化的重要,未被认可的因素.
- 优化急性和预防性偏头痛药物使用可以预防进展并改善患者的治疗结果.
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