从药物化学的角度来看,偏头痛及其治疗
Ezgi Pehlivanlar1, Simone Carradori2, Rahime Simsek1
1Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Hacettepe University, 06100 Ankara, Turkey.
ACS pharmacology & translational science
|April 18, 2024
概括
偏头痛是一种影响超过10亿人的神经血管疾病,伴有严重的头痛和相关症状. 本综述详细介绍了FDA批准的急性和预防性偏头痛药物,包括新的CGRP向疗法.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 神经科学是一个神经科学.
背景情况:
- 偏头痛是一种普遍的神经血管疾病,影响全球生活质量,其特点是严重的头痛,恶心和感官敏感性.
- 偏头痛影响全球超过10亿人,偏头痛通常始于青春期,在女性中更为常见.
- 根据光环的存在和慢性进行分类,偏头痛管理包括急性疼痛缓解和长期预防策略.
研究的目的:
- 审查FDA批准的急性和预防性偏头痛治疗药物的合成,副作用和药理学特性.
- 概述了偏头痛药物治疗的演变,从非特异性治疗到向性治疗.
- 整合有关最近开发的药物的信息,包括三剂,ditan和CGRP受体依赖疗法.
主要方法:
- 对FDA批准的偏头痛治疗药物的文献综述.
- 对急性和预防性偏头痛药物的药理学和药理动力学数据的分析.
- 综合有关药物合成,副作用概况和临床应用的信息.
主要成果:
- 已建立的治疗方法包括急性发作的止痛药,以及慢性管理的不断发展的选择.
- 最近的进展包括三,迪坦和CGRP受体依赖疗法 (单克隆抗体和gepants).
- 该评论详细介绍了这些特定的FDA批准的偏头痛药物的合成,副作用和特性.
结论:
- 偏头痛治疗的景观随着针对性治疗的引入,已经有了显著的进展.
- 了解这些药物的特性对于有效的急性和预防性偏头痛管理至关重要.
- 对新型治疗剂的持续研究有望进一步改善对这种衰弱性疾病的患者护理.
相关概念视频
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
160
Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy. SP binds and activates...
160
Analgesia and Pain Management
614
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
614
Neurochemical Transmission: Sites of Drug Action
2.3K
Neurochemical transmission, the conduction of electrical impulses between neurons mediated by neurotransmitters, plays a vital role in various physiological processes. Autonomic drugs exert their effects by modulating neurotransmission within the autonomic nervous system. For instance, drugs such as hemicholinium block the precursor uptake necessary for synthesizing acetylcholine, an essential autonomic neurotransmitter. Following synthesis, neurotransmitters are stored in vesicles. Metyrosine...
2.3K
Antidepressant Drugs: MAOIs and Other Agents
227
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
227
Chemotherapy-Induced Nausea and Vomiting: Cannabinoids
246
Tetrahydrocannabinol (THC) is a phytocannabinoid that primarily interacts with the CB1 receptor, a type of G protein-coupled receptor (GPCR) predominantly in and around the chemoreceptor trigger zone (CTZ) and emetic center. THC also blocks the serotonin receptor activity in the dorsal vagal complex (DVC) by inhibiting serotonin release. THC exerts its anti-emetic effects through these interactions, which are beneficial for patients undergoing chemotherapy.
Two synthetic agonists of THC,...
Two synthetic agonists of THC,...
246
Cholinergic Antagonists: Therapeutic Uses
742
Antimuscarinic drugs have various therapeutic applications by inhibiting parasympathetic stimulation in different systems. Here are the key therapeutic uses of antimuscarinics:
Respiratory Tract: Ipratropium, aclidinium, and tiotropium treat asthma, chronic bronchitis, and chronic obstructive pulmonary disease (COPD). They protect against bronchoconstriction caused by irritants like cigarette smoke, sulfur dioxide, and ozone. They also help reduce nasopharyngeal...
Respiratory Tract: Ipratropium, aclidinium, and tiotropium treat asthma, chronic bronchitis, and chronic obstructive pulmonary disease (COPD). They protect against bronchoconstriction caused by irritants like cigarette smoke, sulfur dioxide, and ozone. They also help reduce nasopharyngeal...
742


