弗卢纳瑞与普罗普兰诺洛尔在预防儿科偏头痛:一个开放式随机试验
N D Vaswani1, Preet Lamba2, Vandana Arya1
1Pediatrics, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, IND.
Cureus
|December 30, 2024
概括
弗卢纳瑞和普拉诺洛尔在预防儿科偏头痛方面表现出类似的疗效和安全性. 这两种药物都有效地减少了儿童的头痛日和残疾,具有相似的轻微副作用.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 药理学 药理学是指药理学的学科.
背景情况:
- 儿科偏头痛严重影响儿童的日常生活,并导致残疾.
- 在儿科偏头痛中使用预防性药物需要进一步澄清.
研究的目的:
- 为了比较flunarizine与propranolol在儿科偏头痛预防中的疗效和安全性.
- 为了评估儿童的头痛频率和残疾的减少治疗用弗隆纳或普拉诺.
主要方法:
- 一项开放的随机试验,涉及40名患有偏头痛的5至14岁儿童.
- 患者在12周的时间内接受了弗卢纳瑞 (每天5-10毫克) 或罗 (每天1毫克/公斤) 治疗.
- 结果包括头痛日减少≥50%,儿童偏头痛残疾评估 (PedMIDAS) 评分的变化以及不良影响.
主要成果:
- 50%的弗卢纳瑞辛组和55%的普拉诺洛尔组 (p=0.752) 观察到头痛日减少≥50%.
- 在头痛相关残疾 (PedMIDAS分数变化) 或头痛日减少方面,没有发现群体之间的显著差异.
- 轻微的不良反应是可比的,在任何一组中都没有报告严重的不良事件.
结论:
- 弗卢纳瑞在预防儿科偏头痛治疗中与普罗普兰诺洛尔一样有效.
- 弗卢纳瑞和普拉诺洛尔都是治疗儿童偏头痛的耐受性良好和安全的选择.
相关概念视频
Adrenergic Antagonists: Pharmacological Actions of β-Receptor Blockers
473
β-receptor blockers significantly impact the cardiovascular system by counteracting catecholamine-induced sympathetic responses. These medications decrease heart rate, contractility, and cardiac output, potentially leading to cardiac depression, life-threatening bradycardia, and death. Therapeutically, β-blockers function as mild antihypertensives and are utilized in treating angina pectoris and cardiac arrhythmias. However, nonselective β-blockers inhibit β2-receptors in...
473
Adrenergic Antagonists: ɑ and β-Receptor Blockers
378
Third-generation β-blockers, such as labetalol and carvedilol, represent a significant advancement in managing cardiovascular conditions. Unlike conventional β-blockers, which can induce peripheral vasoconstriction, third-generation drugs block α1 adrenoceptors. This promotes vasodilation through several mechanisms, such as increased nitric oxide production, inhibition of calcium ion entry, opening of potassium ion channels, and antioxidant action. Labetalol, for instance, is...
378
Drug Delivery: Enteral Route
324
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
324
Antiasthma Drugs: Leukotriene Modifiers
141
Leukotriene modifiers, or cysteinyl leukotriene receptor antagonists, are medications used to manage chronic asthma. These agents target specific inflammatory mediators produced during arachidonic acid metabolism, an essential process in generating inflammation in the body.
Leukotriene modifiers work through two distinct mechanisms:
Leukotriene modifiers work through two distinct mechanisms:
141


