二欧戈他胺鼻内粉用于治疗急性偏头痛
Chris M Terpening1, Jon P Wietholter2
1Department of Clinical Pharmacy, West Virginia University School of Pharmacy, Charleston, WV, USA.
The Annals of pharmacotherapy
|December 4, 2025
概括
丁醇胺 (DHE) 鼻内粉显示出对偏头痛治疗有前途的药理动力学特性. 然而,目前的证据并不支持其作为一线治疗与其他偏头痛药物相比使用.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
- 偏头痛治疗方法 偏头痛治疗方法
背景情况:
- 滴氨酸 (DHE) 用于治疗急性偏头痛.
- 鼻内粉末配方为DHE提供了一种新的输送方法.
研究的目的:
- 评估一种新的DHE鼻入粉末配方的特性.
- 评估其在急性偏头痛治疗中的潜力.
主要方法:
- 在MEDLINE的文献搜索和临床试验文献和产品专著的审查.
- 分析了四篇关于DHE鼻入粉末的英语文章.
- 从第一阶段研究中的药理动力学数据和第三阶段研究中的安全性数据的审查.
主要成果:
- DHE鼻内粉的Cmax为1870-2230 pg/mL,Tmax为0.5小时,t1/2为12.0小时.
- 第三阶段研究报告了12个月的轻度至中度不良事件.
- 探索性疗效显示,剂后1,2,4小时无疼痛:分别为12.7%,36.6%和67.1%.
结论:
- DHE 鼻内粉的设计和药理动力学可能比其他 DHE 形式具有优势.
- 目前的数据不支持其作为一线偏头痛药物的使用.
- 需要对其他偏头痛治疗方法 (如三) 进行进一步的比较试验.
相关概念视频
Adrenergic Agonists: Mixed-Action Agents
1.4K
Mixed-action adrenergic agonists, like ephedrine and pseudoephedrine, directly and indirectly affect adrenergic receptors. These agents stimulate adrenoceptors and indirectly release stored neurotransmitters, amplifying the adrenergic response.
Ephedrine and pseudoephedrine lack a catecholamine group, making them less susceptible to degradation by metabolic enzymes. They have increased oral bioavailability and lipophilicity, resulting in a longer duration of action. Their response is reduced by...
Ephedrine and pseudoephedrine lack a catecholamine group, making them less susceptible to degradation by metabolic enzymes. They have increased oral bioavailability and lipophilicity, resulting in a longer duration of action. Their response is reduced by...
1.4K
Upper Respiratory Drugs: Decongestants
777
Decongestants are a class of medications used primarily to alleviate nasal congestion, a common symptom resulting from allergies, colds, sinusitis, and other upper respiratory tract infections. These drugs work by activating α-adrenergic receptors, constricting small blood vessels in the nasal membranes. This action results in the opening of clogged nasal passages, thereby facilitating sinus drainage and relieving congestion.
Most decongestants are readily available over-the-counter in...
Most decongestants are readily available over-the-counter in...
777
Adrenergic Agonists: Therapeutic Uses
1.6K
Adrenergic agonists have diverse therapeutic uses across various medical conditions and emergencies.
Emergency and Intensive Care Unit (ICU) applications: Pressor agents increase blood pressure, heart rate, and contractility in shock and organ failure situations. Dopamine can induce vasodilation and stimulate adrenoceptors. Endogenous catecholamines are effective in treating cardiogenic shock. α2-agonists like clonidine can reverse anesthesia-induced hypertension.
Allergies and...
Emergency and Intensive Care Unit (ICU) applications: Pressor agents increase blood pressure, heart rate, and contractility in shock and organ failure situations. Dopamine can induce vasodilation and stimulate adrenoceptors. Endogenous catecholamines are effective in treating cardiogenic shock. α2-agonists like clonidine can reverse anesthesia-induced hypertension.
Allergies and...
1.6K
Drug Delivery: Enteral Route
1.5K
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.
1.5K
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
524
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...
524
Cholinergic Antagonists: Pharmacokinetics
878
Cholinergic antagonists—such as antimuscarinics—are available in oral, topical, ocular, parenteral, and inhalational formulations. Most antimuscarinics are oral formulations, while scopolamine is available as a topical patch, and ipratropium and tiotropium are available as inhalation aerosols or powders. Atropine, tropicamide, and cyclopentolate are topically instilled in the eye. Most antimuscarinics are lipid-soluble and readily absorbed from the gastrointestinal tract and...
878


