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Erschienen in: Drugs 12/2010

01.08.2010 | Review Article

Triptans for the Management of Migraine

verfasst von: Mollie M. Johnston, MD, Alan M. Rapoport

Erschienen in: Drugs | Ausgabe 12/2010

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Abstract

Migraine is a chronic, recurrent, disabling condition that affects millions of people in the US and worldwide. Proper acute care treatment for migraineurs is essential for a full return of function and productivity. Triptans are serotonin (5-HT)1B/1D receptor agonists that are generally effective, well tolerated and safe. Seven triptans are available worldwide, although not all are available in every country, with multiple routes of administration, giving doctors and patients a wide choice. Despite the similarities of the available triptans, pharmacological heterogeneity offers slightly different efficacy profiles. All triptans are superior to placebo in clinical trials, and some, such as rizatriptan 10 mg, eletriptan 40 mg, almotriptan 12.5 mg, and zolmitriptan 2.5 and 5 mg are very similar to each other and to the prototype triptan, sumatriptan 100 mg. These five are known as the fast-acting triptans. Increased dosing can offer increased efficacy but may confer a higher risk of adverse events, which are usually mild to moderate and transient in nature. This paper critically reviews efficacy, safety and tolerability for the different formulations of sumatriptan, zolmitriptan, rizatriptan, naratriptan, almotriptan, eletriptan and frovatriptan.
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Metadaten
Titel
Triptans for the Management of Migraine
verfasst von
Mollie M. Johnston, MD
Alan M. Rapoport
Publikationsdatum
01.08.2010
Verlag
Springer International Publishing
Erschienen in
Drugs / Ausgabe 12/2010
Print ISSN: 0012-6667
Elektronische ISSN: 1179-1950
DOI
https://doi.org/10.2165/11537990-000000000-00000

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