Diagnosis and treatment of migraine: an analysis of the latest diagnostic and therapeutic guidelines

Joanna Cieszkowska, Karina Otręba, Karolina Czupryńska, Piotr Daniel, Michał Leśkiewicz, J. Składanek
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Abstract

Introduction Migraine is a common disease that a large part of the population struggles with. Stressful work and poor eating habits increase the risk of headaches. The basic therapy is lifestyle change, and when this does not bring results, medications are used. The choice of the appropriate preparation depends on the characteristics of the pain and the patient's condition. Knowledge about different treatment methods can improve patients' lives. Aim of the study The aim of the article was to present current guidelines for migraine therapy depending on the individual patient's requirements. Materials and methods The article is the result of a review of recent scientific literature using PubMed, Scopus and Google Scholar databases. The literature was reviewed using the keywords. Results Many clinical trials have examined the effects of different classes of drugs on migraine headaches. The final effect depends on the dose used, the moment of drug administration, and the patient's age, gender and health condition. Doctors often have to modify therapy within the same group of drugs to find a drug that will work for a given patient. Conclusions Clinical trials have proven the effectiveness of, among others, non-steroidal anti-inflammatory drugs, triptans and botulinum neurotoxin. A clinically significant analgesic effect is sometimes characterized by side effects, therefore careful selection of the preparation and patient observation are important.
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偏头痛的诊断和治疗:最新诊断和治疗指南分析
导言 偏头痛是一种常见疾病,大部分人都深受其害。紧张的工作和不良的饮食习惯增加了头痛的风险。基本的治疗方法是改变生活方式,当改变生活方式无效时,就需要使用药物。选择适当的制剂取决于疼痛的特点和患者的病情。了解不同的治疗方法可以改善患者的生活。研究目的 本文旨在根据患者的个人需求,介绍偏头痛治疗的现行指南。材料与方法 本文是使用 PubMed、Scopus 和 Google Scholar 数据库对近期科学文献进行综述的结果。使用关键词对文献进行了综述。结果 许多临床试验研究了不同类别的药物对偏头痛的影响。最终效果取决于使用的剂量、给药时间以及患者的年龄、性别和健康状况。医生往往需要在同一组药物中改变治疗方法,以找到对特定患者有效的药物。结论 临床试验证明,非甾体抗炎药、曲普坦类药物和肉毒杆菌神经毒素等药物具有疗效。临床上显著的镇痛效果有时会出现副作用,因此谨慎选择制剂和观察患者病情非常重要。
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