依托昔布和塞来昔布敏感-吲哚美辛反应性头痛疾病

M. Farag, A. Bahra
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引用次数: 4

摘要

吲哚美辛反应性头痛包括一组疾病,其中包括三叉神经自主神经性头痛和其他阵发性,通常沉淀的原发性头痛。许多患者对吲哚美辛表现出快速的治疗反应,但由于不耐受性而受到限制。依托昔布和塞来昔布是环氧合酶2 (COX‐2)的选择性抑制剂,可以抑制胃十二指肠COX‐1活性,并且比吲哚美辛更不容易引起胃肠道不良反应。我们报告了8例患者的病例系列,其中7例对依托昔布有反应,1例对塞来昔布有反应。
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Etoricoxib and celecoxib sensitive indomethacin‐responsive headache disorders
Indomethacin‐responsive headaches encompass a group of disorders which include a subset of the trigeminal autonomic cephalalgias and other paroxysmal, often precipitated primary headaches. Many patients show a rapid therapeutic response to indomethacin, which is limited by intolerability. Etoricoxib and celecoxib, selective inhibitors of cyclo‐oxygenase‐2 (COX‐2), spare gastroduodenal COX‐1 activity and are less likely to cause gastrointestinal adverse effects than indomethacin. We report a case series of eight patients, seven who responded to etoricoxib and one patient who responded to celecoxib.
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