[Prophylactic measures and acute treatment of migraine].
The treatment of migraine consists of the acute treatment of the migraine attack and prophylactic measures for either pharmacological or non-pharmacological management. Since the retreat of the ergotamines one can only choose between one of the well-established analgesics and one of seven triptans for the treatment of the migraine attack. Although neither a new triptan nor an innovative new application form has been introduced, the year 2006 will be remembered as the year when the first triptan (naratriptan) was released as a prescription-free over-the-counter drug and when the first sumatriptan generics were marketed in Germany. In addition to the beta-blockers metoprolol and propranolol and the calcium antagonist flunarizine two antiepileptic drugs, topiramate and valproic acid, have been rated as first-line prophylactic drugs in Germany. Due to an extensive and successful study program topiramate has been officially approved in Germany.
Göbel
H
H
Neurologisch-verhaltensmedizinische Schmerzklinik Kiel, Heikendorfer Weg 9-27, 24149 Kiel, Deutschland. hg@schmerzklinik.de
Heinze
A
A
Heinze-Kuhn
K
K
D000927:Anticonvulsants / Q000627:therapeutic use; D006801:Humans; D008881:Migraine Disorders / Q000188:drug therapy* / Q000517:prevention & control*; D010880:Piperidines / Q000627:therapeutic use*; D018490:Serotonin Agents / Q000627:therapeutic use*; D014363:Tryptamines / Q000627:therapeutic use*
D000927:Anticonvulsants; D010880:Piperidines; D018490:Serotonin Agents; D014363:Tryptamines; C106783:naratriptan