The ClinicianThe ClinicianКлиницист1818-83382412-8775Publishing House ABV Press7810.17650/1818-8338-2011-4-10-16REVIEWОБЗОРMIGRAINE: BASIC PRINCIPLES OF TREATMENT AND PREVENTIONМИГРЕНЬ: ОСНОВНЫЕ ПРИНЦИПЫ ЛЕЧЕНИЯ И ПРОФИЛАКТИКИEsinO. R.ЕсинО. Р.
Russian Federation
NaprienkoM. V.НаприенкоМ. В.
Russian Federation
EsinR. G.ЕсинР. Г.
Russian Federation
radyesin@gmail.comKazan State Medical AcademyГОУ ДПО Казанская государственная медицинская академияI.M. Sechenov First Moscow State Medical UniversityГОУ ВПО 1-й МГМУ им. И.М. СеченоваГОУ ДПО Казанская государственная медицинская академия151020115410161607201416072014Copyright ©; 2011, Esin O.R., Naprienko M.V., Esin R.G.Copyright ©; 2011, Есин О.Р., Наприенко М.В., Есин Р.Г.2011Esin O.R., Naprienko M.V., Esin R.G.Есин О.Р., Наприенко М.В., Есин Р.Г.https://creativecommons.org/licenses/by/4.0https://klinitsist.abvpress.ru/Klin/article/view/78

Modern recommendations for the migraine attack treatment and it's prophylaxis are analyzed in this review. Established, that acetylsalicylic acid, diclofenac potassium, ibuprofen, naproxen, paracetamol, metamizol and their combination with caffeine are drugs of the first choice for migraine attack treatment. Metoclopramide and domperidone are used to reduce nausea and vomiting. Also triptans are high effective drugs for migraine attack treatment. Metoprolol, propranolol, flunarizine, valproic acid can be used for migraine prophylaxis. Drugs of the second choice are: amitriptyline, venlafaxine, naproxen and bisoprolol.

В обзоре проанализированы современные рекомендации по лечению мигренозной атаки и профилактике мигрени. Установлено, что для лечения мигренозной атаки доказанной эффективностью обладают ацетилсалициловая кислота, диклофенак натрия, ибупрофен, напроксен, парацетамол, метамизол и их комбинации с кофеином. Для уменьшения тошноты и рвоты рекомендуются метоклопрамид и домперидон. Высокой эффективностью лечения мигренозной атаки обладают триптаны. Для профилактики мигрени применяют метопролол, пропранолол, флунаризин, препараты вальпроевой кислоты. Препаратами 2-й линии для профилактики мигрени являются амитриптилин, венлафаксин, напроксен, бисопролол.

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