*Only for medical professionals to read
How to stepped up the chores of chores and medicine?
Writing: Gaoli
Migraphy is a common neurological disease, which is also common primary natureHeadache, it is repeated, mostly unilaterally, with severe headache, and often accompanied by nausea, vomiting, fear of sound, and photolic, which can be divided into the forefront period, threatened period, headache period, and recovery period.Migraine treatment drugs can be divided into acute seizures and preventive treatment for treatment. Among them, the treatment of sustainable pain, recovery function, alleviating related symptoms, and risk of reducing adverse events during acute seizures, etc.So, how is the acute period of migraine step ladder and individualized medication?
One. Medication of the acute period of migraine
Anti -inflammatory drugs (NSAIDS), acetaminophen, compound preparations containing caffeine), specific drugs (such as Ji Ji drugs, vibutan drugs, ground tank drugs, and picanamide drugs).
Table 1: Non-specific drugs in the acute period of migraine
Table2: Specific pharmaceuticals of migraine acute period
In addition to Qu Putan drugs, Ji Ji drugs, ground tanksDo you know what time is recommended for migraine?What are the taboos?Scan the two -dimensional code or click to read the original text to see the full form!
2. Patriotic acute phase of the sculpture and individualized medication of migraine
｜ Passenger medication:
First choose to use acetylistoshenol and NSAIDS, and then you can gradually upgrade according to demand and drug reaction.Or use special drugs such as Quaputan drugs, Ji Ji drugs, and tanchen drugs.It is recommended to choose NSAIDS and to treat mild headache-moderate seizures for acetylinophenol. Those with a medium severity or poor NSAIDS can choose specific drugs.
| Individualized medication:
Patients with disease:
The first choice of hypertension for stroke, coronary heart disease, and difficult to control high blood pressure.Lamidan and Ji Ji drugs can be used for the second -tier medication for the acute migraine and cardiovascular and cerebrovascular diseases.Ji Ji drugs are cautious for Renault phenomenon, vascular damage, symptoms of small vascular disease, and high risk of vascular accidents.NSAIDS can be used for the treatment of cardiovascular and cerebrovascular diseases in acute period, but there is the risk of bleeding, thrombosis, and atrial fibrillation, and avoid those who are used in stroke and cardiovascular incidents in the near future.Quaputan drugs and picanine drugs are prohibited from cardiovascular and cerebrovascular diseases.
② Elderly patients:
The first choice of acetaminol can also be selected.The compound preparation of caffeine can be used in NSAIDS if the acetaminol is not effective.If acetaminol, NSAIDS is not effective or there are taboos, you can choose vanpan drugs, auspicious drugs, and ground tank drugs.Quaputan drugs are recommended for those who are good for high blood pressure and have no cardiovascular and cerebrovascular diseases.
③ Patients with menstrual migraine:
Folo Quetan can be used for menstrual migraine patientsAcute seizures, short -term preventive treatment.
④ Children and adolescents:
Recommended preferred acetaminol (15mg/kg, ≤60mg//(KG ）D),﹒ (10mg/kg, ≤30mg/(kg﹒d)).It is recommended that Lizertan (weighing & lt; 40kg 5mg, weight ≥40kg 10mg) is used for children and adolescents with poor effects on acetaminol and ibuprofen.Samicus nasal spray (5mg) is recommended for adolescents with poor effect on acetaminol and ibuprofen.
⑤ Pregnancy, lactation patients:
Suggestion of acetaminol, SchumaphTan is recommended for second -line medication.NSAIDS, such as ibuprofen and Puzheng, can be used in the middle of pregnancy.NSAIDS is not recommended for women who plan to get pregnant.
Preferring to lactate, acetaminol, ibuprofen, and dicotinate.Quaputan drugs can be used for poor NSAIDS effects, the most commonly used Schumaputan.
| Laying medication:
Nsaids can be used lightly,After 1H, if the response is not good, you can use Quputtan drugs.Moderate and severe headache is recommended to use Quaputanic drugs as soon as possible. If it is not responded in 1h, you can use NSAIDS.There is a threatened migraine headache at the beginning of a threatened start. The headache uses the Quaputan drug at the beginning of the headache.
References
[1] China Matsurge Diagnosis and Treatment Guide (2022) [J].China Pain Medical Magazine, 2022,28 (12): 881-893
[2] Chinas migraine diagnosis and treatment guidelines (Chinese Medical Societys neurological scores, the first edition of the meeting) [The first edition)J]. Chinese Neuroscience Magazine, 2023,56 (6): 591-605
[3] China Matshane Speed Treatment Guide (first edition) [j]. China in China.Pain Medical Magazine, 2024,30 (10): 721-729
[4] China Accelerate Rehabilitation Surgery Surgical Surgery clinical application expert consensus consensus consensus consensus[J]. Chinese ordinary surgery magazine, 2019,34 (3): 283-286
[5] Separators of orthopedic arthritis clinical drug treatment expert consensus [J]. Chinese Medical Frontier Magazine, 2021,13 (7): 32-40
Responsible editor: Old Bean Gear
*The content of the content is professional, reliable, but not promised to the accuracy of the content; please check or use it as a basis for decision -making.
