{"id":3553,"count":18,"description":"Migrena afecteaz\u0103 aproximativ <strong>12% din adul\u021bii din \u00eentreaga lume<\/strong> \u2014 aproximativ trei sferturi dintre cei afecta\u021bi sunt femei, iar prevalen\u021ba maxim\u0103 este \u00een grupa de v\u00e2rst\u0103 25-55 ani. Spre deosebire de cefaleea tensional\u0103, migrena este o <strong>tulburare neurologic\u0103 distinct\u0103<\/strong> declan\u0219at\u0103 de activarea nervului trigemen, eliberarea peptidei legate de gena calcitonin\u0103 (CGRP) \u0219i depresia cortical\u0103 \u00een und\u0103. Un atac tipic dureaz\u0103 4-72 de ore cu durere pulsativ\u0103 moderat\u0103 p\u00e2n\u0103 la sever\u0103, adesea unilateral\u0103, \u00eenso\u021bit\u0103 de grea\u021b\u0103, fotofobie \u0219i fonofobie; aproximativ 30% dintre suferinzi experimentaz\u0103 aura vizual\u0103, senzorial\u0103 sau motorie premerg\u0103toare.\n\nManagementul migrenei pe MedsBase urm\u0103re\u0219te abordarea \u00een dou\u0103 etape recomandat\u0103 de American Headache Society, NICE \u0219i European Headache Federation: <strong>tratament acut (abortiv)<\/strong> administrat la primele semne ale unui atac, plus <strong>tratament preventiv<\/strong> administrat zilnic c\u00e2nd atacurile apar mai mult de 4 ori pe lun\u0103 sau sunt debilitante.\n\n<strong>Tratamente acute (abortive) disponibile la MedsBase:<\/strong> <strong>Rizatriptan<\/strong> (<a href=\"https:\/\/medsbase.com\/ro\/maxtan\/\">Maxtan<\/a>, <a href=\"https:\/\/medsbase.com\/ro\/rizatop\/\">Rizatop<\/a>, <a href=\"https:\/\/medsbase.com\/ro\/rizact\/\">Rizact<\/a>) \u2014 cel mai rapid triptan oral cu cea mai mare rat\u0103 de eliberare de durere la 2 ore. <strong>Sumatriptan<\/strong> (<a href=\"https:\/\/medsbase.com\/ro\/sumitop\/\">Sumitop<\/a>, <a href=\"https:\/\/medsbase.com\/ro\/leemigran\/\">Leemigran<\/a>) \u2014 triptanul original \u0219i op\u021biunea cu cele mai multe dovezi. <strong>Zolmitriptan<\/strong> (<a href=\"https:\/\/medsbase.com\/ro\/zolitas-ods\/\">Zolitas ODS<\/a> \u2014 orodispersibil, \u0219i <a href=\"https:\/\/medsbase.com\/ro\/zolmist-nasal-spray\/\">Zolmist Spray Nazal<\/a> \u2014 cel mai rapid efect \u00een 10-15 minute). <strong>Combina\u021bie fix\u0103 de Sumatriptan + Naproxen<\/strong> (<a href=\"https:\/\/medsbase.com\/ro\/headset\/\">Casc\u0103<\/a> \u2014 generic Treximet, superior fa\u021b\u0103 de fiecare component\u0103 luat\u0103 separat). Pentru atacuri u\u0219oare p\u00e2n\u0103 la moderate, <a href=\"https:\/\/medsbase.com\/ro\/naprosyn\/\">Naprosyn (naproxen)<\/a> este AINS-ul de preferat.\n\n<strong>Tratamente preventive disponibile la MedsBase:<\/strong> <strong>Propranolol<\/strong> (<a href=\"https:\/\/medsbase.com\/ro\/inderal\/\">Inderal<\/a> IR \u0219i <a href=\"https:\/\/medsbase.com\/ro\/inderal-la\/\">Inderal LA<\/a>) \u2014 clasicul tratament preventiv de prim\u0103 linie; sigur \u00een sarcin\u0103; 80-160 mg\/zi. <strong>Topiramate<\/strong> (<a href=\"https:\/\/medsbase.com\/ro\/topicon\/\">Topicon<\/a>) \u2014 tratament preventiv pentru migren\u0103 aprobat de FDA; doza \u021bint\u0103 100 mg\/zi; cauzeaz\u0103 pierdere \u00een greutate; contraindicated \u00een sarcin\u0103. <strong>Flunarizine<\/strong> (<a href=\"https:\/\/medsbase.com\/ro\/sibelium\/\">Sibelium<\/a>) \u2014 Blocant al canalelor de calciu de prim\u0103 linie \u00een Europa; 10 mg pe noapte; deosebit de eficient pentru migrena pediatric\u0103 \u0219i vestibular\u0103; limit\u0103 de curs de 6 luni. <strong>Sodium Valproate<\/strong> (<a href=\"https:\/\/medsbase.com\/ro\/encorate\/\">Encorate<\/a> IR \u0219i <a href=\"https:\/\/medsbase.com\/ro\/encorate-chrono\/\">Encorate Chrono<\/a> ER) \u2014 rezervat pentru pacien\u021bii \u00een care preventivele de prim\u0103 linie au e\u0219uat; foarte teratogen, deci nu este utilizat la femeile \u00een v\u00e2rst\u0103 fertil\u0103 f\u0103r\u0103 prevenire formal\u0103 a sarcinii.\n\n<strong>Mesaj critic de siguran\u021b\u0103 \u2014 cefaleea prin abuz de medicamente.<\/strong> Utilizarea triptanelor, ergotaminelor sau a analgezicelor combinate mai mult de <strong>10 zile pe lun\u0103<\/strong>, sau a NSAID-urilor simple\/paracetamolului mai mult de <strong>15 zile pe lun\u0103<\/strong>, provoac\u0103 o cefalee de rebond paradoxal numit\u0103 <em>cefaleea prin abuz de medicamente (MOH)<\/em>. Dac\u0103 ave\u021bi nevoie de tratament acut peste aceste limite, trebuie s\u0103 ad\u0103uga\u021bi un medicament preventiv, nu mai mult medicament acut. \u021aine\u021bi un jurnal de migrene care s\u0103 \u00eenregistreze zilele lunare de medicamente acute \u2014 dac\u0103 dep\u0103\u0219i\u021bi pragul, \u00eencepe\u021bi un tratament preventiv.\n\n<em>Migrena este o afec\u021biune cronic\u0103 \u2014 scopul tratamentului este reducerea func\u021bional\u0103 a frecven\u021bei \u0219i severit\u0103\u021bii, nu vindecarea. Utiliza\u021bi sub \u00eendrumare medical\u0103 unde este necesar. Dac\u0103 durerile de cap sunt noi, semnificativ diferite de cele obi\u0219nuite, \u00eenso\u021bite de febr\u0103, deficite neurologice, rigiditate a g\u00e2tului sau apar cu un debut \"ca tr\u0103snet\", c\u0103uta\u021bi \u00eengrijiri medicale de urgen\u021b\u0103 \u2014 acestea nu sunt migrene.<\/em>","link":"https:\/\/medsbase.com\/ro\/anti-migraine\/","name":"Anti-migren\u0103","slug":"anti-migraine","taxonomy":"product_cat","parent":3223,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3553","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3223"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product?product_cat=3553"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}