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Препараты от мигрени

Дата публикации: 05.05.2019

Дата проверки статьи: 07.05.2020

Препараты от мигрени

Мигрень — хроническая болезнь, поэтому полностью вылечить патологию без медикаментов практически невозможно. Наибольший эффект даёт терапия, в которой сочетаются лекарственные и консервативные методики (массаж, лечебная физкультура, дыхательная гимнастика, физиотерапевтические процедуры, диета). Существует список рекомендуемых препаратов при мигрени, которые делятся на группы с отдельным полезным свойством, сроком действия, интенсивностью эффекта и способом приёма.

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Цель медикаментозного лечения мигрени

Лекарства предназначены для быстрого и безопасного снятия характерных симптомов патологии:

  • сильная приступообразная боль в одной половине головы;
  • появление пульсирующих, режущих или жгучих ощущений;
  • восприимчивость к свету, звукам, запахам, прикосновениям;
  • головокружения, тошнота, рвота, общая слабость, шаткая походка. 

Находясь в таком состоянии, человек не только получает дискомфорт, но и теряет способность нормально работать, спать, отдыхать, заниматься повседневными делами. В некоторых случаях боль настолько выражена, что больной буквально падает с ног. Именно поэтому лекарственные препараты назначают в комплексе с физиотерапией и другими консервативными методами лечения.

Какие бывают препараты при мигрени

Все препараты против симптомов мигрени делятся на несколько категорий. Каждое лекарство может быть в виде различных форм:

  • таблетки;
  • капсулы;
  • суспензии для детей;
  • жидкие сиропы;
  • порошки для растворения в воде;
  • гели и мази;
  • ректальные свечи;
  • ампулы для инъекций. 

Обезболивающие препараты 

Обезболивающие включают лекарства из группы нестероидных противовоспалительных и ненаркотических анальгетиков. Принцип действия боли основан на воспалении, вызванном хаотичным сужением и расширением кровеносных микрососудов в головном мозге. НПВП и обезболивающие средства уменьшают отёчность в месте воспаления, снижают активность нервных импульсов и успокаивают напряжённые нервные окончания. Какие препараты обезболивающей группы назначают:

  • парацетамол;
  • ибупрофен;
  • напроксен;
  • ацетилсалициловая кислота;
  • индометацин;
  • диклофенак;
  • метамизол;
  • кеторолак. 

Антидепрессанты 

Обычно выписывают для профилактического лечения головных болей, приступы которых повторяются чаще 2 раз в неделю. Польза антидепрессантов заключается в таких эффектах от приёма:

  • снижают интенсивность депрессии, ставшей причиной болезни;
  • предотвращают депрессии и расстройства, возникающие на фоне заболевания;
  • усиливают положительное влияние НПВП, анальгетиков и триптанов;
  • оказывают антиноцицептивное действие;
  • расслабляют напряжённые нервные окончания. 

Эффективными антидепрессантами считаются средства на основе милнаципрана, венлафаксина, дулоксетина. 

Триптаны 

Относительно новый вид лекарственных средств при хронических головных болях. Относится к группе селективных агонистов — это означает, что триптаны положительно воздействуют на церебральные вены и артерии, просвет которых расширяется и вызывает сильный болевой синдром. Кроме того, триптаны способны предупредить воспалительные процессы в стенках сосудов и сочетаются с анальгетиками и противовоспалительными, поэтому препараты часто начинают в качестве профилактики мигрени. 

Какие триптаны назначают при мигрени:

  • сматриптан;
  • элетриптан;
  • суматриптан;
  • золмитриптан;
  • наратриптан. 

Другие лекарства при мигрени 

  • Бета-блокаторы. Больше подходят для профилактической терапии. Как правило, выписывают один препарат (пропранолол, бисапролол, метопролол) и немедикаментозные методики. 
  • Кортикостероиды. Применяют в тяжёлых случаях, пациенту дают в виде внутримышечного или внутривенного укола дексаметазоном. 
  • Антиконвульсанты. Эффективно сокращают количество и длительность болезненных приступов. Выписывают топирамат, вальпроаты. 
  • Противорвотные. Часто головная боль сочетается с рвотой, тошнотой, поэтому врачи назначают хлорпромазин, метокллпрамид, домперидон. 
  • Уколы. Кормагнезин позволяет купировать симптомы заболевания. Новокаин ослабляет напряжение триггерных точек. 

Лечение ботоксом 

При тяжёлых формах заболевания врачи активно применяют инъекции ботокса (ботулинического токсина). Средство изначально было создано для борьбы с возрастными морщинами. Ботокс при сильной мигрени помогает снизить выраженность симптомов, улучшить самочувствие, наладить работу церебральных артерий головы.

Какие бывают противопоказания

Польза и высокая эффективность препаратов при мигрени доказана, но существуют определённые противопоказания для каждого типа лекарства:

  • Анальгетики и НПВП — язвенные образования в желудочно-кишечном тракте. 
  • Триптаны — расстройства сердечно-сосудистой системы, инсульт, лактация. 
  • Антиконвульсанты — патологии печени, склонность к тромбообразованию, беременность. 
  • Бета-блокаторы — сахарный диабет, бронхиальная астма. 
  • Антидепрессанты — обострение эпилепсии, гипертония, нарушения кровообращения, беременность.

Источники

  1. «Эффективность лечения мигрени препаратами группы триптанов», А. Бублий, А. Шафорост, И.Н. Долгова, С.М. Карпов. Международный научно-исследовательский журнал, 35, 2013. 
  2. «Нестероидные противовоспалительные препараты при мигрени», А.В. Амелин. Лечащий врач 5, 25-27, 2012. 
  3. «Профилактическое лечение мигрени: вчера, сегодня, завтра», О.Е. Дубенко, Д.Д. Сотников. Международный неврологический журнал, 67-72, 2009. 

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Открыть скан отзыва 
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	 Узнала о вас в интернете — нужно срочно сделать МРТ.




	 И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.




	 Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...




	 Будьте!!! Нам на радость! Ваша Панина В.В.


    [~PREVIEW_TEXT] => 

	 Узнала о вас в интернете — нужно срочно сделать МРТ.




	 И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.




	 Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...




	 Будьте!!! Нам на радость! Ваша Панина В.В.


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	 Узнала о вас в интернете — нужно срочно сделать МРТ.




	 И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.




	 Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...




	 Будьте!!! Нам на радость! Ваша Панина В.В.


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Сергей Шнуров

Российский рок-музыкант, киноактёр, телеведущий и художник.

Ц. М. Р. Т. «Петроградский» спасибо!

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Спасибо огромное за такое хорошее, професиональное обслуживание в вашей клинике. Приятно, комфортно! Прекрасные люди, прекрасные условия.

Открыть скан отзыва 
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Русанова

Хочу поблагодарить сотрудников за внимательное и доброжелательное отношение. Хорошо, что такая клиника есть хотя бы у Вас.

Открыть скан отзыва 
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Все очень грамотно, очень вежливое обслуживание. Буду рекомендовать эту клинику друзьям. Успехов!!!

Открыть скан отзыва 
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Кузнецов В.А.

Очень отзывчивый администратор. Вежливая, культурная, добрая.

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Храброва В.Е.

Выражаю большую признательность администратору Кристине и Ринату Чубарову за внимательное и доброжелательное отношение при проведении обследования желаю, чтобы было больше такого персонала, что в наши дни редкость.

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Выражаю огромную благодарность Екатерине Корневой за терпение, профессионализм, доброту и фантастическое отношение к пациентам.

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Большое спасибо за консультацию и обследование... Очень вежливо, доступно и подробно объяснила ход и результат.

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    ул. Захарьевская, д. 14

    +7 812 640-36-03

    8:00–23:00 без выходных

    Автомобиль можно оставить возле центра на улице Захарьевской

  • Нарвская

    ул. Ивана Черных, д. 29

    +7 812 640-36-03

    8:00–23:00 без выходных

    Автомобиль можно оставить возле центра в Молодёжном переулке или на улице Метростроевцев

  • Озерки

    Выборгское ш., д. 40

    +7 812 640-36-03

    10:00–21:00 без выходных

    Автомобиль можно оставить в парковочном кармане возле центра. Или возле дома 48, в 200 метрах от центра

  • Ладожская

    ул. Ленская, д. 19, корп. 1

    +7 812 640-36-03

    10:00–21:00 без выходных

    Автомобиль можно поставить на улице Ленской. Или во дворе дома 19, корп. 1

  • Петроградская

    ул. Рентгена, д. 5

    +7 812 640-36-03

    10:00–21:00 без выходных

    Автомобиль можно оставить возле центра на улице Рентгена

  • Московская

    ул. Типанова, д. 12А

    +7 812 640-36-03

    10:00–21:00 без выходных

    Автомобиль можно оставить на улице Типанова. Или во дворе рядом с центром

  • Старая деревня

    ул. Дибуновская, д. 45

    +7 812 640-36-03

    10:00–21:00 без выходных

    Автомобиль можно оставить на Дибуновской улице возле центра. Или во дворах домов 51 и 39

Великий Новгород
Ленинградская обл.
  • Колпино

    бул. Трудящихся, д. 18, корп. 1

    8:00–22:00 без выходных

    Автомобиль можно оставить на бульваре Трудящихся или во дворе дома 22

  • Кингисепп

    ул. Воровского, д. 20

    пн, ср, пт, сб, вс — 9:00–22:00 вт, чт — 7:00–00:00

    Автомобиль можно оставить на стоянке возле центра

  • Выборг

    ул. Куйбышева, д. 10

    8:00–22:00 без выходных

    Автомобиль можно оставить возле центра на улице Куйбышева. Или на улицах Ильинская и Акулова

  • Девяткино

    ул. Тихая, д. 14

    8:00–23:00 без выходных