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Migraine: A Spectrum of Ideas$
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Merton Sandler and Geralyn M. Collins

Print publication date: 1990

Print ISBN-13: 9780192618108

Published to Oxford Scholarship Online: March 2012

DOI: 10.1093/acprof:oso/9780192618108.001.0001

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Treatment: where are we going?

Treatment: where are we going?

Chapter:
(p.294) 25. Treatment: where are we going?
Source:
Migraine: A Spectrum of Ideas
Author(s):

Albrecht Ziegler

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780192618108.003.0025

This chapter deals with problems that lie on the borderline between the pathophysiology, the pharmacotherapy, and the pharmacology of migraine. Our hopes must centre on this border, because an intimate and reliable knowledge of these fields will offer a clue towards an optimal therapeutic strategy. Researchers should concentrate on the drugs that have been developed as alternatives to ergotamine. It is to be hoped that these new drugs will be free of the inherent drawback of ergotamine — its deleterious side-effects when given too frequently. Satisfying results in clinical practice could render the prophylactic treatment of migraine superfluous. It could be a real advantage to avoiding prophylactic treatment, which always has to meet the high standards required of any long-term medication.

Keywords:   therapeutic strategy, migraine pharmacology, ergotamine, prophylactic treatment, long-term medication, side-effects

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