Experience with intranasal zolmitriptan in cluster headache

被引:0
作者
Pascual, J.
Navarro, A.
Caminero, A. B.
Jurado, C.
机构
[1] Hosp Univ Marques de Valdecilla, Serv Neurol, Santander, Spain
[2] Hosp Virgen del Rocio, Serv Neurol, Seville, Spain
[3] Hosp Nuestra Senora de Sonsoles, Serv Neurol, Avila, Spain
[4] Hosp Reina Sofia, Serv Neurol, Cordoba, Spain
来源
NEUROLOGIA | 2006年 / 21卷 / 03期
关键词
cluster headache; subcutaneous sumatriptan; intranasal zolmitriptan;
D O I
暂无
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction. The objective is to analyse our experience with the new intranasal formulation of zolmitriptan 5 mg in the symptomatic treatment of cluster headache in daily clinical practice. Patients and methods. We collected a total of 18 patients with cluster headache and experience with intranasal zolmitriptan; 17 had used subcutaneous sumatriptan and 8 oral triptans. The main reasons for trying intranasal zolmitriptan were: poor tolerability in 12 patients and insufficient efficacy in 6. Results. Among the 17 patients experienced in subcutaneous sumatriptan, 12 (71%) preferred nasal zolmitriptan, 2 (18%) subcutaneous sumatriptan and 2 (12 %) did not express any preference. The reasons for preferring intranasal zolmitriptan were: higher convenience (n = 6), better tolerability (n = 5), lower price (n = 2) and higher efficacy (n = 1). Seven out of the 8 patients who had taken oral triptans preferred nasal zolmitriptan, in all cases due to higher subjective efficacy. A total of 11 patients showed efficacy within 30 minutes. Only 3 patients referred to adverse events, always mild. Conclusions. The 5 mg nasal formulation of zolmitriptan is a potential new option for the symptomatic treatment of cluster headache. This formulation should be considered in patients with poor tolerability to subcutaneous sumatriptan and in those attacks where quick access to inhaled oxygen is not possible. These results suggest that a controlled trial with nasal zolmitriptan in this indication would be worthwhile.
引用
收藏
页码:131 / 134
页数:4
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