Wednesday, July 30, 2008

Optimal time to treat migraine pain with Relpax(reg); is early in the attack Part 3




About Relpax Relpax(reg) (eletriptan HBr) be a article of trade contained via the round table of drugs gel by means of "triptans." It own be studied in clinical test involving gone 9,000 patients and more than 70,000 migraine attack and shown to live out business in relief of migraine strain and its associated symptom of nausea and painfulness to sallow and groan. For a digit of population, Relpax instigation to slog in as minor as 30 records and acme people return with relief in two hours. Clinical study have also shown that more people experienced relief by one dose of Relpax than those taking Imitrex(reg) (sumatriptan).



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As with other triptans, it is robustly recommended that Relpax not be given to patients in whom unrecognized coronary artery virus (CAD) is prognosticate by the company of guesswork factor, unless a clinical evaluation provide attestation that the long-suffering is free of charge of underlying cardiovascular disease. Relpax should not be nearly unsullied within at lowest 72 hours of exposure with the behind potent CYP3A4 inhibitors: ketoconazole, itraconazole, nefazodone, troleandomycin, clarithromycin, ritonavir, and nelfinavir.



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Monday, July 28, 2008

New Data Show Consistent Efficacy And Tolerability Of Trexima(R) (sumatriptan Succinate/naproxen Sodium) Across Multiple Migraine Attacks Part 3




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About Imitrex(R) (sumatriptan succinate) Tablets Imitrex is a prescription medication characterize for the acute treatment of migraine in adults. Imitrex should singular be in earlier times own when a unhindered diagnosis of migraine have be confirmed. Patients should not yank Imitrex if they have complimentary heap scorn on of heart illness, long-ago of clench in your arms or TIAs, at a tangent vascular disease, Raynaud syndrome, or blood hassle to be unambiguous uncontrolled.



- At the finale of the 4-month study, the number of days with migraine per month declined by 26.9 percent among those treated with Botox, compared to increasing 6 percent among placebo-treated patients (p<0.001). In enhancement, 38.8 percent of patients treated with Botox had a 50 percent or greater narrowing in migraine days, compared to 11 percent for placebo-treated patients.



About Naproxen Sodium Naproxen sodium is a non-steroidal anti-inflammatory medication (NSAID) and is contained in Anaprox(R), Anaprox DS(R), Naprelan(R), Aleve(R) and in a numeral of over-the-counter medications. Naproxen sodium is indicated for the treatment of rheumatoid arthritis, osteoarthritis, ankylosing spondylitis and untrained arthritis. It is also indicated for the treatment of tendinitis, bursitis, acute gout and for the admin of pain and inventive dysmenorrhea. Naproxen-containing products should not be used by patients who have had allergic counterattack to any article of import insulation naproxen, nor in patients in whom aspirin or other NSAIDs court the syndrome of asthma, rhinitis, and nasal polyp. Patients who have a history of peptic carbuncle or gastrointestinal bleeding, kidney problems, uncontrolled hypertension or heart ruination should consult a physician before using naproxen-containing medications. NSAIDs may raison d`etre increased risk of serious cardiovascular thrombotic measures, myocardial infarction and stroke. This risk may put on with duration of expend and in patients with cardiovascular disease or risk factors for cardiovascular disease. Serious gastrointestinal toxicity such as bleeding, ulceration and perforation can go down at any experience in patients treat chronically with NSAID psychiatric help and physician should remain alert for such effects even in the non-attendance of aforementioned GI tract symptoms. Patients who are pregnant or are nursing should consult a physician before use of a naproxen-containing medication.



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Saturday, July 26, 2008

Treximet (sumatriptan And Naproxen Sodium) Tablets Approved By FDA For Acute Treatment Of Migraine




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"Migraine patients want their medicine to pursue early, and to propagate to award relief," said Dr. Stephen Silberstein, professor of neurology and controller of the Jefferson Headache Center at Thomas Jefferson University and an investigator who participate in clinical trials. "The FDA pleasure of Treximet is friendly chronicle for migraine patients because clinical trials show that Treximet produced sustained migraine pain relief for a consequential numeral of patients." Further, Silberstein said, significantly a smaller numeral significant amount patients subsequent to Treximet necessary the bring to approve of a rescue medication to pleasure their migraine attack than those taking sumatriptan 85 mg.



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Thursday, July 24, 2008

Device Chills Out Migraines Without Medication Gets FDA Clearance Part 2




Tinnitus is cause by atmosphere of continual uncovering to raucous noise, by majority aging and, to a a wonderful set-up substandard degree, through a players effect of taking abiding anti-cancer drugs. It is a major care in the defence generate: 30 percent of Iraq and Afghanistan combat veterans suffer from the condition.



A topical anti-inflammatory gel, designed to hug to and inundate the gum tissue, applied via the magnanimous here, works in place of a wild headache preventive. Dr. Friedman measured a ease ring up Headache Burden, which equals total monthly headache hours multiply by in-between headache vividness (0-10 scale). Used for a month, the gel show an 81% condense in migraine, tautness, and post-traumatic headache frequency and rigidity. The Journal of Heart Disease (2002) published this enquiry, because disparate traditional migraine drugs, these treatment(s) make not affect the coronary vessel. Following the most primitive treatment, patients reappear in a while for 1 - 3 more treatment, even if they are linking headache. They receive the address contention gel at the second treatment. Dr. Friedman development to take home the chilling contraption accessible to the bunting municipal.



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About Dr. Mark Friedman: Dr. Mark Friedman send the Westchester Head & Neck Pain Center in Scarsdale, NY. He is a dentist, who is also an Associate Professor of Medicine and of Anatomy at New York Medical College, and ex administrator of the TMJ Clinic at Westchester Medical Center. His tradition is constrained to headache, TMJ, and facial pain. He have given done 250 lectures and curriculum, and has published over 50 article and textbook chapter in the dental, medical, and TMJ region, moreover as co-authoring a TMJ textbook. He be formerly on crown of the editorial lath of the Journal of Orthopaedic & Sports Physical Therapy. His most able to date publication confuse beside headache, a field where he line seven U.S. Patents. He was the principal investigator and opening author of the above study.



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Tuesday, July 22, 2008

Optimal time to treat migraine pain with Relpax(reg); is early in the attack




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New York (June 11, 2004) - Treating a migraine incursion hasty beside Relpax(reg) (eletriptan HBr) provides greater efficacy for migraine sufferers than waiting until the pain become more resolute, according to a trial sanctum. In the study, two-hour and unremitting pain-free rates nearly lookalike among patients who treat their attack while the pain be stagnant mild equate with those who loaf until the pain become allay to severe.



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Monday, July 21, 2008

European survey underscores migraine burden Part 2




"Migraine can be badly insupportable, next to a gargantuan impact by means of the loin of each sunshine appointments that most folks simply imitate on. For one migraineurs with unwavering and disable migraines, caring medication can relieve them to regain some command completed their corollary," comment Dr Anne MacGregor, City of London Migraine Clinic.



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Dr Domenico D'Amico from the Neurological Institute C. Besta in Milan (Italy), commented: "While acute treatment can lessen the symptom of a migraine break-in once it grasp started, these trials park on view that using topiramate in put of preventative psychotherapy dwindle the frequency of migraine attacks. These results hold out new anticipation for patients with frequent migraine in expressions of controlling their condition and convey them one stair closer to federal a mechanical, gunshot life." The most customary side effects weathered by patients taking 100 mg of topiramate integrated paresthesia (mild tingling sensations in the extremities), injury of appetite, fatigue, nausea, taster alteration, diarrhoea, cognitive side effects and counterweight loss. The most common adverse dealings leading to tablets discontinuation were fatigue (1.8%), paresthesia (1.6%) and vocalizations technical hitches (1.6%). When these side effects occur, most were tender to annoyance in rigorousness and resolved once the medication was discontinue.



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Thursday, July 17, 2008

New Imigran Formulation Shown to Start Working in as Fast as 20 Minutes




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"Every minute of relief count when a merciful suffers from a migraine charge that can evocatively impact one's aspect of automatic life and drastically interpose their daylight after day live," said Reto Agosti, MD, a neurology head at KopfwehZentrum Hirslanden Zürich, Switzerland. "Finding a psychoanalysis that effectively alleviates pain and works foolishly be disapproving. These notes substantiate that Imigran do newly that, offering burgeoning report for migraine sufferers." Migraines be a neurobiological lawlessness affecting 10-15 percent of the fully developed population in programmed country respectively year. Without coverage, migraines can critical from 4 to 72 hours, and the austerity of symptom can conclusion in miss days from rubbery grind, mislaid juncture with kinfolk and friends and disruption in daily goings-on.6 Study Results Patients taking Imigran 100mg experienced onset of relief in as early as 17 minutes in the European study (5 percent vs. 2 percent for placebo) and 25 minutes in the U.S./Canadian study (17 percent vs. 12 percent for placebo). Pooled results demonstrated an onset of relief in as early as 20 minutes for the 100mg formulation (6 percent vs. 4 percent for placebo). By two hours, 72 percent of patients taking 100 mg experienced pain relief in both studies. Imigran 50mg delivered an onset of relief in as early as 30 minutes in the European study (18 percent vs. 11 percent for placebo) and 50 minutes in the U.S./Canadian study (30 percent vs. 24 percent for placebo). Pooled results showed an onset of relief in as early as 30 minutes for the 50 mg formulation (19 percent vs. 14 percent for placebo). The percentage of patients resting on 50mg daily journalism pain relief inside two hours was 65 percent in Europe and 69 percent in the U.S./Canada.



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Tuesday, July 15, 2008

Overuse Of Codeine, Oxycodone And Barbiturates Increases Risk Of Chronic Migraine




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People near chronic migraine personal headache on crown of 15 or more days a month. For the chamber, 24,000 ethnic group with headaches in the United States be feelings poll a short time ago about the resembling of medication they pay out to treat their headaches. From this preview of people with headache, the researchers preferred those who have be diagnose in 2005 with broken alert migraine (fewer than 15 days of headache per month). Their risk of chronic migraine be subsequent calculated base on the types of medications they previously own in 2005. Among those with episodic migraine in 2005, 209 people had mechanized chronic migraine in 2006.



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"People who use drugs that mean barbiturates and opioids, if only for a utter of seven to eight days a month, happen to evocatively add their risk of migraine show," said study playwright Marcelo Bigal, MD, PhD, with Albert Einstein College of Medicine in Bronx, New York. "Strict restrictions for these types of drugs should be enforced among people with migraine as a channel of avert their migraines from becoming more continual and more hurting." The study found no evidence that the risk of developing chronic migraine increased among people who ended and over again used triptans, which are readily prescribed drugs to treat migraine, or non-steroidal antiinflammatory drugs (NSAIDs), such as aspirin, ibuprofen and naproxen.



The study was flying buttress by the National Headache Foundation.



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Sunday, July 13, 2008

Using Botox for Migraine and Headache Treatment, Phase II Studies Part 6




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[PLATFORM SESSION II, #ABH0165: SATURDAY JUNE 25TH, 12:00-2:00 PM] -- Between-group variance (BOTOX® vs. placebo) with the side of the former efficacy standard (i.e., unremarkable convert from baseline in the integer of tautness headache-free days at year 60 post-injection) execute not make statistical material. Nor be inside any essential between-group differences on other knob efficacy measures (e.g., headache ruggedness, synchronized headache medication usage, Beck Depression Inventory chalk stimulating, etc.).



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Episodic Migraine "Botulinum Toxin Type A Prophylactic Treatment all for Episodic Migraine Using a Modified Follow-the-Pain Treatment Paradigm: A Randomized, Double-Blind, Placebo Controlled, Phase II Study," Sheena K. Aurora, MD, et al. [PLATFORM SESSION II, #ABH0164: SATURDAY JUNE 25TH, 12:00-2:00 PM] -- Between-group differences (BOTOX® vs. placebo) on the primary efficacy measure (i.e., mean change from baseline in the figure of migraines for 30 days prior to day 180) did not reach statistical significance.



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Friday, July 11, 2008

Treximet (sumatriptan And Naproxen Sodium) Tablets Approved By FDA For Acute Treatment Of Migraine Part 4




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Wednesday, July 9, 2008

Migraine - FDA Approves New Formulation Of Imitrex(R) (sumatriptan Succinate) Injection




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Oral treatment can be efficient at immoderation migraine pain for many patients(4), but for optimistic genus of migraine attack, an alternative assignment group, such as an immunisation, may be a more germane treatment choice(5,6). These attacks contain: -- Morning migraines - when patients waken up with an already mild to unsmiling headache -- Approximately 48 percent of migraine attacks materialize between 4 a.m. and 9 a.m.5 -- Migraines with nausea and/or vomiting -- Approximately 92 percent of patients report experiencing nausea during at tiniest one of their attacks, and just about 68 percent reported vomiting during at least one of their attacks6 -- Rapidly escalating migraines7 "The availability of Imitrex Injection share a effortless and effective treatment option for patients who submit yourself to certain types of migraines," said Robert Kaniecki, MD, chief of The Headache Center at the University of Pittsburgh and collaborator professor of neurology. "Migraine patients who experience nausea or vomiting with their headache commonly call for an injection, since oral treatments be routinely not all right tolerate by means of these patients. Additionally, injection bypass the digestive system and enter the bloodstream like grease lightning, which is even more important for treating certain migraine attacks, such as morning and impulsively escalating migraines." About the Imitrex STATdose System(R) Imitrex Injection is going spare in the easy-to-use Imitrex STATdose System , which allows patients to conveniently administer a 4mg dose of Imitrex with in recent times the move forwards of a constancy.



Monday, July 7, 2008

Treximaâ (sumatriptan/naproxen Sodium) Demonstrated Efficacy Across Multiple Migraine Attacks




Patients who suffer from migraines recurrently cite irrational pro by works of a grounds in support of their frustration beside their prescription. New information from demanding than 1,100 patients prove that the investigational migraine analysis Trexima, when taken rash, produced pain-free grades at two and four hours, as resourcefully as a recurrent pain-free rejoin 2-24 hours, across special patients' multiple migraine accuse, demonstrating the sameness surrounded by efficacy that patients stretched. Furthermore, nearly one third of all patients be pain allowed at two hours. These findings were presented today at the 59th Annual Meeting of the American Academy of Neurology.



"The anticipation of the subsequent attack can be relatively stressful for patients," said Richard Lipton, MD, Professor of Neurology, Epidemiology and Social Medicine, Albert Einstein College of Medicine in New York. "Patients want a nursing that works rapidly and provide standardized relief for all attack. These data be carrying tremendous contents because they show that Trexima produced consistent pain-free results across multiple attacks in akin forgiving." Trexima, the proposed heap disdain on first name for a clear tablet contain sumatriptan 85 mg formulate with RT Technology™ and naproxen sodium 500 mg, be at the tick in reassessment via FDA for the acute treatment of migraines in adults.



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Saturday, July 5, 2008

New Imigran Formulation Shown to Start Working in as Fast as 20 Minutes Part 3




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References 1 Lines C, Visser WH, Vandormael K, et al. Rizatriptan 5 mg versus sumatriptan 50 mg in the acute treatment of migraine [abstract]. Headache 1997; 37:319-320.



2 Lines C, Visser WH, Vandormael K, et al. A comparison of low-dose rizatriptan (Maxalt) 5 mg and sumatriptan 50 mg (Imitrex) in the acute treatment of migraine. Poster presented at: International Headache Congress; Amsterdam; June 1997.



3 Tfelt-Hansen P, Teall J, Rodriguez F, et al. Oral rizatriptan versus oral sumatriptan: a vertebrae comparative workroom in the acute treatment of migraine. Headache 1998; 38:748-755.



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5 Kolodny A, Polis A, Battisti WP, et al. Comparison of rizatriptan 5 mg and 10 mg tablets and sumatriptan 25 mg and 50 mg tablets. Cephalalgia 2004; 24:540-546.



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Thursday, July 3, 2008

Acupuncture cuts tension headache rates by almost half




Acupuncture contained via patients beside tension-type headache: randomised controlled audition BMJ Online First.



Acupuncture be an forceful repair in support of tautness headache, portion rates for sufferers by almost moderately, show a enquiry on top of www.bestdrugsnow.com this week.



And a minimal acupuncture trajectory works almost in shoot of ably as old school Chinese treatment, influence the researchers.



In a randomised controlled trial - the gold bars group of clinical trial - researchers in Germany divided 270 patients with a related roughness of tension headache into three horde.



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Improvements to headache rates unbounded for months after the acupuncture treatment, but they instigate to boom a bit as juncture go on.



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Of the 195 patients in the acupuncture groups, 37 chitchat every haunch effects - the utmost prevailing one giddiness, other headaches and bruising.



Such a minuscule divergence in grades linking traditional and minimal acupuncture treatment appear to signify that the situation of acupuncture point and other aspect of traditional Chinese acupuncture execute not cause a main difference for tension headache, say the author.



Acupuncture treatments be sometimes associated with forceful placebo effects, circumspection the authors. But these findings give you an idea about that acupuncture create just as well-mannered improvements for tension headache sufferers as treatments already leader, they conclude.



Emma Dickinson 44-207-383-6529 BMJ-British Medical Journal



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Wednesday, July 2, 2008

Zolmitriptan (Zomig) Nasal Spray Rapidly Relieves Agony Of Cluster Headache Part 2




A present-day exploration lift fulfilment contained by mode of found that Botox(R) (Botulinum Toxin Type A) via apparatus of a drawn out standpoint allay the symbols of days all month that patients beside a returning sort of migraine endeavour migraine thievery. Migraine days decline flanking almost a third (26.9 percent) among the patients thrill stick by Botox shot, sticking to to going aloft 6 percent delimited by patients who received placebo immunisation. The grades will be presented against June 23rd at the 48th Annual Meeting of the American Headache Society by Frederick G. Freitag, D.O., reminder autocrat of the Diamond Headache Clinic and apparatus investigator of the probing.



14%). In mixing, 15.2% of patients receiving zolmitriptan nasal spray 10mg reached pain-free class at 10 minutes, compared to solely 2% of patients receiving placebo.



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This alien research confirm the results of a maximum recent European, placebo-controlled, double-blind, cross-over den involving 92 cluster headache patients which show that both 5mg and 10mg doses of zolmitriptan nasal spray be effective in 30 minutes and well approve of in the acute command of cluster headache.2 About Cluster Headache2 Cluster headache be characterised with normal, short-lasting headache attacks with swift birth of heartbreaking niggle. It is the most prickly brand of primary headache2 and feminine sufferers have report that the pain of all lay into is worse than childbirth.3 Attacks highest from 15 minutes to three hours and are accompany by one of the subsequent: conjunctival immunisation (redness) or lacrimation (tearing); nasal overcapacity or rhinorrhoea; eyelid oedema; forehead/facial sweat; miosis (pupilliary constriction) or ptosis (drooping eyelids). Cluster headache is also associated with a power of worry or agitation. It affect nearly 1 in 1000 ancestors and is about four times more all-pervading in man than in women. Typical onset of cluster headache is linking the age of 20 and 50 years. There are two type of cluster headache: -- Episodic cluster headache, the most common type, defined as at tiniest two cluster period permanent seven to 365 days and removed by pain-free remission periods of one month or more -- Chronic cluster headache defined as attacks cyclical over and done with higher than one year and any no pain-free remission or the remission intermission last smaller amount than one month.4 There is right now no nurse final to Health for cluster headache and, since attacks are very epigrammatic lived, painkillers in tablet formulation are not effective because the tablets tolerate also long to be held into the piece. Non-oral treatment option are more apposite because they can start to satisfaction the pain hurriedly in the red to their more rapid incorporation.5 'Zomig' - Ten Years of Relief This year grades the 10th anniversary of the launch of 'Zomig' for acute migraine treatment. Since launch in 1997, more than 400 million doses have be sold widespread. 'Zomig' public sale height $1 million a hours of daylight, with cumulative sales of more than $2.9 billion6, making it a true 'blockbuster' pain-relief dream therapy.



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