Zolmitriptan Nasal Spray: A Review in Acute Migraine in Pediatric Patients 12 Years of Age or Older
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  • 作者:Kate McKeage
  • 刊名:Pediatric Drugs
  • 出版年:2016
  • 出版时间:February 2016
  • 年:2016
  • 卷:18
  • 期:1
  • 页码:75-81
  • 全文大小:486 KB
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  • 作者单位:Kate McKeage (1)

    1. Springer, Private Bag 65901, Mairangi Bay, Auckland, 0754, New Zealand
  • 刊物主题:Pediatrics; Pharmacotherapy; Internal Medicine;
  • 出版者:Springer International Publishing
  • ISSN:1179-2019
文摘
The intranasal formulation of zolmitriptan, a selective serotonin 5-HT1B/1D agonist, was recently approved by the US Food and Drug Administration for the treatment of acute migraine in pediatric patients 12 years of age or older. This article summarizes the efficacy and tolerability of zolmitriptan (Zomig®) nasal spray (NS) in acute migraine in this patient group. Zolmitriptan NS 5 mg was more effective in relieving headache pain than placebo in two double-blind studies in pediatric patients 12–17 years of age with acute migraine. Furthermore, zolmitriptan NS 2.5 and 5 mg effectively relieved photophobia and phonophobia, and was associated with a faster return to normal daily activities than placebo. Zolmitriptan NS is rapidly absorbed from the nasal mucosa and is associated with a fast onset of action, with one study showing a significant difference versus placebo with regard to headache response 15 min after administration. In both trials, zolmitriptan NS was generally well tolerated, with no serious adverse events. In conclusion, zolmitriptan NS provides rapid, effective and generally well tolerated treatment of acute migraine in pediatric patients 12 years of age or older and may be of particular benefit for those with nausea or not easily able to swallow tablets. The manuscript was reviewed by: K. J. August, Department of Pediatrics, Children’s Mercy Hospital, Kansas City, MO, USA; J. R. Couch, Department of Neurology, The University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA; J. Kacperski, Division of Neurology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA; A. Pakalnis, Department of Neurology, Nationwide Children’s Hospital, Columbus, OH, USA.

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