Pharmacotherapies for Migraine and Translating Evidence From Bench to Bedside.

Ashina, Messoud; Hoffmann, Jan; Ashina, Håkan; Hay, Debbie L; Flores-Montanez, Yadira; Do, Thien Phu; De Icco, Roberto; Dodick, David W · Mayo Clin Proc · 2024

review · Level V

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Abstract

Migraine is a ubiquitous neurologic disorder that afflicts more than 1 billion people worldwide. Recommended therapeutic strategies include the use of acute and, if needed, preventive medications. During the past 2 decades, tremendous progress has been made in better understanding the molecular mechanisms underlying migraine pathogenesis, which in turn has resulted in the advent of novel medications targeting signaling molecule calcitonin gene-related peptide or its receptor. Here, we provide an update on the rational use of pharmacotherapies for migraine to facilitate more informed clinical decision-making. We then discuss the scientific discoveries that led to the advent of new medications targeting calcitonin gene-related peptide signaling. Last, we conclude with recent advances that are being made to identify novel drug targets for migraine.

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