Практическое применение нестероидных противовоспалительных препаратов при головных болях: обзор клинических и научных данных
Практическое применение нестероидных противовоспалительных препаратов при головных болях: обзор клинических и научных данных
Сергеев А.В. Практическое применение нестероидных противовоспалительных препаратов при головных болях: обзор клинических и научных данных. Consilium Medicum. 2018; 20 (9): 39–46. DOI: 10.26442/2075-1753_2018.9.39-46
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Sergeev A.V. Practical use of non-steroid anti-inflammatory drugs in cephalgia treatment: clinical and scientific evidence review. Consilium Medicum. 2018; 20 (9): 39–46. DOI: 10.26442/2075-1753_2018.9.39-46
Практическое применение нестероидных противовоспалительных препаратов при головных болях: обзор клинических и научных данных
Сергеев А.В. Практическое применение нестероидных противовоспалительных препаратов при головных болях: обзор клинических и научных данных. Consilium Medicum. 2018; 20 (9): 39–46. DOI: 10.26442/2075-1753_2018.9.39-46
________________________________________________
Sergeev A.V. Practical use of non-steroid anti-inflammatory drugs in cephalgia treatment: clinical and scientific evidence review. Consilium Medicum. 2018; 20 (9): 39–46. DOI: 10.26442/2075-1753_2018.9.39-46
В неврологической практике нестероидные противовоспалительные препараты (НПВП) широко используются в терапии скелетно-мышечных вертеброгенных болевых синдромов. В то же время отмечаются сложности в определении необходимости и точек эффективного применения НПВП при разных формах головных болей, особенно при мигрени. Современные экспериментальные данные показывают, что обезболивающий эффект НПВП связан не только с периферической аналгезией, но и с действием на уровне заднего рога спинного мозга, нейронов ядра тройничного нерва. Эти механизмы могут объяснять эффективность НПВП при мигрени. В обзоре обсуждается место НПВП при различных головных болях, преимущества по профилю эффективность/безопасность быстродействующих форм НПВП, стратифицированный подход к обезболиванию.
Non-steroid anti-inflammatory drugs (NSAID) are widely used in neurology in treatment of musculoskeletal vertebrogenic pain syndromes. At the same time defining necessity and targets for effective NSAID application in various headache forms, especially in migraine, is challenging. According to modern experimental data NSAID analgesic effect is provided not only by peripheral analgesia, but also by action in spinal cord posterior horn and in trigeminal nerve nuclei. These mechanisms may explain NSAID effectiveness in migraine treatment. The review discusses NSAID role in various headaches treatment, advantages in fast-acting NSAID effectiveness/safety profile, and stratified approach to analgesia.
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2. WHO Normative Guidelines on Pain Management. 2007. http: //www.who.int/medicines/areas/quality_safety/delphi_study_pain_guidelines
3. Lipton RB, Stewart WF, Stone AM et al. Stratified care vs step care strategies for migraine: the Disability in Strategies of Care (DISC) Study: A randomized trial. JAMA 2000; 284: 2599.
4. The 3rd edition of the International Classification of Headache Disorders (ICHD-3). Cephalalgia 2018; 38 (1) 1–211.
5. Tepper SJ, Dahlöf CG, Dowson A et al. Prevalence and diagnosis of migraine in patients consulting their physician with a complaint of headache: data from the Landmark Study. Headache 2004; 44 (9): 856–64.
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10. Colman I, Friedman BW, Brown MD et al. Parenteral dexamethasone for acute severe migraine headache: meta-analysis of randomised controlled trials for preventing recurrence. BMJ 2008; 336: 359.
11. Lim SS, Vos T, Flaxman AD et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380: 2163–96.
12. Jensen R, Stovner LJ. Epidemiology and comorbidity of headache. Lancet Neurol 2008; 7: 354.
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15. Bendtsen L, Evers S, Linde M et al. EFNS guideline on the treatment of tension-type headache – report of an EFNS task force. Eur J Neurol 2010; 17: 1318.
16. Lampl C, Rudolph M, Deligianni CI, Mitsikostas DD. Neck pain in episodic migraine: premonitory symptom or part of the attack? J Headache Pain 2015; 16: 80.
17. Bogduk N, Govind J. Cervicogenic headache: an assessment of the evidence on clinical diagnosis, invasive tests, and treatment. Lancet Neurol 2009; 8: 959.
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19. Lord SM, Barnsley L, Wallis BJ, Bogduk N. Third occipital nerve headache: a prevalence study. J Neurol Neurosurg Psychiatry 1994; 57: 1187.
20. Aprill C, Axinn MJ, Bogduk N. Occipital headaches stemming from the lateral atlanto-axial (C1-2) joint. Cephalalgia 2002; 22: 15.
21. Barnsley L, Lord S, Bogduk N. Comparative local anaesthetic blocks in the diagnosis of cervical zygapophysial joint pain. Pain 1993; 55: 99.
22. Lipton RB, Scher AI, Steiner TJ et al. Patterns of health care utilization for migraine in England and in the United States. Neurology 2003; 60: 441–8.
23. Baraldi C, Pellesi L, Guerzoni S et al. Therapeutical approaches to paroxysmal hemicrania, hemicrania continua and short lasting unilateral neuralgiform headache attacks: a critical appraisal. J Headache Pain 2017; 18 (1): 71.
24. Pardutz A, Schoenen J. NSAIDs in the Acute Treatment of Migraine: A Review of Clinical and Experimental Data. Pharmaceuticals (Basel) 2010; 3 (6): 1966–87.
25. Brooks PM, Day RO. Nonsteroidal anti-inflammatory drugs differences and similarities. N Engl J Med 1991; 324 (24): 1716–25.
26. Hardman JG, Limbird LE, Gilman AG. Insel PA Analgesic-antipyretics and antiinflammatory agents and drug employed in the treatment of gout. In Goodman and Gilman's: The Pharmacological Basis for Therapeutics, 9th ed.; McGraw-Hill: New York, NY, USA, 1996; p. 617–57.
27. McCormack K. Non-steroidal anti-inflammatory drugs and spinal nociceptive processing. Pain 1994; 59: 9–43.
28. Melo-Carrillo A, Strassman AM, Nir R et al. Stratton and Rami Burstein. Fremanezumab – A Humanized Monoclonal Anti-CGRP Antibody – Inhibits Thinly Myelinated (Ad) But Not Unmyelinated (C) Meningeal Nociceptors. J Neurosci 2017; 37 (44): 10587–96.
29. Ebersberger A, Averbeck B, Messlinger K, Reeh PW. Release of substance P, calcitonin gene-related peptide and prostaglandin E2 from rat dura mater encephali following electrical and chemical stimulation in vitro. Neurosci 1999; 89: 901–7.
30. Zhang XC, Kainz V, Jakubowski M et al. Localization of COX-1 and COX-2 in the intracranial dura mater of the rat. Neurosci Lett 2009; 452: 33–6.
31. Ellrich, J, Schepelmann K, Pawlak M, Messlinger K. Acetylsalicylic acid inhibits meningeal nociception in rat. Pain 1999; 81: 7–14.
32. Levy D, Zhang XC, Jakubowski M, Burstein R. Sensitization of meningeal nociceptors: Inhibition by naproxen. Eur J Neurosci 2008; 27: 917–22.
33. Buzzi MG, Sakas DE, Moskowitz MA. Indomethacin and acetylsalicylic-acid block neurogenic plasma-protein extravasation in rat dura mater. Eur J Pharmacol 1989; 165: 251–8.
34. Kaube H, Hoskin KL, Goadsby PJ. Intravenous acetylsalicylic-acid inhibits central trigeminal neurons in the dorsal horn of the upper cervical spinal-cord in the cat. Headache 1993; 33: 541–4.
35. Tassorelli C, Greco R, Armentero MT et al. A role for brain cyclooxygenase-2 and prostaglandin-E2 in migraine: Effects of nitroglycerin. Int Rev Neurobiol 2007; 82: 373–82.
36. Pardutz A, Szatmari E, Vecsei L, Schoenen J. Nitroglycerin-induced nNOS increase in rat trigeminal nucleus caudalis is inhibited by systemic administration of lysine acetylsalicylate but not of sumatriptan. Cephalalgia 2004; 24: 439–45.
37. Varga H, Pardutz A, Vamos E et al. Cox-2 inhibitor attenuates NO-induced nNOS in rat caudal trigeminal nucleus. Headache 2007; 47: 1319–25.
38. Yang GY, Lee MK, Bae YC, Ahn DK. Intracisternal administration of COX inhibitors attenuates mechanical allodynia following compression of the trigeminal ganglion in rats. Prog Neuropsychopharmacol Biol Psychiatry 2009; 33: 589–95.
39. Breder CD, Smith WL, Raz A et al. Distribution and characterization of cyclooxygenase immunoreactivity in the ovine brain. J Comp Neurol 1992; 322: 409–38.
40. Breder CD, Dewitt D, Kraig RP. Characterization of inducible cyclooxygenase in rat brain. J Comp Neurol 1995; 355: 296–315.
41. Shin MC, Jang MH, Chang HK et al. Modulation of cyclooxygenase-2 on glycine- and glutamate-induced ion currents in rat periaqueductal gray neurons. Brain Res Bull 2003; 59: 251–6.
42. Vaughan CW. Enhancement of opioid inhibition of GABAergic synaptic transmission by cyclo-oxygenase inhibitors in rat periaqueductal grey neurones. Br J Pharmacol 1998; 123: 1479–81.
43. Leith JL, Wilson AW, Donaldson LF, Lumb BM. Cyclooxygenase-1-derived prostaglandins in the periaqueductal gray differentially control C- vs. A-fiber-evoked spinal nociception. J Neurosci 2007; 27: 11296–305.
44. Koistinaho J, Chan PH. Spreading depression-induced cyclooxygenase-2 expression in the cortex. Neurochem Res 2000; 25: 645–51.
45. Miettinen S, Fusco FR, Yrjanheikki J et al. Spreading depression and focal brain ischemia induce cyclooxygenase-2 in cortical neurons through N-methyl-D-aspartic acid-receptors and phospholipase A2. Proc Natl Acad Sci USA 1997; 94: 6500–5.
46. Yokota C, Inoue H, Kuge Y et al. Cyclooxygenase-2 expression associated with spreading depression in a primate model. J Cereb Blood Flow Metab 2003; 23: 395–8.
47. Balfour JA, Fitton A, Barradell LB. Lornoxicam. A review of its pharmacology and therapeutic potential in the management of painful and inflammatory conditions. Drugs 1996; 51: 639–57.
48. Hillstrom C, Jakobsson JG. Lornoxicam: pharmacology and usefulness to treat acute postoperative and musculoskeletal pain a narrative review. Expert Opin Pharmacother 2013; 14 (12): 1679–94.
49. Ксефокам Рапид – официальная инструкция по применению. http: //grls.rosminzdrav.ru/Grls_View_v2.aspx?routingGuid=fa943cbf-5cd8-4e53-8923-2ef77ae5f4b4&t= / Ksefokam Rapid – oficialnaya instrukciya po primeneniyu. http: //grls.rosminzdrav.ru/Grls_View_v2.aspx?routingGuid=fa943cbf-5cd8-4e53-8923-2ef77ae5f4b4&t= [in Russian]
________________________________________________
1. Atchison JW, Herndon CM, Rusie E. NSAIDs for musculoskeletal pain management: current perspectives and novel strategies to improve safety. J Manag Care Spec Pharm 2013; 19 (9 Suppl. A): 1–19.
2. WHO Normative Guidelines on Pain Management. 2007. http: //www.who.int/medicines/areas/quality_safety/delphi_study_pain_guidelines
3. Lipton RB, Stewart WF, Stone AM et al. Stratified care vs step care strategies for migraine: the Disability in Strategies of Care (DISC) Study: A randomized trial. JAMA 2000; 284: 2599.
4. The 3rd edition of the International Classification of Headache Disorders (ICHD-3). Cephalalgia 2018; 38 (1) 1–211.
5. Tepper SJ, Dahlöf CG, Dowson A et al. Prevalence and diagnosis of migraine in patients consulting their physician with a complaint of headache: data from the Landmark Study. Headache 2004; 44 (9): 856–64.
6. Acute migraine treatment in emergency settings. Comparative Effectiveness Review Summary Guides for Clinicians. Agency for Healthcare Research and Quality. www.ncbi.nlm.nih.gov/books/NBK164542/ (Accessed on November 25, 2013)/
7. Evers S, Afra J, Frese A et al. EFNS guideline on the drug treatment of migraine--revised report of an EFNS task force. Eur J Neurol 2009; 16 (9): 968–81.
8. Osipova V.V., Filatova E.G., Artemenko A.R. i dr. Diagnostika i lechenie migreni: rekomendacii rossijskih ekspertov. Zhurn. nevrologii i psihiatrii im. S.S.Korsakova. Specvypuski. 2017; 117 (1): 28–42. [in Russian]
9. Sergeev A.V. Evidence-based treatment of a migraine attack. Consilium Medicum. Neurology and Rheumatology (Suppl.). 2015; 1: 34–7. [in Russian]
10. Colman I, Friedman BW, Brown MD et al. Parenteral dexamethasone for acute severe migraine headache: meta-analysis of randomised controlled trials for preventing recurrence. BMJ 2008; 336: 359.
11. Lim SS, Vos T, Flaxman AD et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380: 2163–96.
12. Jensen R, Stovner LJ. Epidemiology and comorbidity of headache. Lancet Neurol 2008; 7: 354.
13. Osipova V.V. Golovnaya bol napryazheniya. Prakticheskoe rukovodstvo. M., 2009. [in Russian]
14. Sergeev A.V. Lechenie golovnoj boli napryazheniya: ot staryh mifov k sovremennoj koncepcii. RMZh. 2015; 12: 668–74. [in Russian]
15. Bendtsen L, Evers S, Linde M et al. EFNS guideline on the treatment of tension-type headache – report of an EFNS task force. Eur J Neurol 2010; 17: 1318.
16. Lampl C, Rudolph M, Deligianni CI, Mitsikostas DD. Neck pain in episodic migraine: premonitory symptom or part of the attack? J Headache Pain 2015; 16: 80.
17. Bogduk N, Govind J. Cervicogenic headache: an assessment of the evidence on clinical diagnosis, invasive tests, and treatment. Lancet Neurol 2009; 8: 959.
18. Tabeeva T.G. Sergeev A.V. Cervikogennaya golovnaya bol: patofiziologiya, klinika, podhody k terapii. Nevrologiya, nejropsihiatriya, psihosomatika. 2010; 2 (2): 19–26. [in Russian]
19. Lord SM, Barnsley L, Wallis BJ, Bogduk N. Third occipital nerve headache: a prevalence study. J Neurol Neurosurg Psychiatry 1994; 57: 1187.
20. Aprill C, Axinn MJ, Bogduk N. Occipital headaches stemming from the lateral atlanto-axial (C1-2) joint. Cephalalgia 2002; 22: 15.
21. Barnsley L, Lord S, Bogduk N. Comparative local anaesthetic blocks in the diagnosis of cervical zygapophysial joint pain. Pain 1993; 55: 99.
22. Lipton RB, Scher AI, Steiner TJ et al. Patterns of health care utilization for migraine in England and in the United States. Neurology 2003; 60: 441–8.
23. Baraldi C, Pellesi L, Guerzoni S et al. Therapeutical approaches to paroxysmal hemicrania, hemicrania continua and short lasting unilateral neuralgiform headache attacks: a critical appraisal. J Headache Pain 2017; 18 (1): 71.
24. Pardutz A, Schoenen J. NSAIDs in the Acute Treatment of Migraine: A Review of Clinical and Experimental Data. Pharmaceuticals (Basel) 2010; 3 (6): 1966–87.
25. Brooks PM, Day RO. Nonsteroidal anti-inflammatory drugs differences and similarities. N Engl J Med 1991; 324 (24): 1716–25.
26. Hardman JG, Limbird LE, Gilman AG. Insel PA Analgesic-antipyretics and antiinflammatory agents and drug employed in the treatment of gout. In Goodman and Gilman's: The Pharmacological Basis for Therapeutics, 9th ed.; McGraw-Hill: New York, NY, USA, 1996; p. 617–57.
27. McCormack K. Non-steroidal anti-inflammatory drugs and spinal nociceptive processing. Pain 1994; 59: 9–43.
28. Melo-Carrillo A, Strassman AM, Nir R et al. Stratton and Rami Burstein. Fremanezumab – A Humanized Monoclonal Anti-CGRP Antibody – Inhibits Thinly Myelinated (Ad) But Not Unmyelinated (C) Meningeal Nociceptors. J Neurosci 2017; 37 (44): 10587–96.
29. Ebersberger A, Averbeck B, Messlinger K, Reeh PW. Release of substance P, calcitonin gene-related peptide and prostaglandin E2 from rat dura mater encephali following electrical and chemical stimulation in vitro. Neurosci 1999; 89: 901–7.
30. Zhang XC, Kainz V, Jakubowski M et al. Localization of COX-1 and COX-2 in the intracranial dura mater of the rat. Neurosci Lett 2009; 452: 33–6.
31. Ellrich, J, Schepelmann K, Pawlak M, Messlinger K. Acetylsalicylic acid inhibits meningeal nociception in rat. Pain 1999; 81: 7–14.
32. Levy D, Zhang XC, Jakubowski M, Burstein R. Sensitization of meningeal nociceptors: Inhibition by naproxen. Eur J Neurosci 2008; 27: 917–22.
33. Buzzi MG, Sakas DE, Moskowitz MA. Indomethacin and acetylsalicylic-acid block neurogenic plasma-protein extravasation in rat dura mater. Eur J Pharmacol 1989; 165: 251–8.
34. Kaube H, Hoskin KL, Goadsby PJ. Intravenous acetylsalicylic-acid inhibits central trigeminal neurons in the dorsal horn of the upper cervical spinal-cord in the cat. Headache 1993; 33: 541–4.
35. Tassorelli C, Greco R, Armentero MT et al. A role for brain cyclooxygenase-2 and prostaglandin-E2 in migraine: Effects of nitroglycerin. Int Rev Neurobiol 2007; 82: 373–82.
36. Pardutz A, Szatmari E, Vecsei L, Schoenen J. Nitroglycerin-induced nNOS increase in rat trigeminal nucleus caudalis is inhibited by systemic administration of lysine acetylsalicylate but not of sumatriptan. Cephalalgia 2004; 24: 439–45.
37. Varga H, Pardutz A, Vamos E et al. Cox-2 inhibitor attenuates NO-induced nNOS in rat caudal trigeminal nucleus. Headache 2007; 47: 1319–25.
38. Yang GY, Lee MK, Bae YC, Ahn DK. Intracisternal administration of COX inhibitors attenuates mechanical allodynia following compression of the trigeminal ganglion in rats. Prog Neuropsychopharmacol Biol Psychiatry 2009; 33: 589–95.
39. Breder CD, Smith WL, Raz A et al. Distribution and characterization of cyclooxygenase immunoreactivity in the ovine brain. J Comp Neurol 1992; 322: 409–38.
40. Breder CD, Dewitt D, Kraig RP. Characterization of inducible cyclooxygenase in rat brain. J Comp Neurol 1995; 355: 296–315.
41. Shin MC, Jang MH, Chang HK et al. Modulation of cyclooxygenase-2 on glycine- and glutamate-induced ion currents in rat periaqueductal gray neurons. Brain Res Bull 2003; 59: 251–6.
42. Vaughan CW. Enhancement of opioid inhibition of GABAergic synaptic transmission by cyclo-oxygenase inhibitors in rat periaqueductal grey neurones. Br J Pharmacol 1998; 123: 1479–81.
43. Leith JL, Wilson AW, Donaldson LF, Lumb BM. Cyclooxygenase-1-derived prostaglandins in the periaqueductal gray differentially control C- vs. A-fiber-evoked spinal nociception. J Neurosci 2007; 27: 11296–305.
44. Koistinaho J, Chan PH. Spreading depression-induced cyclooxygenase-2 expression in the cortex. Neurochem Res 2000; 25: 645–51.
45. Miettinen S, Fusco FR, Yrjanheikki J et al. Spreading depression and focal brain ischemia induce cyclooxygenase-2 in cortical neurons through N-methyl-D-aspartic acid-receptors and phospholipase A2. Proc Natl Acad Sci USA 1997; 94: 6500–5.
46. Yokota C, Inoue H, Kuge Y et al. Cyclooxygenase-2 expression associated with spreading depression in a primate model. J Cereb Blood Flow Metab 2003; 23: 395–8.
47. Balfour JA, Fitton A, Barradell LB. Lornoxicam. A review of its pharmacology and therapeutic potential in the management of painful and inflammatory conditions. Drugs 1996; 51: 639–57.
48. Hillstrom C, Jakobsson JG. Lornoxicam: pharmacology and usefulness to treat acute postoperative and musculoskeletal pain a narrative review. Expert Opin Pharmacother 2013; 14 (12): 1679–94.
49. Ksefokam Rapid – oficialnaya instrukciya po primeneniyu. http: //grls.rosminzdrav.ru/Grls_View_v2.aspx?routingGuid=fa943cbf-5cd8-4e53-8923-2ef77ae5f4b4&t= [in Russian]
Авторы
А.В.Сергеев
1 ФГАОУ ВО Первый Московский государственный медицинский университет им. И.М.Сеченова, 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2;
2 Клиника нервных болезней им. А.Я.Кожевникова. 119021, Россия, Москва, ул. Россолимо, д. 11, стр. 1 sergeev.neuro@gmail.com
________________________________________________
A.V.Sergeev
1 I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation. 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2;
2 A.Ya.Kozhevnikov Clinic for Nervous Diseases. 119021, Russian Federation, Moscow, ul. Rossolimo, d. 11, str. 1 sergeev.neuro@gmail.com