{"id":5232,"date":"2025-03-23T09:56:10","date_gmt":"2025-03-23T08:56:10","guid":{"rendered":"https:\/\/rvh-synergie.org\/actualites\/therapie-combinee-recommandee-pour-les-migraines\/"},"modified":"2025-03-23T09:56:10","modified_gmt":"2025-03-23T08:56:10","slug":"therapie-combinee-recommandee-pour-les-migraines","status":"publish","type":"post","link":"https:\/\/rvh-synergie.org\/actualites\/therapie-combinee-recommandee-pour-les-migraines\/","title":{"rendered":"Th\u00e9rapie combin\u00e9e recommand\u00e9e pour les migraines"},"content":{"rendered":"
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Les m\u00e9decins devraient prescrire des triptans pour les patients en migraine qui ne re\u00e7oivent pas de soulagement des analg\u00e9siques en vente libre (OTC), selon une nouvelle directive clinique de l’American College of Physicians.<\/p>\n

La recommandation est bas\u00e9e sur une revue de preuves montrant que l’ajout d’un triptan \u00e0 un m\u00e9dicament anti-inflammatoire non st\u00e9ro\u00efdal (AINS) ou \u00e0 l’ac\u00e9taminoph\u00e8ne a mieux fonctionn\u00e9 pour \u00e9touffer la douleur et les maux de t\u00eate que les produits en vente libre, les chercheurs rapportent dans le Annales de m\u00e9decine interne<\/i>.<\/p>\n

Cette th\u00e9rapie combin\u00e9e \u00ab\u00a0a entra\u00een\u00e9 une plus grande probabilit\u00e9 de soulagement soutenu de la douleur jusqu’\u00e0 48 heures apr\u00e8s le traitement initial et une probabilit\u00e9 plus faible d’utiliser des m\u00e9dicaments de sauvetage \u00e0 24 heures\u00a0\u00bb, par rapport \u00e0 l’utilisation d’un Triptan seul, a d\u00e9clar\u00e9 l’\u00e9quipe de recherche dirig\u00e9e par le Dr Carolyn Crandall, un interniste \u00e0 la UCLA School of Medicine.<\/p>\n

\u00ab\u00a0De plus, la th\u00e9rapie combin\u00e9e d’un triptan et d’un AINS entra\u00eene probablement une probabilit\u00e9 plus \u00e9lev\u00e9e d’atteindre le soulagement de la douleur \u00e0 deux heures et une libert\u00e9 de douleur soutenue \u00e0 48 heures\u00a0\u00bb, ont ajout\u00e9 les chercheurs.<\/p>\n

Les m\u00e9dicaments Triptan traitent les migraines en changeant la fa\u00e7on dont le sang circule dans le cerveau et la fa\u00e7on dont le cerveau traite les signaux de la douleur, selon la Cleveland Clinic.<\/p>\n

\u00ab\u00a0L’utilisation d’un triptan seule a historiquement \u00e9t\u00e9 le traitement de premi\u00e8re ligne de la migraine \u00e9pisodique\u00a0\u00bb, lit un r\u00e9sum\u00e9 pour les patients fournis par l’ACP.<\/p>\n

La migraine \u00e9pisodique se produit lorsqu’une personne a moins de 15 jours de maux de t\u00eate par mois. En revanche, la migraine chronique se produit lorsqu’un individu a 15 jours de maux de t\u00eate ou plus par mois, note l’American Migraine Foundation.<\/p>\n

\u00ab\u00a0Bien que l’utilisation d’un triptan seule soit une option de traitement efficace, ACP a trouv\u00e9 des preuves qui soutient de meilleurs r\u00e9sultats li\u00e9s \u00e0 la migraine avec l’utilisation d’un triptan plus un m\u00e9dicament anti-inflammatoire non st\u00e9ro\u00efdal ou de l’ac\u00e9taminoph\u00e8ne pour traiter la migraine \u00e9pisodique\u00a0\u00bb, indique le r\u00e9sum\u00e9.<\/p>\n

Ces nouvelles lignes directrices signifient que les m\u00e9decins devraient adopter une approche par \u00e9tapes de la gestion des migraines, selon un \u00e9ditorial qui l’accompagne \u00e9crit par le Dr Marianna Shnayderman Yugrakh, un neurologue du programme de maux de t\u00eate du Columbia University Irving Medical Center \u00e0 New York.<\/p>\n

Cependant, Yugrakh a d\u00e9clar\u00e9 que les m\u00e9decins devraient \u00e9galement r\u00e9fl\u00e9chir au-del\u00e0 des directives pour adapter les traitements \u00e0 des patients sp\u00e9cifiques.<\/p>\n

\u00ab\u00a0Les sympt\u00f4mes de la migraine d’un individu peuvent justifier des m\u00e9dicaments sp\u00e9cifiques d’une classe, et les patients dont les sympt\u00f4mes varient selon les attaques peuvent n\u00e9cessiter plusieurs traitements diff\u00e9rents\u00a0\u00bb, a \u00e9crit Yugrakh.<\/p>\n

<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

Les m\u00e9decins devraient prescrire des triptans pour les patients en migraine qui ne re\u00e7oivent pas<\/p>\n","protected":false},"author":1,"featured_media":5233,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[86],"tags":[4575,49,2786,8,4576,1063],"class_list":["post-5232","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-les-maladies","tag-combinee","tag-les","tag-migraines","tag-pour","tag-recommandee","tag-therapie","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-50","resize-featured-image"],"yoast_head":"\nTh\u00e9rapie combin\u00e9e recommand\u00e9e pour les migraines - RVH-Synergie.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/rvh-synergie.org\/actualites\/therapie-combinee-recommandee-pour-les-migraines\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Th\u00e9rapie combin\u00e9e recommand\u00e9e pour les migraines - 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