Drugs trial raises hope of migraine cure
Wednesday, 26 December 2007
Migraine sufferers were today boosted by news that a new drugs trial that could spell the end of their misery.
The potential breakthrough came after John Chambers, a consultant
cardiologist at Guy's Hospital London, says that when, on a mere hunch, he
tested a simple clot-busting drug on five patients plagued by migraines, it
worked, in some cases, "spectacularly well".
Now a wider
trial on 280 patients is under way with the results expected next year. If
the drug - clopidogrel - proves similarly effective, it could mean an end to
the throbbing head, nausea and flashing lights that characterise a typical
attack.
Migraines affect at least one in 10 people in the UK and
attacks can last as long as three days.
Currently, migraines are
treated with beta blockers to lower blood pressure and regulate the heart,
as well as anti-depressants. Other treatments include aspirin, paracetamol
and stronger pain-killers, such as Migraleve, which contains paracetamol,
codeine phosphate and buclizine hydrochloride.
Dr Chambers's
treatment is based on the hypothesis that migraines can be caused by tiny
blood clots that form in the heart and travel to the brain, disrupting the
blood flow and causing the typical symptoms of one-sided headache, nausea
and photophobia (sensitivity to light).
Clopidogrel is prescribed
to heart patients to make their platelets less sticky. Platelets are, after
the red and white blood cells, the main constituent in blood that helps to
make it clot when a blood vessel is damaged. However, if the platelets are
too sticky, there is a risk of unnecessary clots forming in the blood
vessels, breaking off and travelling to the lungs or the brain where they
could trigger a potentially fatal stroke or embolism.
Dr Chambers
believes platelets play a crucial role in the genesis of migraines in some
patients.
"No one quite knows what causes migraine. To have
another class of treatments would be very useful," said the
cardiologist.
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After many years of head pains culminating in a recent stroke, I was given Plavix purely by accident for another condition as a precaution in case of a blood clot. The effect it had on my continuous migraine type head pains was immediate. I have been on Plavix 75mg daily for 3 weeks now. Minimal side effects at the moment but a miracle for me.
Posted by Louise | 09.12.08, 18:23 GMT