Eficienţa aplicării medicamentului Timolol 0,5% în profilaxia crizelor migrenoase

Abstract

Background: Migraine is a chronic neurological disorder characterized by recurrent episodes of headache and associated symptoms that last 4-72 hours. It is a disease with genetic substrate, very common, debilitating and costly, with a considerable socioeconomic impact, recorded mainly in the most productive period of life between 25 and 55 years. Migraine is often associated with photophobia, phonophobia, vertigo, sometimes vomiting, fatigue. For the treatment of migraine attacks are recommended NSAIDS, triptans, ergot preparations. For preventive treatment are recommended β-adrenergic blockers, calcium channel inhibitors, serotonin antagonists, tranquilizers, antidepressants. Typically, most of such pharmaceuticals are administered orally. Since most of migraine attacks are accompanied with a retro-orbital pain, the efficacy and safety of topical Timolol 0.5% on blockage of β-adrenergic receptors for preventing migraine headaches are assessed. Beta-blockers are awell-known prophylactic treatment for migraine; however, treatment by the ocular route has not been widely considered. Timolol maleate eye drops 0.5% have been prescribed as a prophylactic treatment against migraine headaches, according to reports with success in terms of the prophylactic effect of such treatment. Conclusion: This article presents cases from the literature that illustrate the resolution of a visual field defect, ophtalmoplegia and another simptoms associated with migraine possibly due to administration of a topical beta-blocker. This novel method of treatment may have a place in the management of migraine. Timolol maleate eye drop is an effictive, well-tolerated, safe, and easy-to-use prophylactic antimigraine medication.