Pharmacotherapies for Migraine and Translating Evidence From Bench to Bedside

Mayo Clin Proc. 2024 Feb;99(2):285-299. doi: 10.1016/j.mayocp.2023.07.003. Epub 2024 Jan 5.

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.

Publication types

  • Review

MeSH terms

  • Calcitonin Gene-Related Peptide Receptor Antagonists / therapeutic use
  • Calcitonin Gene-Related Peptide* / therapeutic use
  • Humans
  • Migraine Disorders* / drug therapy
  • Migraine Disorders* / prevention & control
  • Receptors, Calcitonin Gene-Related Peptide / therapeutic use

Substances

  • Calcitonin Gene-Related Peptide
  • Receptors, Calcitonin Gene-Related Peptide
  • Calcitonin Gene-Related Peptide Receptor Antagonists