Headache induced by a nitric oxide donor (nitroglycerin) responds to sumatriptan. A human model for development of migraine drugs

120 Citations (Scopus)

Abstract

Experimental "vascular" headache in humans may be used in characterizing new migraine drugs. The effects of sumatriptan on nitroglycerin-(NTG)-induced headache and arterial responses were therefore studied. Following a double-blind randomized crossover design, 10 healthy volunteers received sumatriptan 6 mg s.c. or placebo succeeded by 20 min NTG (0.12 microgram/kg/min) infusion. Headache was rated on a 10 points scale. Temporal and radial artery diameters and velocity in the middle cerebral artery (MCA) were measured with ultrasound. Sumatriptan reduced the NTG-induced headache, median score 1.5 versus 4 after placebo (p < 0.01) and decreased temporal and radial artery diameters 75 +/- 3 and 86 +/- 3% of baseline respectively (p < 0.05). Blood velocity in the MCA was unaffected. The NTG model may prove to be a valuable tool in the development of future migraine drugs. The results suggest that NTG headache in non-migraineurs may share mechanisms with migraine headache.

Original languageEnglish
JournalCephalalgia : an international journal of headache
Volume16
Issue number6
Pages (from-to)412-8
Number of pages7
ISSN0333-1024
Publication statusPublished - Oct 1996

Keywords

  • Adult
  • Blood Flow Velocity
  • Brain
  • Cross-Over Studies
  • Double-Blind Method
  • Female
  • Headache
  • Humans
  • Male
  • Nitric Oxide
  • Nitric Oxide Synthase
  • Nitroglycerin
  • Sumatriptan
  • Vascular Resistance
  • Vasoconstrictor Agents
  • Vasodilator Agents

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