Efficacy and Safety of Repetitive Intravenous Sodium Valproate in Pediatric Patients with Refractory Chronic Headache Disorders: A Retrospective Review
Chronic headache disorders can cause substantial disability and be treatment refractory. Often, these patients are excluded from clinical trials with leaving little evidence to guide treatment. In adults, divalproex sodium is an effective preventive migraine treatment. (Source: Pediatric Neurology)
Source: Pediatric Neurology - December 31, 2021 Category: Neurology Authors: Sara Pavitt, Amy A. Gelfand, Natalia Zorrilla, Isabel Allen, Nina Riggins Tags: Research Paper Source Type: research

Drug Treatment of Cluster Headache
AbstractCluster headache belongs to the group of trigeminal autonomic headaches. This review summarizes drug therapy of cluster attacks and prophylactic treatment. Neurostimulation methods are not addressed. The therapy for acute cluster attacks includes inhalation of 100% oxygen, subcutaneous administration of sumatriptan, and intranasal application of sumatriptan or zolmitriptan. Bridging therapy, which is used until oral prophylactic therapy is effective, is performed either with oral prednisolone or with a pharmacological block of the major occipital nerves. Best documented drugs  for preventive treatment of cluster h...
Source: Drugs - December 17, 2021 Category: Drugs & Pharmacology Source Type: research

Atogepant (Qulipta) for Migraine Prevention
Date: November 1, 2021 Issue #:  1636Summary:  Atogepant (Qulipta– Abbvie), an oral small-molecule calcitonin gene-related peptide (CGRP) receptor antagonist ( " gepant " ), has been approved by the FDA for prevention of episodic migraine in adults. It is the second oral CGRP receptor antagonist to be approved in the US for this indication; the first was rimegepant(Nurtec ODT), which is also approved for acute treatment of migraine. Parenteral CGRP monoclonal antibodies are approved for prevention of migraine (see Table 3). (Source: The Medical Letter)
Source: The Medical Letter - October 15, 2021 Category: Drugs & Pharmacology Authors: admin Tags: Aimovig Ajovy Amerge Atacand atogepant Beta blockers Botox Candesartan Cymbalta Depakote Divalproex sodium Duloxetine Effexor Emgality Epival eptinezumab erenumab fremanezumab Frova Frovatriptan galcanezumab Lopre Source Type: research

Is this Withdrawal or Intoxication? Case Report Regarding Complications of Unregulated Use of Tianeptine, Etizolam, and Phenibut in the USA
CONCLUSIONS: This case illustrates the difficulty managing poly-substance use/abuse and stresses the importance for physicians to screen for psychoactive agents purchased over the internet or over the counter to improve treatment outcomes. Continued discussions with patients regarding risks/benefits of use of such substances would be beneficial and help increase awareness.PMID:34127137 | DOI:10.1017/S1092852920002734 (Source: CNS Spectrums)
Source: CNS Spectrums - June 15, 2021 Category: Neurology Authors: Sadia B Ghani Eric Taylor Siddesh Gopalakrishnan Source Type: research

Is this Withdrawal or Intoxication? Case Report Regarding Complications of Unregulated Use of Tianeptine, Etizolam, and Phenibut in the USA
CONCLUSIONS: This case illustrates the difficulty managing poly-substance use/abuse and stresses the importance for physicians to screen for psychoactive agents purchased over the internet or over the counter to improve treatment outcomes. Continued discussions with patients regarding risks/benefits of use of such substances would be beneficial and help increase awareness.PMID:34127137 | DOI:10.1017/S1092852920002734 (Source: CNS Spectrums)
Source: CNS Spectrums - June 15, 2021 Category: Neurology Authors: Sadia B Ghani Eric Taylor Siddesh Gopalakrishnan Source Type: research

Is this Withdrawal or Intoxication? Case Report Regarding Complications of Unregulated Use of Tianeptine, Etizolam, and Phenibut in the USA
CONCLUSIONS: This case illustrates the difficulty managing poly-substance use/abuse and stresses the importance for physicians to screen for psychoactive agents purchased over the internet or over the counter to improve treatment outcomes. Continued discussions with patients regarding risks/benefits of use of such substances would be beneficial and help increase awareness.PMID:34127137 | DOI:10.1017/S1092852920002734 (Source: CNS Spectrums)
Source: CNS Spectrums - June 15, 2021 Category: Neurology Authors: Sadia B Ghani Eric Taylor Siddesh Gopalakrishnan Source Type: research

Is this Withdrawal or Intoxication? Case Report Regarding Complications of Unregulated Use of Tianeptine, Etizolam, and Phenibut in the USA
CONCLUSIONS: This case illustrates the difficulty managing poly-substance use/abuse and stresses the importance for physicians to screen for psychoactive agents purchased over the internet or over the counter to improve treatment outcomes. Continued discussions with patients regarding risks/benefits of use of such substances would be beneficial and help increase awareness.PMID:34127137 | DOI:10.1017/S1092852920002734 (Source: CNS Spectrums)
Source: CNS Spectrums - June 15, 2021 Category: Neurology Authors: Sadia B Ghani Eric Taylor Siddesh Gopalakrishnan Source Type: research

Is this Withdrawal or Intoxication? Case Report Regarding Complications of Unregulated Use of Tianeptine, Etizolam, and Phenibut in the USA
CONCLUSIONS: This case illustrates the difficulty managing poly-substance use/abuse and stresses the importance for physicians to screen for psychoactive agents purchased over the internet or over the counter to improve treatment outcomes. Continued discussions with patients regarding risks/benefits of use of such substances would be beneficial and help increase awareness.PMID:34127137 | DOI:10.1017/S1092852920002734 (Source: CNS Spectrums)
Source: CNS Spectrums - June 15, 2021 Category: Neurology Authors: Sadia B Ghani Eric Taylor Siddesh Gopalakrishnan Source Type: research

Is this Withdrawal or Intoxication? Case Report Regarding Complications of Unregulated Use of Tianeptine, Etizolam, and Phenibut in the USA
CONCLUSIONS: This case illustrates the difficulty managing poly-substance use/abuse and stresses the importance for physicians to screen for psychoactive agents purchased over the internet or over the counter to improve treatment outcomes. Continued discussions with patients regarding risks/benefits of use of such substances would be beneficial and help increase awareness.PMID:34127137 | DOI:10.1017/S1092852920002734 (Source: CNS Spectrums)
Source: CNS Spectrums - June 15, 2021 Category: Neurology Authors: Sadia B Ghani Eric Taylor Siddesh Gopalakrishnan Source Type: research

Gene Environment Interactions in the Etiology of Neural Tube Defects
Human structural congenital malformations are the leading cause of infant mortality in the United States. Estimates from the United States Center for Disease Control and Prevention (CDC) determine that close to 3% of all United States newborns present with birth defects; the worldwide estimate approaches 6% of infants presenting with congenital anomalies. The scientific community has recognized for decades that the majority of birth defects have undetermined etiologies, although we propose that environmental agents interacting with inherited susceptibility genes are the major contributing factors. Neural tube defects (NTDs...
Source: Frontiers in Genetics - May 10, 2021 Category: Genetics & Stem Cells Source Type: research

Fabrication of extended-dissolution divalproex tablets: a green solvent-free granulation technique.
Conclusions: The solvent free hot melt granulation process can be employed to formulate 24h extended dissolution divalproex sodium tablets with masked bitter taste and high stability, and comparable or higher bioavailability than the marketed product. PMID: 32362159 [PubMed - as supplied by publisher] (Source: Drug Development and Industrial Pharmacy)
Source: Drug Development and Industrial Pharmacy - May 6, 2020 Category: Drugs & Pharmacology Tags: Drug Dev Ind Pharm Source Type: research

Eptinezumab (Vyepti) for Migraine Prevention
Date: June 1, 2020 Issue #:  1599Summary:  The FDA has approved eptinezumab-jjmr (Vyepti– Lundbeck), a calcitonin gene-related peptide (CGRP) antagonist administered IV once every 3 months, for migraine prevention in adults. It is the fourth monoclonal antibody to be approved for this indication; erenumab (Aimovig), fremanezumab(Ajovy), and galcanezumab (Emgality), which are all given subcutaneously once monthly (fremanezumab can also be given once every 3 months), were approved earlier. (Source: The Medical Letter)
Source: The Medical Letter - April 29, 2020 Category: Drugs & Pharmacology Authors: admin Tags: Aimovig Ajovy Amitriptyline Atacand Atenolol Beta blockers Bisoprolol Botox Candesartan Corgard Cymbalta Depakote Duloxetine Effexor Emgality Epival eptinezumab erenumab fremanezumab galcanezumab Inderal Lopressor Source Type: research

Stepped Treatment for Attention-Deficit/Hyperactivity Disorder and Aggressive Behavior: A Randomized, Controlled Trial of Adjunctive Risperidone, Divalproex Sodium, or Placebo After Stimulant Medication Optimization
This study compared the efficacy in reducing aggressive behavior of risperidone (RISP), divalproex sodium (DVPX), and placebo (PBO) added to stimulant medication among children whose symptoms persisted after individually-optimized stimulant treatment. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - January 29, 2020 Category: Psychiatry Authors: Joseph C. Blader, Steven R. Pliszka, Vivian Kafantaris, Carmel A. Foley, Gabrielle A. Carlson, Judith A. Crowell, Brigitte Y. Bailey, Colin Sauder, W. Burleson Daviss, Christa Sinha, Thomas L. Matthews, David M. Margulies Tags: New Research Source Type: research

Combination of Olanzapine and Samidorphan Has No Clinically Significant Effect on the Pharmacokinetics of Lithium or Valproate
ConclusionsConsistent with previously reported findings on olanzapine, administration of multiple doses of OLZ/SAM did not have a clinically significant effect on the pharmacokinetics of lithium or valproate. Co-administration of OLZ/SAM and lithium or valproate was generally well tolerated; the safety profile of OLZ/SAM was consistent with that observed in previous clinical studies. (Source: Clinical Drug Investigation)
Source: Clinical Drug Investigation - October 3, 2019 Category: Drugs & Pharmacology Source Type: research