Migraine Drugs May Endanger Patients With Hypertension: Study

by Ramya Rachamanti on  November 27, 2019 at 5:13 PM Drug News
RSS Email Print This Page Comment bookmark
Font : A-A+

Administration of αCGRP blockers for migraine in subjects with high blood pressure could lead to life-threatening cardiac dysfunction, say researchers.
Migraine Drugs May Endanger Patients With Hypertension: Study
Migraine Drugs May Endanger Patients With Hypertension: Study

The neuropeptide αCGRP (α calcitonin gene-related peptide) works in two different ways. It leads to inflammation and dilates the blood vessels right at the release point of the nerve cells, for example in the meninges, which can trigger migraine attacks.

Show Full Article


However, it has a completely different effect on the heart, as has now been discovered by a team of researchers at the University of Zurich (UZH).

Bad for the meninges, good for the heart

As demonstrated by the scientists through studies on mice, αCGRP is also released from active skeletal muscles. It is transported via the blood from the muscle to the heart where it inhibits the pathological heart remodeling caused by chronic high blood pressure. "It is exactly the same for humans as it is for mice," says study leader Johannes Vogel, professor at the UZH Institute of Veterinary Physiology. "Physical activity and sport increase the blood plasma levels of αCGRP, which has a positive effect on the heart in patients with high blood pressure."

Treatment option for certain patients with high blood pressure

The work carried out by the researchers involved comparing normal mice with others having chronic high blood pressure, which were either sedentary or repeatedly and voluntarily ran in a running wheel.

The study revealed that having normal concentrations of αCGRP in the blood plasma is vital and that the peptide is crucial for the positive effects of physical activity on the heart. £\CGRP also provides the heart with extra protection, regardless of its antihypertensive properties in high doses.

"In the future, substances that activate the release of αCGRP or mimic its action could be used in hypertensive patients who can only be physically active to a very limited extent or in whom antihypertensive medications have little or no effect," explains Johannes Vogel.

Caution required with migraine medications and chronic high blood pressure

The research work also brought another finding to light - long-term administration of αCGRP blockers in mice with chronic high blood pressure resulted in life-threatening cardiac dysfunction.

Medications of this kind, which take a targeted approach to blocking the neuropeptide, have recently been approved for migraine prophylaxis. As the neuropeptide αCGRP in species from zebrafish to humans is very similar, it must be part of a key biological mechanism that works in the same way in different organisms.

According to cardiovascular specialist Vogel, the results are therefore also relevant to humans: "αCGRP blockers should only be used for migraine prevention with the proviso that patients' blood pressure is monitored regularly. Chronic high blood pressure should be added to the list of contraindications for the long-term use of αCGRP blockers."

Source: Eurekalert

Post a Comment

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.
Notify me when reply is posted
I agree to the terms and conditions

News A - Z

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

News Search

Premium Membership Benefits

Medindia Newsletters

Subscribe to our Free Newsletters!

Terms & Conditions and Privacy Policy.

Stay Connected

  • Available on the Android Market
  • Available on the App Store

News Category

News Archive