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“Gepants” cgpr antagonist – a NEW clinical approach to treat migraine and neuropeptides

Meenakshi Sharma, KUNAL ARORA

Asian Journal of Pharmaceutical and Clinical Research, 2025

Abstract

The present review is devoted to apparent part of CGRP in migraine pathogenesis and to depict the various treatment modalities that are presently available to target this neuropeptide. A veritably incapacitating neurovascular illness, migraines are typified by excruciating headaches that are accompanied by nausea, photophobia, and/or phonophobia, as well as activation of the trigeminovascular system by the production of calcitonin-gene related peptide (CGRP). Zavegepant through nasal drug delivery system is one of the best approaches which used as a target drug delivery in sustained controlled release fashion. The main advantage to choose the nasal route for drug delivery is to bypass the first hepatic metabolism and direct absorption of drug into the systemic circulation. To provide a relevant background, a brief discussion of CGRP antagonist and FDA approved drugs for migraine treatment will also be considered in this review.

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