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These actions improve the chloride ion currents mediated by GABA ( (2) Selectively inhibits voltage-dependent Na + channels, which reduces or stops the release of neurotransmitters and vasoactive peptides, inhibits action potential propagation, and lessens focal discharges ( (3) It minimizes sustained membrane depolarization, raises the threshold for migraines, inhibits the release of CGRP and glutamate from the trigeminal vascular nerve endings, blocks high-voltage activated Ca 2+ channels, and reduces or prevents the release of neurotransmitters and vasoactive peptides ( (4) Reduces glutamate release as well as discharges by antagonistically binding to the AMPA/kainate receptors while having no discernible effect on the N-methyl-D-aspartic acid receptor subtypes ( (5) Reduces the levels of excitatory neurotransmitters and increases the transmission of inhibitory neurotransmitters by inhibiting carbonic anhydrase (CA), especially CA II and CA IV ( Topiramate attenuates dural vasodilation primarily by inhibiting nitric oxide-mediated release of CGRP from preganglionic fibers of the trigeminal nerve ( 5 The relationship between migraine, oxidative stress, and neurogenic inflammation According to the theory of migraine genesis, the majority of migraine triggers have the ability to cause oxidative stress in the body

C., Kaddurah-Daouk, R