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A fixed-dose combination of the non-steroidal anti-inflammatory drug (NSAID) naproxen and the dopamine D2 receptor antagonist domperidone, marketed by Brainwave Healthcare. Naproxen provides analgesic and anti-inflammatory effects by inhibiting the cyclooxygenase enzymes COX-1 and COX-2, thereby reducing the synthesis of prostaglandins involved in migraine pain. Domperidone acts as a peripheral antiemetic and prokinetic agent by antagonizing dopamine D2 receptors in the chemoreceptor trigger zone and the upper gastrointestinal tract. This action helps alleviate migraine-associated nausea and vomiting and may counteract gastric stasis, potentially improving the absorption and efficacy of the analgesic component. The combination is specifically indicated for the acute treatment of migraine attacks where nausea is a prominent symptom.
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