drugs for migraines (exam 3) Flashcards

1
Q

what are causes of migraines?

A

-neurogenic vasodilation
-genetics
-in women more than men

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2
Q

which migraine med stimulates vascular smooth muscle to CONSTRICT cranial blood vessels?

A

ergotamine tartrate

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3
Q

what are adverse effects of ergotamine tartrate?

A

CV effects
musculoskeletal effects (cyanosis, n/t)
vertigo
n/v

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4
Q

what are contraindications of ergotamine tartrate

A

vascular disease
azole antifungals and macrolide antibiotics

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5
Q

which migraine med produces cranial vascular constriction. also relieves nausea, vomiting, and photophobia

A

sumatriptan

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6
Q

what are adverse effects of sumatriptan

A

dizzy
anxiety
malaise

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7
Q

what are contraindications of sumatriptan

A

vascular disease

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8
Q

what are the multiple routes of sumatriptan admin.

A

SQ, SL, PO, nasal

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9
Q

sumatriptan may take up to ____ to work

A

2 hours

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10
Q

which beta-adrenergic blocker can prevent migrianes

A

propanolol

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11
Q

which calcium channel blocker can help prevent migraines?

A

verapamil

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12
Q

which carboxylic acid derivative can help prevent migraines?

A

valporic acid

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13
Q

which GABA can help prevent migraines?

A

gabapentin

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14
Q

which ACE1 inhibitor can help prevent migraines?

A

enalapril

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15
Q

which tricyclic antidepressant can help prevent migraines?

A

imipramide

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