HA- Herbals/OTC DI

Question 1

Herbal/OTC options for HA

Answer 1

Magnesium, Vitamin B2, feverfew, butterbur

Question 2

Magnesium indication

Answer 2

Migraine prophy, also good in menstrual migraines

Question 3

Vitamin B2, feverfew, butterbur indications

Answer 3

Migraine prophy

Question 4

Magnesium dosing

Answer 4

400mg PO BID

Question 5

Magnesium side effects

Answer 5

N/V/D

Question 6

Suggested Vitamin B2 dose

Answer 6

400mg QD

Question 7

Suggested feverfew dose

Answer 7

Studied at 50-150mg QD for 4 months

Question 8

Suggested butterbur dose

Answer 8

75mg QD or BID for up to 16 weeks

Question 9

Feverfew ADEs

Answer 9

GI effects

Question 10

Avoid using feverfew in what population?

Answer 10

PREGNANT PATIENTS

Question 11

What to avoid when using butterbur

Answer 11

Products that aren’t labeled as free from pyrrolizidine alkaloids; butterbur contains those alkaloids which can be hepatotoxic, pneumotoxic, carcinogenic, mutagenic, and teratogenic