Headache Flashcards
How are migraine headaches classified?
classified as migraine with or without aura
How do migraines w/o an aura present
Begin immediately with throbbing headache pain
What is the time frame a PT experiencing chronic headaches using nonprescription analgesics should use the agents
Frequency of use should be limited to less than 3 days per week or 14 days per month
What is a requirement before self-treatment of migraines can take place
A medical diagnosis of migraines is required
What stage of a headache do analgesics work best?
Early stages of a migraine
How long should medication be stopped for if medication overuse headache is suspected
A period of 1 month; DIscontinuation should be done with medical supervision
What agents are good for sinus headaches
Oral and Nasal Decongestants (ex. pseudoephedrine, oxymetalozine)
What agents/drug classes are good for prophylactic therapy
Beta-blocker
Tricyclic antidepressants
Calcium Channel Blockers
Divalproex
Topiramate
Gabapentin
What are general treatment measures for migraine
(nonpharm)
Adequate sleep
Eating
Exercise
Stress management
Cognitive therapy
Onset of action for acetaminophen is ___
30 minutes after oral administration
Duration:4 hours ( 6-8 hours with extended release)
FDA approved use of acetaminophen
Pain Relief (mid to moderate), Fever
FDA approved use for nonprescription NSAIDS
-Reduce fever
-Relieving minor pain associated with headache, common cold, toothache, muscle ache, backache, arthritis, menstrual cramps
Onset of action for naproxen sodium and Ibuprofen
30 minutes
Duration: up to 12 hours for Naproxen sodium
6-8 hours for Ibuprofen
Most frequent adverse effects of NSAIDS
Dyspepsia
Heartburn
Nausea
Anorexia
Epigastric pain
What are the FDA approved uses for salicylates
-Symptoms of osteoarthritis
-Rheumatoid arthritis
-Other rheumo-logic diseases
-Temporary pain relif of minor aches and pains w/ back and muscle aches
