headache 3 Flashcards
what is MIDAS
Migraine Disability Assessment Test - series of questions about headaches over the past 3 months
what is the predominate symptom of migraines
pain
what 6 types of drugs can be used to treat headaches
- analgesics
- NSAIDs
- ergot alkaloids
- serotonin agonists
- opiate analgesics
- antiemetics
True/ False
analgesics/ NSAIDs are site specific for migraine associated pain
false
what treatment corresponds with mild to moderate migraine disability
analgesics/ NSAIDs
what are the most commonly used NSAIDs for migraines
ibuprophen, naproxen, and aspirin
what are considered second line for migraines
- Tylenol
- butabital
- caffeine
- dichloalphenazone
- isometheptene
why is butabital avoided for migraine treatment
causes rebound headaches and leads to overuse
what patients should use analgesics/ NSAIDs with caution?
- ulcer disease
- renal disease
- cardiac disease
- hypersensitivity
how do ergot alkaloids work for migraines
5HT1 agonists that constrict intracranial blood vessels and inhibit trigeminovascular system
what is the predominate pathophysiology for migraines
vasodilation
what treatment corresponds with moderate to severe migraines
ergot alkaloids
what are some of the ergot alkaloids used to treat migraines
ergotamine tartrate
dihydroergotamine
when should ergot alkaloids be used
early in the attack when the headache is first starting
why is ergotamine often combined with caffeine
- enhances absorption
2. aids in analgesia
