headache 5 Flashcards
what is the role of opiate analgesics in headache treatment
“rescue therapy” usually used when others have failed
what are 2 issues with opiate analgesic use for headaches
- rebound headache
2. dependence
what are 3 ways antiemetics help for migraine treatment
- helps with nausea associated with migraine
- nausea associated with medication
- refractory headache relief
what type and specific drugs are the antiemetics used for migraines
Dopamine agonists:
- metoclopramide
- chlorpromazine
- prochlorperazine
what antiemetics are no good for treating headaches
serotonin agents (ondansetron…)
what is contained in Treximet
sumatriptain and naproxen
what are the acute migraine management goals (6)?
- treat attacks rapidly and consistently without recurrence
- restrore patients ability fo function
- minimize use of rescue meds
- optimize self care
5 cost effective - minimal or no adverse effects
when should non-oral route be selected for migraine management
if migraines present with nausea or vomiting
acute migraine therapy should be limited to how often
2-3 days per week
selection of migraine therapy should be based on what?
- level of evidence
- comorbid conditions
- side effect profile
- drug interactions
what beta blockers can be used to treat migraines
- propranolol
- timolol (eye drops)
- metoprolol
what type beta blockers are not effective for migraines?
Intinsic symptathomimetic activity (ISA).
betablockers are preferred in patients with what 3 concamittant conditions
- angina
- hypertension
- anxiety
if someone has heart failure and migraines, what is the best drug to pick
metoprolol
what tricyclic antidepressant is used for headaches?
amitriptyline
