Headache Management

Question 1

Tension headache tx

Answer 1

NSAIDs and other analgesics

Question 2

Migraine: tx

Answer 2

triptans or ergotamine as abortive therapy

Question 3

Cluster headache: tx

Answer 3

triptans, ergotamine, or 100% oxygen
prednisone, and lithium

ALL as abortive therapy

Question 4

Giant cell (temporal) arteritis tx

Answer 4

prednisone

Question 5

Pseudotumor cerebri medical tx

Answer 5

weight loss; acetazolamide to decrease production of cerebrospinal fluid.

Steroids help

Repeated lumbar puncture rapidly lowers intracranial pressure

Question 6

Pseudotumor cerebri qx management

Answer 6

Place a ventriculoperitoneal shunt or fenestrate (cut into) the optic nerve if medical therapy does not control it.

Question 7

who are the triptans

Answer 7

sumatriptan, eletriptan, almotriptan, zolmitriptan

they are 5-HT1 agonists

Question 8

Provide cluster prophylaxis

with

Answer 8

verapamil!

tho also can work
Prednisone
Sodium valproate

Question 9

The best preventive therapy for migraine is

Answer 9

propranolol.

Question 10

Other preventive medications for migraine are

Answer 10

Calcium channel blockers
Tricyclic antidepressants (amitriptyline)
SSRIs, topiramate
Botulinum toxin injections

Question 11

All forms of preventive therapy take ___ to begin to work

Answer 11

several weeks