Headaches Flashcards
Contraindications for ergot
Preg/nursing Uncontrolled HTN Renal/ hepatic failure Sepsis CYP 3A4 Coronary/cerebral/ peripheral vascular disease
Adverse effects for ergot
N/v Abdominal pain Weakness Fatigue Muscle pain Cheat pain Peripheral ischemia
Brand - Imitrex
Sumatriptan
Nasal - po- sq
Brand - treximet
Sumatriptan/naproxen *
PO
Triptan
Brand - zomig
Zolmitriptan
PO - nasal
Triptan
Brand - amerge
Naratriptan
PO
Triptan
Brand - Axert
Almotriptan
PO
Triptan
Maxalt
Rizatriptan
Po
Triptan
Maxalt MLT
Rizatriptan
Disintegrating
Triptan
Frova
Frovatriotan
Po
Relpax
Eletriptan
Po
What triptans are to be avoided within 2 weeks of a MAOI
All except : nartriptan and frovatriptan
What Triptan has ddi with propanol
Frovatriptan
Rizatriptan
Electriptan
Zolmitriptan
What triptans has a ddi with a CYP 3a4 inhibitor
Almotriptan
Electriptan
Triptans have high serotonin syndrome when used with ?
SSRI and SNRI
What medications do you use during episodes of n/v?
Metoclopramide
Prochlorperazine
Amitriptyline
TCA Used for prevention - mdd -underweight CI: mania and urinary retention
Propanolol
B- blocker Used for prevention -HTN -angina -anxiety Ci: asthma CHF hypotension
SSRI
Prevention - not as good as TCA- better AEs
CU: mdd
CI: mania
Valproic acid
Preventive therapy
CU: bipolar and seizures
CI: coagulation and hepatic disease
Estrogen and progesterone
Prevention when dealing with menstrual cycles
Verapamil
Preventive therpay
CU: HTN and anxiety
CI: hypotension and constipation
