LAST MINUTE HEADACHES

Question 1

prodromal
aura
postdrome

so baseline, aura, headache, repeat

Answer 1

migraine

Question 2

more common than migraine with aura

at least five attacks of HA lasting 4-72 hours with at least two of the following:

• unilateral location
• N/V, photophobia, photophobia

Answer 2

migraine (w/o aura)

Question 3

repetitive episodes
sometimes triggered by alcohol
begins as burning sensation over the lateral aspect of the nose
icepick like pain

Answer 3

cluster headache

Question 4

most common the of headache

recurrent headache of unapparent cause that lacks features of migraine or other HA types

pressing or tightening quality

pain can be described as tight

last hours to days

88 percent women, 69 percent men

Answer 4

tension

Question 5

medication overuse headache

treated with tapering or withdrawal of offending agent and intiation of prophylactic therapy

Answer 5

analgesic rebound headache

Question 6

Meds for acute migraine treatment?

Answer 6

simple analgesics
triptans
ergot alkaloids
misc agent like oxygen

Question 7

name this acute migraine treatment based of the MOA?

APAP
caffeine
aspirin

mild to moderate migraines and tension headaches

Answer 7

simple analgesics

Question 8

name this acute migraine treatment based of the MOA?

first line for mild to moderate migraines and tension headaches

inhibits cyclooxygenase 1 and 2 enzymes

PGE2 and PG12,PGD2

Answer 8

NSAIDs

Question 9

name this acute migraine treatment based of the MOA?

agonist at the 5-HT1B and 5-HT1D receptor on intracranial blood vessels and sensory nerves of the trigeminal system

acute treatment of mild to severe migraines

start ASAP at onset

different forms, oral, injectable

equal in efficacy

Answer 9

triptans

Question 10

name this acute migraine treatment based of the MOA?

migraine effects due to vasoconstriction via 5-HT 1B/1D receptor and inhibition of vasoactive peptide release leading to inflammation prevention

Answer 10

ergot alkaloids