Malantinszky- Headaches Flashcards
fever
hx of neoplasm
sudden onset HA
>50 yrs old
recent onset HA
papilledema
pregnancy
red flags of HA
-At least five attacks
-Headache attacks lasting 4-72 hr
-unilateral location
-pulsating quality
-N/V
-photophobia and phonophobia
migraine w/out aura
migraine w/ aura
premonitory phase
postdrome phase
episodic migraine
chronic migraine
when migraine treatment should be initiated
give each preventive medication n adequate trial >/= _____ months
2 months
Antiepileptics, anti-depressants, beta-blockers, CGRP inhibitors
preventive medications for migraines
NSAID, acetaminophen, triptans, CGRP inhibitors
abortive medications
antiepileptics used to prevent migraines
valproate, topiramate
anti-depressants used to prevent migraines
Amitriptyline
beta blockers used to prevent migraines
metoprolol
propranolol
tinolol
can be used as preventive for migraines but is costly
Botulinum toxin A
abortive 5-HT1F receptor agonist
Lasmiditan
abortive 5-HT1B/1D receptor agonist
-TRIPTANS
what to try to never use to treat migraines
opioids
migraine in pregnancy
Acetaminophen
Tylenol
15-180 minutes
Trigeminal autonomic cephalagias(TACs)
15-180 min
more common in men
restlessness
excruciating pain
circadian pattern
cluster HA’s
Likely three systems: Hypothalamus, pain system, autonomic system
cluster HA
preventive medication for cluster HA
Verapamil
abortive medications for cluster HA’s
-triptans
100% oxygen
women>men
bilateral
no N/V
no photophobia/phonophobia
tension HA
to manage tension HA
lifestyle changes
abortive therapy for tension HA
Acetaminophen
NSAIDs
preventive therapy for tension HA
Amitriptyline
