migraine

Question 1

cause

Answer 1

imbalance of oneurotransmitter
menstrual
wtih aura
foods- alcohol, beer, redwine, cheese , chocolate, aspartame, caffeine
stress
snsory
wake sleep pattern
barometric pressure

Question 2

diagnosis

Answer 2

HA lasting 4-72 hours
unilateral, pulsating, moderate -severe pain
N/V/photophobia

Question 3

non drug tx

Answer 3

TENS

Question 4

natrual products

Answer 4

caffiene
butterbur
feverfew
mg
riboflavin
co q10
peppermint

Question 5

drug tx

Answer 5

triptans or serotonin receptor agonist
calcitonin gene related peptide CGRP
opiods

Question 6

triptans

Answer 6

5HTP receptor causign vasoconstriction of cranial blood vessels
almotriptan
eletriptan (relpax)
frovatriptan (Frova)
Naratriptan (Amerge)
Rizatriptan (maxalt)
sumatriptan (Iitrex, onzetra tosymra)
Zolmitriptan (Zomig

Question 7

what are some contraindication for triptans

Answer 7

CV
HPT
IHD,
do not use within 24 hours of another triptan
SSRis

Question 8

warnings with triptans

Answer 8

increase in BP serotonin syndrome

Question 9

which triptan can be used by >6 year old

Answer 9

rizatriptan

Question 10

which triptan has the longest halflife

Answer 10

frovitriptan, onset is slower

Question 11

whihc triptans are ODT

Answer 11

rizatriptan and zolmitriptan

Question 12

which triptan is nasl spray

Answer 12

suma and zolmi

Question 13

which triptan is powder

Answer 13

sumatriptan

Question 14

which triptan is sc

Answer 14

suma

Question 15

ergotamine drugs

Answer 15

non selective agonist of serotonin receptor
dihydroergotamine
ergotamine plus caffiene
do not use with CYP3A4 inhibitors

Question 16

other durgs

Answer 16

rimegepant (nurtec ODT)
ubrogepant (ubrelvy)

Question 17

which is a controlled med used for migrane

Answer 17

lasmiditan (reyvow)- selective 5HT1F receptor
fioronal

Question 18

butalbital

Answer 18

barbituate
fiorocet- ACE/BUT/CAF with cod
Fiorinal- ASA/BUT/CAF with cod

Question 19

prophylactic tx of migrane

Answer 19

> 2 days weekly or >3 times monthly
BB (propranolol timolol and metoprolol
topiramate and valporic acid (teratogenic)
TCA- amitriptyline venlafaxine

Question 20

ergotamine AE

Answer 20

CV effects do not use in pregnant patients

Question 21

which triptans are contraindicated with MAO

Answer 21

suma , riza zolmi

Question 22

age restrictions for triptans

Answer 22

riza>6
zoli >12
almo>12
treximat >12

not suma

Question 23

what med is good for menses related migraine

Answer 23

sasoniq birth control

Question 24

migranol

Answer 24

dihydroergotamine