Migraine

Question 1

Ergotamine tartrate (Ergomar)

Answer 1

oral, sublingual, rectal; ergotamine tartrate (1mg)/caffeine (100mg)/1-belladona alkaloids (0.125mg)/sodium pentobarbital (30mg) (Ercaf, Wigraine); ergotamine tartare (2mg)/caffeine (10mg) (cafergot suppository)

Question 2

dihydroergotamine (D.H.E. 45)

Answer 2

dihydroergotamine mesylate nasal spray (Migranol)

Question 3

Specific 5-HT 1B/1D agonists

Answer 3

sumatriptan (Imitrex) - 1st gen

zolmitriptan (Zomig, Zomig ZMT) - 2nd

Question 4

Dopamine Antagonists - antiemetics (IV, IM or oral)

Answer 4

Metoclopramide (Reglan)
Prochlorperazine (Compazine)
Chlorpromazine (Thorazine)

Question 5

Analgesics

Answer 5

Aspirin
Acetaminophen (Tylenol)
Ibuprofen (advil, motrin)

Question 6

Miscellaneous drugs

Answer 6

Beta-blockers (propranolol, timolol, atenolol, metoprolol, nadolol)
Antidepressants - amtriptyline (Elavil)
Anticonvulsant drugs - valproate (depakote), topiramate (Topamax), gabapentin (neurontin)
Botulinum toxin type A (botox)

Question 7

Prodrome

Answer 7

less than and equal to 60%; changes in mood (depression, irritability, etc…) &appetite (food cravings) that occur hours to days before the migraine

Question 8

Aura

Answer 8

Migraine without aura (Common Migraine)
Migraine with aura (Classic Migraine)
less than equal 25% of people with migraine

Question 9

Migraine head pain

Answer 9

less than or equal to 2 attacks per week; abortive therapy

more than or equal to 3 attacks per week; prophylactic therapy

Question 10

abortive therapy

Answer 10

to avoid the problem of rebound headaches abortive therapy should be used ~2 times a week

Question 11

Acetaminophen

Answer 11

efficacious in treating migraine pain and symptoms including photophobia and phonophobia

Question 12

Sumatriptan (Imitrex)

Answer 12

Triptans are used for the acute treatment of moderate to severe migraines

Question 13

Triptan symptoms

Answer 13

common w/ Sumatriptan and newer triptans, chest and throat tightness, difficulty breathing, panic/anxiety, paresthesia, feeling of heaviness

Question 14

Drugs for the acute/abortive treatment of cluster headache

Answer 14

oxygen
ergotamine
sumatriptan

Question 15

drugs for the acute/abortive treatment of tension headache

Answer 15

otc analgesics

relaxation

Question 16

drugs for the prophylactic treatment of cluster headache

Answer 16

verapamil
lithium
ergotamine
prednisone

Question 17

drugs for the prophylactic treatment of tension headache

Answer 17

amitriptyline

botox

Question 18

migraine in children

Answer 18

Shorter duration of head pain (30 min). 1st step is to eliminate possible food triggered in child's diet. 
otc analgesics advil, tylenol
antiemetic domperidone
beta blockers - prophylactic
triptans - acute