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Pharm > Migraine > Flashcards

Migraine Flashcards

1
Q

Ergotamine tartrate (Ergomar)

A

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)

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2
Q

dihydroergotamine (D.H.E. 45)

A

dihydroergotamine mesylate nasal spray (Migranol)

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3
Q

Specific 5-HT 1B/1D agonists

A

sumatriptan (Imitrex) - 1st gen

zolmitriptan (Zomig, Zomig ZMT) - 2nd

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4
Q

Dopamine Antagonists - antiemetics (IV, IM or oral)

A

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

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5
Q

Analgesics

A

Aspirin
Acetaminophen (Tylenol)
Ibuprofen (advil, motrin)

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6
Q

Miscellaneous drugs

A

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

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7
Q

Prodrome

A

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

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8
Q

Aura

A

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

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9
Q

Migraine head pain

A

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

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

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10
Q

abortive therapy

A

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

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11
Q

Acetaminophen

A

efficacious in treating migraine pain and symptoms including photophobia and phonophobia

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12
Q

Sumatriptan (Imitrex)

A

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

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13
Q

Triptan symptoms

A

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

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14
Q

Drugs for the acute/abortive treatment of cluster headache

A

oxygen
ergotamine
sumatriptan

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15
Q

drugs for the acute/abortive treatment of tension headache

A

otc analgesics

relaxation

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16
Q

drugs for the prophylactic treatment of cluster headache

A

verapamil
lithium
ergotamine
prednisone

17
Q

drugs for the prophylactic treatment of tension headache

A

amitriptyline

botox

18
Q

migraine in children

A 
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

Pharm (3 decks)

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