Migraine Flashcards
1
Q
women who have migraine with aura are at higher risk for what
A
stroke
2
Q
Diagnosis of migraine
A
5 attacks with the following
- headache lasting 4-72 hrs
- unilateral location, pulsating
- N/V, photohobia, phonophobia
3
Q
Triptans MOA
A
agonist for 5-HT1 receptor and cause vasoconstriction of cranial blood vessels, inhibit neuropeptide release and decrease pain transmission
4
Q
contraindication to triptans
A
cerebrovascular disease
uncontrolled HTN
ischemic heart disease
5
Q
Ergotamine MOA
A
nonselective agonist of serotonin receptors which causes cerebral vasocontriction
6
Q
when to use ergotamines
A
in patients with contraindications to tripans or find no benefit with triptans
7
Q
list ergotamine drugs
A
dihydroergotamine
8
Q
when to use ppx for migraines
A
if they use acute treatments > 2days/week or >3 times per month
9
Q
prophylactic agents for migraines
A
propranolol topiramate vpa amitriptyline venlafaxine
