Migraines Flashcards

1
Q

2 Causes of migraine

A
  1. Drop in oestrogen before menstruation
  2. Medication over-use (of acute migraine treatment)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Lifestyle advice for migraines

A

Maintain hydration, sleep and exercise
Relax after stress
Avoid chocolate and wine
Headache diary to identify triggers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

First line treatment

A

NSAIDs (ibuprofen, aspirin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Second line treatment

A

5-HT1 Receptor Agonists (triptans)
- sumatriptan tried first

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What antiemetics can be used for migraine nausea?

A

Metoclopramide or prochlorperazine
- as a single dose at headache onset

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Why shouldn’t metoclopramide be used long term?

A

Risk of extrapyramidal side effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What treatment can be considered for severe vomitting?

A

Diclofenac suppositories

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

First line preventative treatments

A

Propranolol (or another beta blocker)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Other medications for preventative treatments

A

Topiramate, amitriptyline, candesartan

Sodium valproate, pizotifen, botox - specialist initiated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How many preventative treatments should be tried before specialist referral?

A

3 unsuccessful drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Side effects of Triptans

A

Headache
Flushing
Hot/cold sensations
Drowsiness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Contraindications of Triptans

A

Mild uncontrolled hypertension
Previous TIA
Previous MI
Heart disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When during a migraine should sumatriptan be taken and when should the second dose be taken?

A

At the start of headache (not aura)

Second dose should be taken 2 hrs after first (if response inadequate)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly