Migraines Flashcards
What does aura mean
visual/sensory symptoms that preceed the migraine
Aura symptoms
Visual
-zigzag, lines, lights
Sensory
- pins and needles, numbness
Dyphasia
- cant understand language
Migraine lifestyle advice
- maintain hydration, sleep and exercise
- avoid chocolate and wine
- relax
- stop triggers
Acute migraine treatment
- Aspirin
- ibuprofen
- 5HT1-receptor agonists (triptans)
Migraine with Aura and Triptans
Triptans should be taken at start of migraine not aura
Triptan repeating doses
If a triptan is taken and there is a slight response
==> a 2nd dose can be taken 2 hours after
(in naratriptan it is 4 hours)
Which medication is needed when taking triptans
Anti-emetics
- Prochlorperazine
- Metoclopramide
When are triptans contra-indicated
CVD
What is the 1st Line for migraine prophylaxis
1st Line:
- Propranolol
(if contraindicated)
Metoprolol
Nadalol
What is the 2nd Line for migraine prophylaxis
2nd Line:
Amitriptyline
What are rare uses for migraine prophylaxis
- Sodium Valproate
- Pizotifen
- Botox
What is a cluster headache
intense pain in or around eye
Cluster headache treatment and prophylaxis
Treatment:
- Nasal Sumatriptan
Prophylaxis
- Verapamil
- Lithium
- Prednisolone
What is trigeminal neuralgia
severe facial pain, electric like in jaw, teeth or gums
What is the treatment for trigeminal neuralgia
Carbamazepine
