naratriptan 2.5mg prn (Naramig)

Question 1

Class

Answer 1

Triptans

Question 2

Indications

Answer 2

Acute relief of migraine in people >12 years old

Question 3

Dose Range

Answer 3

2.5mg stat (M=5mg d)

Question 4

Counselling/SE

Answer 4

• this medication may make you drowsy or dizzy; if affected do not drive or operate machinery
• if you experience SOB, difficulty breathing (anaphylactic-type rxns) or chest pain or tightness, seek medical advice
• this medication is most effective if taken when the headache is beginning to develop, and not earlier (e.g. during aura) or later (when headache more severe)
• if there is no improvement with the first dose, do not repeat
• dose may be repeated after at least 2 hours (4 hours for naratriptan) if migraine recurs

Migraine counselling:

• keep a diary recording the times migraines occur, drugs and dosages used, response to treatment and what may = - - have triggered attack
• avoid identified triggers (e.g. stress, tension, anxiety, caffeine, alcohol, smoking, bright or flickering lights)
• practice relaxation exercises
• exercise regularly and eat a healthy, regular diet

SE:

• dependence may occur when overused resulting in recurrent and/or rebound headaches and withdrawal syndrome
• sensations of heat, tingling, pain, heaviness or tightness in any part of the body including chest and throat
• flushing
• dizziness, drowsiness
• transient BP

Question 5

Monitoring

Answer 5

• dependence/abuse

- BP