Obj. 56: Meds for HA - aa

Question 1

Which triptan is the most expensive?

Answer 1

rizatriptan

RIza = RIch

Question 2

Which triptan has the narrowest therapeutic window?

Answer 2

zolmitriptan

Question 3

Which triptan is oral only?

Answer 3

rizatriptan

Question 4

Which migraine medication should be given during the migraine prodrome, and is also effective for acute cluster HA?

Answer 4

dihydroergotamine (DHE)

Question 5

DHE is safe to use in pregnant women.

T/F

Answer 5

FALSE.

Pregnancy category X

Question 6

What medication should be given for migraine WHEN ASYMPTOMATIC?

Answer 6

Depakote (divalproex)

Question 7

What needs to be monitored when taking Depakote?

Answer 7

LFTs (hepatic toxicity)

Question 8

What is a heart/BP medication used off-label for migraine prophylaxis?

Answer 8

atenolol

Question 9

What is fiorinal/fioricet and what is its indication?

Answer 9

barbiturate + analgesic + caffeine
e.g. butalbital + acetaminophen/aspirin + caffeine
Tension HA

Question 10

What is a contraindication for fiorinal/fioricet?

Answer 10

porphyria