Passmed Neurology - Pharmacological Managements Flashcards
Any tumours exerting pressure effects on CNS
Dexamethasone
Cluster headache
Acute - O2 + SC triptan
Prophylaxis - verapamil
Encephalitis
IV aciclovir
Tremor
Propranolol
Migraine
Oral triptan + NSAID (or paracetamol)
Prophylaxis = topiramate or propranolol (topiramate is teratogenic and reduces COCP effectiveness, propranolol obv has asthma, so select based on Q)
MS symptom relief
Fatigue - amantadine
Spasticity - baclofen or gabapentin
Bladder dysfunction - intermittent self-cath or anticholinergics
Visual field disturbance - gabapentin
Myasthenia gravis
Long-acting acetylcholinesterase inhibitors - pyridostigmine
Immunosuppression with prednisolone
Raised ICP
IV mannitol (if vascular in nature, inflammation = dexamethasone)
Trigeminal neuralgia
Carbamazepine