S3E1: HA

Question 1

Amitriptyline (elavil): use and rx type

Answer 1

Migraine and tension HA prophylaxis.

-TCA

Question 2

propranolol (inderall): use and rx type

Answer 2

Migraine prophylaxis.

-nonselective BB

Question 3

nadolol: use and rx type

Answer 3

Migraine prophylaxis.

-nonselective BB

Question 4

valproic acid (depakote): use and rx type

Answer 4

Migraine prophylaxis.

-anticonvulsant

Question 5

topiramate (topamax): use and rx type

Answer 5

Migraine and cluster HA prophylaxis.

-anticonvulsant

Question 6

Botox: use

Answer 6

Migraine prophylaxis.

Question 7

-triptans MOA

Answer 7

5HT receptor agonist.

Cause vasoconstriction.

Question 8

Almotriptan (Axert)

+ special indication

Answer 8

• triptan

- kids

Question 9

eletriptan (relpax)

Answer 9

-triptan

Question 10

frovatriptan (frova)

Answer 10

-triptan

Question 11

naratriptan (amergre) + special thing

Answer 11

• triptan

- long DOA, less rebound

Question 12

sumatriptan (imitrex)

Answer 12

-triptan

Question 13

zolmitriptan (zomig) + special thing

Answer 13

• triptan

- long DOA, less rebound

Question 14

rizatriptan (maxalt)

Answer 14

• triptan

- long DOA, less rebound

Question 15

Newest triptans w long DOA and less rebound HA

Answer 15

naratriptan, zolmitriptan, rizatriptan

Question 16

dihydroergotamine

Answer 16

ergot

Question 17

ergotamine mixture (cafergot)

Answer 17

ergot

Question 18

ergotamine tartrate (ergomar)

Answer 18

ergot

Question 19

ergonovine (ergotrate)

Answer 19

ergot

Question 20

methylergonovine (methergine)

Answer 20

ergot

Question 21

Acute migraine tx: NSAIDs/OTCs

Answer 21

• APAP + ASA + caffeine
• naproxen
• ibuprofen

Question 22

Acute migraine tx: opiods

Answer 22

butorphanol (stadol)

Question 23

Acute migraine tx: corticosteroids (+dose)

Answer 23

40-60 mg prednisone

Question 24

Acute migraine tx: antiemetics

Answer 24

• domperidone
• metoclopramide
• prochlorperazine (compazine)

Question 25

Tension HA prophylaxis

Answer 25

- amitriptyline (TCA) - mirtazepine (remeron; atypical antidepressant) - venlafaxine (effexor; SNRI)

Question 26

Tension HA acute tx

Answer 26

- APAP - NSAIDs + caffeine -muscle relaxants, opiods, triptans DONT help

Question 27

Cluster HA prophylaxis

Answer 27

- verapamil (CCB) - lithium - topiramate (topamax; anticonvulsant) - triptans

Question 28

Cluster HA acute tx

Answer 28

- SQ or intranasal triptan - 100% O2 - intranasal lidocaine - ergotamine (SL or IV)

Question 29

ergot MOA

Answer 29

-vasoconstrictor

Question 30

migraine prophylaxis

Answer 30

- amitriptyline - propanolol - nadolol - topamax - depakote