S3E1: HA Flashcards

1
Q

Amitriptyline (elavil): use and rx type

A

Migraine and tension HA prophylaxis.

-TCA

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2
Q

propranolol (inderall): use and rx type

A

Migraine prophylaxis.

-nonselective BB

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3
Q

nadolol: use and rx type

A

Migraine prophylaxis.

-nonselective BB

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4
Q

valproic acid (depakote): use and rx type

A

Migraine prophylaxis.

-anticonvulsant

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5
Q

topiramate (topamax): use and rx type

A

Migraine and cluster HA prophylaxis.

-anticonvulsant

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6
Q

Botox: use

A

Migraine prophylaxis.

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7
Q

-triptans MOA

A

5HT receptor agonist.

Cause vasoconstriction.

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8
Q

Almotriptan (Axert)

+ special indication

A
  • triptan

- kids

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9
Q

eletriptan (relpax)

A

-triptan

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10
Q

frovatriptan (frova)

A

-triptan

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11
Q

naratriptan (amergre) + special thing

A
  • triptan

- long DOA, less rebound

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12
Q

sumatriptan (imitrex)

A

-triptan

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13
Q

zolmitriptan (zomig) + special thing

A
  • triptan

- long DOA, less rebound

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14
Q

rizatriptan (maxalt)

A
  • triptan

- long DOA, less rebound

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15
Q

Newest triptans w long DOA and less rebound HA

A

naratriptan, zolmitriptan, rizatriptan

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16
Q

dihydroergotamine

17
Q

ergotamine mixture (cafergot)

18
Q

ergotamine tartrate (ergomar)

19
Q

ergonovine (ergotrate)

20
Q

methylergonovine (methergine)

21
Q

Acute migraine tx: NSAIDs/OTCs

A
  • APAP + ASA + caffeine
  • naproxen
  • ibuprofen
22
Q

Acute migraine tx: opiods

A

butorphanol (stadol)

23
Q

Acute migraine tx: corticosteroids (+dose)

A

40-60 mg prednisone

24
Q

Acute migraine tx: antiemetics

A
  • domperidone
  • metoclopramide
  • prochlorperazine (compazine)
25
Tension HA prophylaxis
- amitriptyline (TCA) - mirtazepine (remeron; atypical antidepressant) - venlafaxine (effexor; SNRI)
26
Tension HA acute tx
- APAP - NSAIDs + caffeine -muscle relaxants, opiods, triptans DONT help
27
Cluster HA prophylaxis
- verapamil (CCB) - lithium - topiramate (topamax; anticonvulsant) - triptans
28
Cluster HA acute tx
- SQ or intranasal triptan - 100% O2 - intranasal lidocaine - ergotamine (SL or IV)
29
ergot MOA
-vasoconstrictor
30
migraine prophylaxis
- amitriptyline - propanolol - nadolol - topamax - depakote