Treatment of Headaches Flashcards

1
Q

Combination analgesics: Fiorinal

A

ASA/ Butalbital/Caffeine
Good for tension H/A
MOA: inhibit prostaglandin, sedation, cerebral vasoconstriction
Preg C

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2
Q

Combination analgesics: Isometheptene/dichloralphenazone/acetaminophen

A

Good for migraine and tension H/A
MOA: cerebral vasoconstriction, sedation, analgesia
Preg C

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3
Q

Antiemetics: Promethazine (Phenergan)

A

Have Suppository for

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4
Q

Triptans

A
Sumatriptan (Imitrex)
Naratriptan (Amerge)
Rizatriptan (Maxalt)
Zolmitriptan (Zomig)
Almotriptan (Axert)
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5
Q

Contraindications: Triptans

A
Greater than 65 years old
Hypertension
Ischemic heart disease
Coronary vasospasm
CVD, PVD
MAOI’s
Concurrent ergotamine-containing preparations
Pregnancy Category C
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6
Q

Ergotamine tartrate (Ergostat, Cafatine, Cafergot) SE

A

REBOUND HEADACHE
Vascular occlusion
Dependence

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7
Q

Ergot Alkaloids CI

A
Greater then 60 years old
PVD
CAD
Thrombophlebitis
Severe HTN
Bradycardia
Severe hepatic or renal impairment
Hyperthyroidism
Sepsis
Pregnancy Category X!!!
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