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
2
Q
Combination analgesics: Isometheptene/dichloralphenazone/acetaminophen
A
Good for migraine and tension H/A
MOA: cerebral vasoconstriction, sedation, analgesia
Preg C
3
Q
Antiemetics: Promethazine (Phenergan)
A
Have Suppository for
4
Q
Triptans
A
Sumatriptan (Imitrex) Naratriptan (Amerge) Rizatriptan (Maxalt) Zolmitriptan (Zomig) Almotriptan (Axert)
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
6
Q
Ergotamine tartrate (Ergostat, Cafatine, Cafergot) SE
A
REBOUND HEADACHE
Vascular occlusion
Dependence
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!!!