Wk 27 - CNS OTC (headache) Flashcards
1
Q
What occurs during the prodromal phase of migraines?
A
- Mood variation
- Yawning
- Food cravings
- Fluid retention
2
Q
What are the aura symptoms of a migraine?
A
- <1hr
- Flashing lights
- Blind spot
- Numbness + tingling
3
Q
What are the symptoms during a migraine attack?
A
- Severe headache
- Throbbing
- Unilateral
- N+V
- Photo + phonophobia
4
Q
What are the post dromal symptoms of migraines?
A
- Hangover effect
- Fatigue
- Depressed mood
5
Q
Which conditions are migraines associated with an increased risk of?
A
- Depression
- Bipolar
- Anxiety
- Panic
6
Q
What is first line for a migraine?
A
Paracetamol
7
Q
Which anti-emetics can be used for migraines causing gastric stasis?
A
- Buclizine
- Prochlorperazine: blocks chemoreceptor trigger zone
8
Q
How does sumatriptan work when treating migraines?
A
- Constrict blood vessels dilated during attack
- Alleviates headache, photophobia, phonophobia + nausea
9
Q
What are the supply criteria for sumatriptan?
A
- Migraine diagnosed
- Analgesics ineffective
- 18-65
- Migraine for at least a year
- 5/more attacks
10
Q
What are the precautions when using sumaptriptan?
A
- SSRi/SNRI
- St john’s wort
- COC
- 3/more HD risk factors: diabetes, high cholesterol, smoking, NRT
11
Q
What are the CI of sumatriptan?
A
- Under 18, over 65
- Pregnant/breastfeeding
- CV risk/HPT
- Epilepsy
- MAOIs last 2 wks
- Triptan allergy
12
Q
What are the counselling points for sumatriptan?
A
- 1 tab ASAP first sign
- Symptoms return + relief: 2nd after 2 hrs
- Max 2 in 24 hrs
13
Q
What are the counselling points for migraines?
A
- Avoid trigger
- Immediate analgesic
- Sleep
- Dark + quiet env
- Hot/cold compress
14
Q
What are the causes of tension headache?
A
- Posture
- Stress
- Anxiety
- Prolonged conc
- Fatigue
15
Q
What are the symptoms of tension headache?
A
- Dull pain
- Tight band round head
- Dizzy
- Fatigue
- Sweating
