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9 Cards in this Set

  • Front
  • Back

rhinorrhoea


needle track marks


pinpoint pupils


drowsiness


watering eyes


yawning




What drug has been misused?

Opiods like heroin

Migraine acute treatment?

1. triptan + nsaid or triptan + para


2. metoclopramide/ prochlorperazine + NSAID/ Triptan

Migraine prophylaxis should be given if patients are experiencing 2 or more attacks per month. What is it?

1. topiramate (may be teratogenic) or propranolol


2. Acupuncture/ gabapentin

Prophylaxis for women with predictable menstrual migraine treatment?

1. Frovatriptan or Zolmitriptan

What is an absolute contraindication to thrombolysis?

intracranial neoplasm

Bone protection drugs?

The first-line treatment is alendronate. Patients should also be calcium and vitamin D replete.

What is the minimum steroid intake a patient should be taking before they are offered osteoporosis prophylaxis?

7.5mg a day for 3 or more months.

Clinical uses of alendronate- a Bisphosphonate

prevention and treatment of osteoporosis


hypercalcaemia


Paget's disease


pain from bone metatases

Adverse effects of alendronate- a Bisphosphonate

oesophageal reactions: oesophagitis, oesophageal ulcers (especially alendronate)


osteonecrosis of the jaw


increased risk of atypical stress fractures of the proximal femoral shaft in patients taking alendronate