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26 Cards in this Set
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- Back
- 3rd side (hint)
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Imitrex
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sumatriptan
nasal spray, SQ max: 100mg/dose, 200mg/day (tabs) |
nasal formulation: onset 15min max 40mg/d
SQ: 6mg, onset 10-15min, rep in >1 hr max:12mg/d |
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Zomig
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zolmitriptan
nasal spray, ODT max: 5mg/dose, 10mg/day |
ODT: place on TOP of tongue
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Maxalt
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rizatriptan
ODT max: 30mg/day |
ODT: place on TOP of tongue
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Axert
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almotriptan
tab only, not CI w/MAOI max: 25mg/day |
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Relpax
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eletriptan
tab only, not CI w/MAOI max: 40mg/dose, 80mg/day |
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Amerge
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naratriptan
tab only, may repeat in >4hr max: 5mg/day, not CI w/MAOI longer acting,slower onset |
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Frova
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frovatriptan
tab only, max: 7.5mg/day not CI w/MAOI longer acting, slower onset |
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Triptans Class Side Effects
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Pressure in chest/neck region
Dizziness, flushing,nausea |
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Ergot Alkaloids Class Side Effects
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N/V dose dep
paresthesias rebound HA CI w/potent 3A4 |
*Separate from triptans by at least 24hrs d/t risk of ischemic heart disease
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Ergomar
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ergotamine
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Cafergot
Wigraine Migerot |
ergotamine tartrate/caffeine
2 tabs onset w/1 tab q 30min Max: 6 tabs/attack or 10 tabs/week migerot formulation suppository: PR onset, 2nd in 1 hr Max: 2 supp/attack or 5 supp/week |
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Migranal
DHE 45 |
dihydroergotamine
1 spray in each nostril may repeat 15min Max: 4 sprays/attack |
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Duramorph
CII |
morphine sulfate
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Demerol
CII |
meperidine
IM, SQ seizure risk no use w/in 14 days of MAOI |
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Stadol
CIV |
butorphanol
1 spray into ONE nostril may repeat 60-90min no adm with MAOIs last line acute tx |
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Treximet
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sumatriptan 85mg & naproxen 500mg
1 tab onset, may rep 1 tab in 2 hrs Max: 2 tabs/day |
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Midrin
Epidrin Migrazone CIV |
isometheptene 65mg
dichloralphenzaone 100mg APAP 325mg 2 caps onset, then 1 cap Q1H Max: 5caps/12hr |
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Prodrin
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isometheptene 130mg (sympathomimetic)
APAP 500mg caffeine 20mg |
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Excedrin Migraine
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APAP 250mg
ASA 250mg caffeine 65mg |
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Inderal
Blocadren Topamax Stavzor/Depakote/Depakote ER |
propranolol (DOC, max 320mg)
timolol topiramate (25mg qpm, titrate, max 100mg, ADR nephrolithiasis, hypohidrosis) divalproex sodium (ADR: liver tox, pancreatitis, Max: 100mg/day) |
FDA approved migraine preventative treatments
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Botox
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botulinum toxin type A
Inj: 5 units IM per site effect last 3-4months |
approved oct 2010 as preventative tx
indication: chronic migraine >/= 15 days per month with HA lasting >4hr/day+ |
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Elavil
Calan, Isoptin Anaprox |
amitriptyline
verapamil: 2months for effect, gingival hyperplasia naproxen |
Migraine preventative treatments
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Herbal/vitamins
for migraine preventive tx |
Petadolex (butterbur)
Riboflavin (B2) Magnesium Migraspray (feverfew) Coenzyme Q10 |
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Fioricet
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apap 325mg
butalbital 50mg caffeine 40mg |
NOT SCHEDULED
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Fiorinal
C-III |
ASA 325mg
butalbital 50mg caffeine 40mg |
Fioricet same except
apap vs asa both dosed 1-2tabs q4h *both combination tx for TENSION HA |
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Elavil
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amitriptyline
50-300mg |
DOC for tension HA prophylaxis
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