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8 Cards in this Set

  • Front
  • Back
four drugs for home migraine prevention
valproate
gabapentin
amitriptyline
propranolol
cluster ha prevention (2)
lithium
steroids
phenytoin
dilantin
4mg/kg div qd-tid
liver metabolism
need Cr, CBC, LFTs, folate and dental exam
carbamazepine
tegretol
-aplastic anemia/agranulocytosis
1000mg/day div bid-qid
liver metabolism
valproate sodium vs. valproic acid vs.
divalproex sodium
depacon vs.
depakene vs.
depakote
depacon- 10 mg/kg IV div qd-tid ; depakene is PO
depakote (also for mania and migraines)
liver metabolism CYP 450
-hepatotoxicity, pancreatitis
tx status epilepticus
(first line, second line, supplemental, labs)
lorazapam (4mg IVx1) may repeat q10min, max 8mg

fosphenytoin to follow (15mg PE/kgk IV x1)

50cc D50 IV + 100mg IV thiamine

draw Ca, K, Na, CBC, Chem-6, tox screen, anticonvulsant levels
tx attack of MS
1gm/d x 3 days methylprednisolone IV
then
1mg/kg/day prednosione taper x11 days
betaseron
avonex
rebif
INFbeta's (betaseron is 1b, the rest are 1a) for tx of MS