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18 Cards in this Set

  • Front
  • Back
triptans
MOA
serotonin receptor agonists, vasoconstrict cranial blood vessels
Sumatriptan
brand?
forms it comes in

name of combo with naproxen
Immitrex

PO, SC, Nasal spray

treximet-naproxen + sumatriptan
Rizatriptan
brand
maxalt, maxalt MLT (disintegrating tabs)
Eletriptan
brand
relpax
what are symptoms of triptan sensations
pressure in chest, pressure in neck region

lessens after administration
which triptan has longest duration of action

down side of these meds
frovitriptan- 26 H also, naratriptan

long action, but SLOW ONSET
which triptans have a short duration of action

benefit of shorter half meds
sumatriptan, eletriptan, rizatriptan, zolmitriptan


quicker onset, use the disintegrating tabs for N/V patients
studys show which is better in relieving pain?

sumatriptan or eletriptan
eletriptan 40mg > sumatriptan 100mg in relieving pain
which triptans are CI with MAOIs
sumatriptan, rizetriptan, and zolmitriptan
triptans should be avoided in patients with..
heart attack or strokes
how many times should the zomig nasal spray be primed
never..if you do, you lose the dose
less common options for migrain
fioricet- APAP/Butabital/Caffeine
fioricet w/ codeine- CIII
Fiorinal-aspirin/butab/caff
ergotamine meds for migraine
BBW
names of meds
BBW- Category X

names with erg in them...too many to care
when is prophylaxis considered an option instead of acute tx
using acute tx >2 x a week or if migraine decreases quality of life
1st line tx for migraine prophylaxis


2nd line..
1st- BB-propranolol Is best and topiramate

2nd line.. ACEI, antidepressants, birth control pills if premenstrual migrane
whats an option for chronic migraines (15 days/month)
botox- botulinum toxin A
Depakote for migraine prophylaxis
Common SE
not preferred, but used

liver toxicity, pancreatitis, thrombocytopenia

can cause weight gain, acne, and PCOS -avoid in chicks
topiramate
SE
weight LOSS, cognitive impairment