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16 Cards in this Set
- Front
- Back
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what does a tension headache feel like? what type of headaches are extremely uncommon? what does a cluster headache feel like? |
band squeezing the head, dull tightness, bilateral, no neurological effects cluster, genetics play a huge role in this pain around the eye, explosive pain, restlesss, tearing, runny nose |
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what are the symptoms of a mirgraine? what are the 4 phases of a migraine? what happens in the first phase? |
gradual onset, unilateral, felt on one side, throbbing pain, visual changes, n/v prodrome, aura, headache, postdrome prodrome- photophobia, iritability, loss of appetite |
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how many migraine attacks are required to diagnosis migraine if you have an aura? witihout aura? define chronic migraine? what things in food can trigger a migraine? |
2 and 5 headache on at least 15 days per month for at least 3 months with at least 8 headaches meeting cirteria for migraine w/o aura MSG, nitrates, aspartame, sulfites, tyramine, yeast |
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what medications can cause migraine? what NSAID can only be used for 5 days? what are the two migraine products with butabital in it? what type of headache is this best used in? |
oral contraceptives, indomethacin, nifedipine ketorolac fioricet (apap) and fiorinal (asa) tension type |
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what formulations does ergotamine come in? what about dihydroergotamine? what drugs are usually given with the ergots? |
oral, sublingual, suppository nasal, injection antiemtic, metoclopramide or chlorpromazine |
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what are the contraindications to ergot use? what are the contraindications for triptans? |
CV disease, renal and hepatic failure, triptan use in past 24 hours history of MI, stroke, tia, or uncontrolled HTN |
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what triptans come in ODT? as injection? nasal spray? |
rizatriptan, zolmitriptan sumatriptan sumatriptan, sumatriptan/naproxen, zolmitriptan |
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what type of headaches are triptans usually not given for? what should you use? |
tension nsaids, apap, opioid, butabital |
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how do you treat cluster headaches? what is unique about the nasal formulations as compared to oral? what should you use if you are contraindicated to the above? what is one issue with this medication |
100% oxygen, triptans or ergotamine nasal work quicker steroid taper, or octreotide, does not cause vasoconstriction |
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what should you use to treat mild migraines? what drugs do you use to prophylacic for tension headaches? cluster headaches? what drug should you not give this with |
nsaids, apap, butabital tcas verapamil and lithium, eletripan |
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what drugs is lithium contraindicated in? when is migraine prophlaxis indicated? what comorbid disease are good to use when deciding to use beta blocker for prophylaxis? |
thiazide, ace arb, (renal problems and CHF) more than 2 mirgraines a month, disablity lasting 3 days, use of aboritve medicine twice in a week, failure to other options CHF, HTN, anxiety |
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what antidepressenant can be used if tcas cant be used? what drug combo is dangerous when using tcas? when should you consider antiepleptics for prophylaxis? what should you use if a patient needs prophlaxis with antiepeptic and has trigeminal neuralgia? |
venlafaxine triptans, can lead to serotonin syndrome if you cant take a beta blocker carbamazepine |
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how can you treat a menstrual headache? what triptans can you use prior to menustartion? when is it best to use tcas for prophylaxis? when should you consider botox? |
use nsaid before menstratution frovatriptan, naratriptan, zolmitriptan patient has depression or insomnia for chronic migraines |
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at what age can you use triptans? why should asa be avoided? what antiemetic is best in peds? |
12 reyes syndrome promethazine, low eps |
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what products should you use in a pregnant patient? if you have to use a triptan, what ones should you use in a pregnant patient? |
apap, avoid nsaids in third trimester, avoid opioids, can use steriods sumatriptin, naratriptan, rizatriptan |
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