CNM Exam Meds Questions And Correct Answers

CNM Exam Meds Questions And Correct Answers


cyclobenzaprine (Flexeril)

skeletal muscle relaxant

tx LBP

MOA: decreases tonic somatic motor activity in the brain stem

-somnolence may occur

-potentializes alcohol and other CNS depressants

-increased risk for HTN crisis w/ MAO inhibitors

-limit to 1-2 weeks at most

-avoid use in elderly adults

-not recommended in pregnancy

triptans (sumatriptan, zolmitriptan, rizatriptan)

first line tx for moderate to severe migraine HAs

MOA: selective serotonin agonists

-may initially cause chest/throat tightness, flushing, numbness, tingling, dizziness



should not use w/in 24 hrs of another triptan or any ergotamine containing drug

c/i w/ CAD, HTN

preg only if BOR, highest concern at end of pregnancy



ergotamines (ergotamine, dihydroergotamine/parenteral and nasal spray)

second line tx migraine HAs

nonspecific serotonin agonist and vasoconstrictor

do not give with a triptan

c/i with CAD, HTN

, c/i pregnancy

propanolol

beta blocker

can be used as migraine prevention

timolol

beta blocker

can be used as migraine prevention

verapamil

calcium channel blocker

can be used as migraine prevention

valproic acid

antiepileptic

can be used as migraine prevention

divalproex

antiepileptic

can be used as migraine prevention

topiramate

antiepileptic

can be used as migraine prevention

butalbital

barbituate

tx episodic tension HAs

MOA: muscle relaxant (low dose), hypnotic (high dose)

-may cause drowsiness, lightheadedness

-potentiates effects of alcohol, other CNS depressants

-avoid use with hepatic impairment

-pregnancy if BOR