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NU 578 study guide test 2 Questions with
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preferred drugs for migraine headache prophylaxis
Ans: propranolol, divalproex, amitriptyline
appropriate drugs for migraine headache prophylaxis
Ans: beta-adrenergic blocking agents - (propranolol [inderol], timolol
[blocadren]), antiepileptic drugs - (divalproex [depakote er], topiramate
[topomax], TCA's - amitriptyline [elavil], Estrogens for menstrual migraines -
estrogen gel, estrogen patch [alora, climara, esclim, estraderm, vivelle]
1st line drugs for migraine prevention
Ans: beta blockers, propanolol is used most often
-benefits take a few weeks to develop
-most common s/e fatigue, tiredness. other s/e asthma exacerbation, depression
promotion
-usual dose 80-240mg daily by long acting single dose or divided short acting
dose bid
other beta blockers that may be used for migraine prevention
Ans: timolol, atenolol, metoprolol, nadolol
indications for calcium channel blocker
Ans: hypertension, angina pectoris, prevention & Tx of atrial tachycardias
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indications for tricyclics (amitriptyline)
Ans: prevent migraine and tension headaches in some people. dose 25-150mg
daily at hs. benefits do not depend on elevation of mood since they work in
people who are not depressed.
-can cause hypotension and cholinergic effects [dry mouth, constipation, urinary
retention, blurred vision, tachycardia].
-excessive doses can cause dysrhythmias
indications for triptans
Ans: Migraine and Cluster HA
actions/role of opioids
Ans:
medications for cluster headache
Ans:
medications for menstrual headache
Ans:
side effects, contraindications of beta blockers
Ans:
side effects, contraindications of triptans
Ans:
side effects, contraindications of clozapine