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, preferred drugs for migraine headache prophylaxis - correct ans:propranolol, divalproex, amitriptyline
appropriate drugs for migraine headache prophylaxis - correct 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 - correct 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 - correct ans:timolol, atenolol,
metoprolol, nadolol
indications for calcium channel blocker - correct ans:hypertension, angina pectoris, prevention & Tx of
atrial tachycardias
indications for tricyclics (amitriptyline) - correct 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 - correct ans:Migraine and Cluster HA
actions/role of opioids - correct ans:
medications for cluster headache - correct ans:
medications for menstrual headache - correct ans: