answers
Nicotine potentiates Correct Answer-gastric aggressive factors
Nicotine increases Correct Answer-Heart rate and BP and
vasoconstriction
stepwise escalation of pain management Correct Answer-- non-opiates
- increased dose of non-opiates
- opiates as tolerated
Clinical characteristic of medication overuse for headaches is Correct
Answer-headache returns once medication wears off
acute treatment of migraines Correct Answer-NSAIDs
Triptans
lifestyle changes
Migraine treatment in pregnancy Correct Answer-Acetaminophen
Avoidance of triptans
, potential impact of topamax (topiramate) an anticonvulsant for acute
migraine therapy Correct Answer-impaired ability to properly sweat
during exercise that can lead to hyperthermia or overheating
drug classes for prophylaxis of migraines Correct Answer-BB - atenolol,
metoprolol, propranolol
CCBs - diltiazem
Antidepressants - amitriptyline, venlafaxine
anticonvulsants - divalproex (depakote), valproate, topiramate
triptans like sumatriptan (imitrex), almotriptan (axer), etc Correct
Answer-do NOT effectively treat tension headaches
Verapimil is the drug of choice for prophylaxis of Correct Answer-
episodic and chronic cluster headaches
minocycline use and headaches Correct Answer-assess for pseudotumor
cerebri (ptc) prior to treatment
withdrawal seizures can occur if Correct Answer-levetiracetam is
abruptly stopped and should be told to not stop without consultation
Estrogen derivatives may decrease serum concentrations of Correct
Answer-lamotrigine (lamictal)