Regis NU641 Adv Clinical Pharmacology Midterm Exam questions with correct answers

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