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Quiz: preferred drugs for migraine headache prophylaxis
Ans: propranolol, divalproex, amitriptyline
Quiz: 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]
Quiz: 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
Quiz: other beta blockers that may be used for migraine prevention
Ans: timolol, atenolol, metoprolol, nadolol
Quiz: indications for calcium channel blocker
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in the number given.
, Ans: hypertension, angina pectoris, prevention & Tx of atrial tachycardias
Quiz: 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
Quiz: indications for triptans
Ans: Migraine and Cluster HA
Quiz: actions/role of opioids
Ans:
Quiz: medications for cluster headache
Ans:
Quiz: medications for menstrual headache
Ans:
Quiz: side effects, contraindications of beta blockers
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in the number given.