Headaches, Herbal Products, Prescription Writing Flashcards
1
Q
Selective Serotonin Agonists for headaches (4)
A
- Known as triptans
- Bind to 5-HT1B and 1D receptors to cause vasoconstriction with reduced inflammation
* Subtype of 5H5 receptors - Acute treatment of migraines
- Not used commonly in pediatrics
2
Q
Triptan agents (2)
A
- Sumitriptan (Imitrex)
2. Rizatriptan
3
Q
Triptan ADEs (6)
A
- Dizziness
- Visual disturbances
- Jaw pain
- Chest pain
- Flushing
- Caution with 5HT syndrome
* Avoid in combination with an SSRI or Linezolid
4
Q
Pharmacological treatments used for headaches (4)
A
- Selective serotonin agonists
- CCBs
- Topiramate
- Valproic Acid
5
Q
Herbal Product information (5)
A
- OTC products are not FDA regulated
* No standardization on concentration or quality - Insurance coverage may not be there
- Herbal products vs. nutraceuticals
* Nutrition supplements (Isoleucine, citrulline)
* Used for metabolic issues in children if need special diet or deficient in something
* FDA doesn’t consider them a drug - Safety is an issue because there is no standardization or testing of it
- Usually OTC
6
Q
Betaine
A
Used for muscle building but also good for children with certain genetic disorder
7
Q
Rx Writing: National Provider Identifier (3)
A
- Issued by CMS to both institutions and providers
- All electronic and written prescriptions issued in New York State (NYS) must include an NPI
- If a NP is prescribing a medication for patient in his/her hospital of practice, the NP may use institutions’ NPI
8
Q
DEA Number (3)
A
- Issued by the U.S. Department of Justice – Drug Enforcement Administration
- Provided to both institutions and providers
* May use institution’s DEA # if applicable - Required ONLY when prescribing controlled-substances
9
Q
Internet System for Tracking Over Prescribing Law (I-STOP)
A
- New York law mandates prescribers to register with the Prescription Monitoring Program Registry
- Electronic tracking of all CII-IV prescribing
- Goal to better combat opioid misuse, abuse and diversion
10
Q
Medical Marijuana Federal vs. State
A
Federal: Schedule I (after 4th request to change its classification schedule)
State
- NY is allowed to dispense for certain medical conditions
- Requires registration of providers
- NP can register to dispsense
11
Q
Non-controlled prescription components required (8)
A
- Prescriber’s name, practicec address, contact information, NPI, DEA number
- Date written
- Patient’s first and last name
- Name of drug to be dispensed
- Strength, quantity, directions
- Number of refills
- DAW - dispense as written to mandate brand if necessary
- Prescriber’s signature
12
Q
Controlled prescription components required (9)
A
- Prescriber’s name, DEA number
- Date written
- Patient’s first and last name
- Name of drug, strength, directions to be dispensed
- Quantity (numerical and written)
- Number of refills (# and written) and federal code if applicable
- DAW if necessary
- Maximum daily dose (MDD)
- Prescriber signature
13
Q
QD or OD
A
every day
14
Q
QOD
A
Every other day
15
Q
BID, TID, QID
A
BID: 2x/day
TID: 3x/day
QID: 4x/day
