Migraine Flashcards
(20 cards)
What is a common condition especially in females?
Migraine
Migraine is characterized by unilateral and pulsating pain that can hinder daily activities.
What are common accompanying symptoms of migraine?
Nausea and photophobia
These symptoms often accompany the headache experienced during a migraine attack.
What are visual symptoms associated with migraine with aura?
Flickering lights, spots, and lines
These visual disturbances occur before or during a migraine attack.
What hormonal change can trigger migraines in some females?
A drop in oestrogen levels just before menstruation
Hormonal fluctuations are a known trigger for migraines.
What is a common complication of migraine due to treatment overuse?
Overuse headache
Frequent use of acute migraine treatments can increase headache frequency and intensity.
What are the aims of migraine treatment?
To stop the attack and to reduce severity of the headache
Effective treatment focuses on both immediate relief and long-term management.
What lifestyle advice is recommended for managing migraines?
Regular meals, adequate hydration, avoiding triggers, and keeping headache diaries
These strategies can help reduce the frequency and severity of migraine attacks.
How often should migraine treatment be restricted?
Two days per week
Limiting treatment frequency can help prevent overuse headaches.
What are the first-line monotherapy options for migraine treatment?
Aspirin, ibuprofen, or triptans
These medications should be taken at the onset of a headache for best results.
What is the first choice medication for migraine?
Sumatriptan
Sumatriptan is commonly recommended for acute migraine treatment.
What should be added to migraine treatment if monotherapy fails?
Naproxen
Combining medications can enhance treatment efficacy for persistent migraines.
Which medications are used to relieve nausea and vomiting associated with migraine?
Metoclopramide and chloroperazine
These medications can help manage gastrointestinal symptoms during a migraine.
Why should metoclopramide not be used regularly?
It can lead to EPSE (extrapyramidal side effects)
Long-term use of metoclopramide is discouraged due to potential side effects.
What is the recommended use of domperidone based on weight?
Used if the weight is more than 35 kilograms
Dosage considerations are important for pediatric patients.
What is the dosing recommendation for sumatriptan?
One tablet, then wait at least two hours before taking another if needed
Patients should not take a second tablet if the first does not provide relief.
What is the first-line medication for migraine prevention?
Propanolol
Beta blockers are commonly used for prophylactic treatment of migraines.
What are alternative beta blockers used if propanolol is unsuitable?
Metoprolol, atenolol, nadolol, and timolol
These alternatives can be effective in managing migraine prophylaxis.
What should be used if a beta blocker is unsuitable for migraine prevention?
Topiramate
Topiramate is another option, but it comes with a pregnancy prevention program warning.
What are ergot alkaloids used for in migraine treatment?
They are used for acute treatment
Examples include ergotamine tartate, but their use is limited due to side effects.
What is the limitation on the use of ergotamine tartate?
Should not be used more than twice a month
It should not be prescribed for prophylaxis due to potential risks.
