migraine pharmaceutical care Flashcards
1
Q
what other med should you offer
A
anti-emetic in addition to other med even in absence of nausea and vomiting. Metoclopramide shouldn’t be used regularly due to risk of extrapyramidal side effects.
2
Q
- If the person has tried 2+ triptans unsuccessfully, or treatment is successful but attacks are frequent, consider
A
preventetive treatment
2
Q
- If the person has tried 2+ triptans unsuccessfully, or treatment is successful but attacks are frequent, consider
A
preventetive treatment
3
Q
different choice of therapy for preventative:
A
- Propranolol
- Topiramate (50-100mg daily, in divided doses [ contraindicated in pregnancy- highly effective contraception is required prior to initiation]) or
- Amitriptyline
- Do NOT offer gabapentin for migraine prophylaxis
