Quiz 5 Flashcards Preview

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Flashcards in Quiz 5 Deck (14):
1

A Pt is taking sumatriptan...what other drugs should they avoid?

MAOIs

2

ADRs ergot derivatives

1. N&V
2. Leg weakness - muscle spams
3. Numbness & tingling in fingers & toes
4. CV - bradycardia, EKG changes, HTN, ischemia

3

Can you use triptans & ergot derivatives together?

No - not w/in 24 h

4

Which drug comes from rye seed?

Ergot derivatives

5

What would you use if you had a tension/muscle contraction HA?

Fioricet - Butalbital, acetaminophen & caffiene

Causes resp. depression

6

When do you use migraine prophylaxis meds?

1. HA interferes w/ daily routine
2. Meds contraindicated, ineffective, overused or bad side effects
3. Frequent migraines
4. Uncommon migraine types
5. Cost
6. Pt preference

7

Common migraine prophylaxis meds

1. Beta blockers - propranolol & timolol
2. TCA - amitryptylline
3. Antiseizure meds - topiramate & valproate
4. Neuromuscular blockade - onabotulinumtoxin A

8

What to watch with anti-epileptic drugs

Inc. metabolism of
1. Chemo agents
2. Corticosteroids
3. Theophylline
4. Warfarin
Reduced plasma levels of
5. Cyclosporine
6. Digoxin
7. Haloperidol
8. Oral contraceptives

9

What drug to use w/ primary generalized tonic-clonic seizures?

Valproate

10

What drug to use w/ partial seizure?

Carbamazepine

11

What drug to use with absence seizure?

1. Ethosuximide
2. Valproate

12

What drug to use with atypical absence, myoclonic or atonic seizure?

Valproate

13

ADRs anti-epileptic drugs

1. Suicide
2. SJS

14

Tx status epilepticus

1. Ativan
2. Fosphenytoin
3. Phenytoin sodium