Flashcards in Unit 2: Headache Deck (21):
L1: What agent is used for migraine prophylaxis for patients with chronic migraine?
L1: What is the treatment for termination of mild-moderate migraines?
L1: Which cause of headache? Associated with fever, neck stiffness, and other constitutional symptoms
L1: Which cause of headache? Worst headache of life with diffuse pain
L2: What agent is used for migraine prophylaxis in other countries by 5-HT2 antagonism?
L2: What agents are used for short-term migraine prophylaxis?
L2: What are two drugs classified as ergot alkaloids?
L2: What are two drugs classified as triptans?
L2: What is the mechanism of action for triptans and ergot alkaloids?
5-HT1 receptor agonists
L2: What is the treatment for termiantion of migraines that do not adequately respond to 5-HT agonists?
L2: Which cause of headache? Secondary headache associated with jaw claudication, temproal artery region scalp tenderness, blindness, and constitutional symptoms
Giant Cell Arteritis
L2: Which type of headache? Intense, sharp, superficial, or stabbing pain lasting up to two minutes
L2: Which type of headache? Periorbital or temporal pain
L3: Name 4 characteristic features of migraines.
Unilateral, pulsating, moderate-severe intensity, pain increases with physical activity
L3: Name associated features of migraines.
L3: What are first line agents for migraine prophylaxis? (2)
Beta-Blockers, anticonvulsants (valproate, topiramate)
L3: What are second line agents for migraine prophylaxis? (2)
L3: What are the most serious side effects of ergot alkaloids not present with triptans
Vascular occlusion, gangrene
L3: What are third line agents for migraine prophylaxis? (2)
Calcium channel blockers, anticonvulsant Gabapentin
L3: What is the treatment for termination of migraines that are refractory to first line treatment? (3)
Triptans, dihydroergotamine, ergotamine