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18 Cards in this Set
- Front
- Back
triptans
MOA |
serotonin receptor agonists, vasoconstrict cranial blood vessels
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Sumatriptan
brand? forms it comes in name of combo with naproxen |
Immitrex
PO, SC, Nasal spray treximet-naproxen + sumatriptan |
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Rizatriptan
brand |
maxalt, maxalt MLT (disintegrating tabs)
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Eletriptan
brand |
relpax
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what are symptoms of triptan sensations
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pressure in chest, pressure in neck region
lessens after administration |
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which triptan has longest duration of action
down side of these meds |
frovitriptan- 26 H also, naratriptan
long action, but SLOW ONSET |
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which triptans have a short duration of action
benefit of shorter half meds |
sumatriptan, eletriptan, rizatriptan, zolmitriptan
quicker onset, use the disintegrating tabs for N/V patients |
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studys show which is better in relieving pain?
sumatriptan or eletriptan |
eletriptan 40mg > sumatriptan 100mg in relieving pain
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which triptans are CI with MAOIs
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sumatriptan, rizetriptan, and zolmitriptan
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triptans should be avoided in patients with..
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heart attack or strokes
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how many times should the zomig nasal spray be primed
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never..if you do, you lose the dose
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less common options for migrain
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fioricet- APAP/Butabital/Caffeine
fioricet w/ codeine- CIII Fiorinal-aspirin/butab/caff |
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ergotamine meds for migraine
BBW names of meds |
BBW- Category X
names with erg in them...too many to care |
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when is prophylaxis considered an option instead of acute tx
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using acute tx >2 x a week or if migraine decreases quality of life
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1st line tx for migraine prophylaxis
2nd line.. |
1st- BB-propranolol Is best and topiramate
2nd line.. ACEI, antidepressants, birth control pills if premenstrual migrane |
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whats an option for chronic migraines (15 days/month)
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botox- botulinum toxin A
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Depakote for migraine prophylaxis
Common SE |
not preferred, but used
liver toxicity, pancreatitis, thrombocytopenia can cause weight gain, acne, and PCOS -avoid in chicks |
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topiramate
SE |
weight LOSS, cognitive impairment
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