Miscellaneous Quiz / Headache Drugs

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Can you name the Headaches?

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HintAnswer
Prochlorperazine class
Tx of primary cough HA
Tolfenamic acid class
Dx: thunderclap, worst HA ever, CN III palsy, s/s of ICP, and meningismus
Tx of cluster HA - chronic short term prevention
Ergotamine class
Tx of hemicrania continua
Tx of primary stabbing HA
Tx of cluster HA - acute attack
Butorphanol use
SE: Before tx with renal impairment: hyponatremia, HA, n/v, After tx: dehydration, hypernatremia, hyperkalemia
Metoclopramide class
Butorphanol class
Valproate class
Drug MOA: osmotic diuresis out of parenchyma into vascular space
Tx of primary sex HA
Elevate ICP value
Prevention of primary exertional HA
NSAIDS use
Tx of hypnic HA
TCA use
Dx: unilateral throbbing HA, >50, fever, scalp sensitivity, jaw pain, vision difficulty
Ibuprofen class
Indication for Serotonin Agonist
Propanolol use
Ergonovine class
Naratriptan class
Amitriptyline, Nortryptyline, and doxepin can be taken prophylactically at bedtime for ________ HA
HintAnswer
Tx of temporal arteritis
Drowsiness, fatigue, pseudoparkinsonism, diarrhea, hyperprolactinemia (gynecomastia, galactorrhea, impotence)
Acetaminophen use
SE: Similar to metoclopramide + rare agranulocytosis
Topiramate class
Chlorpromazine class
Almotriptan class
Naproxen class
Tension HA tx
Sumatriptan class
Bromocriptine class
Dihydroergotamine class
'Triptan' SE
Dopamine antagonist use
Amitriptyline class
Zolmitriptan class
Tx of primary exertional HA
Anti-convulsant use
Gabapentin class
Dx: HA of ICP usually with focalizing signs
Tx of cluster HA - prolonged prevention
Contraindications for 'Triptans'
Rizatriptan class
Serotonin receptor subtype 5-HT 1B/1D
Methysergide class
Nortriptyline class
Indication for Ergot Alkaloids
Tx ICP

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