PC707 Module 5 Questions | 100% Correct
Answers | Verified | Latest 2024 Version
Describe a migraine headache - ✔✔Unilateral, throbbing, pulsatile, lasts 4-72 hours, includes nausea and
vomiting, light sensitivity, may have auras, more common in women, and genetically linked. There are
migraine variants that include focal neurologic findings
Describe a tension headache - ✔✔Most common headache; treated effectively with NSAIDs
Describe a cluster headache - ✔✔"Ice pick headache", unilateral, severe pain behind one eye, nasal
congestion with rhinorrhea, occur in clusters over weeks to months, often at night, more common in
men and blacks
Describe a rebound headache - ✔✔Occur due to overuse of medications to treat headache pain. The
medication causes worsening of the pain. Treatment entails discontinuing all pain medications
What medications are used for abortive treatment of migraines? - ✔✔Triptans, Ergots, analgesics,
NSAIDs, antiemetics, combination products
What are the indications for prophylactic migraine treatment? - ✔✔>2 headaches per month, attacks
last >24 hours, cause major disruption in ADLs for 3+ days a month, abortive therapies fail or are
overused, use of abortive medications 2x+ per week
What medications are used for prophylactic treatment of migraines? - ✔✔TCAs, BBLs, triptans, AEDs
(Divalproex)
Describe Serotonin 1B/1D receptor agonists - ✔✔- Sumatriptan (Imitrex)
- causes intracerebral vasoconstriction
-Used for abortive migraines
- Can cause chest tightness
- Teratogenic
- Do not take with ergots or other triptans