Headache Flashcards

1
Q

What is the abortive treatment for TTH?

A
  1. Aspirin or paracetamol

2. NSAIDs

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2
Q

What is the preventative treatment for TTH?

A

Usually none, but can give tricyclic antidepressants (i.e. aminotriptyline, nortriptyline, dothiepin)

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3
Q

What is the abortive treatment for migraine?

A
  1. Aspirin
  2. NSAIDs
  3. Triptans
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4
Q

What is the preventative treatment for migraine?

A
  1. Venflaxine
  2. Tricyclic antidepressants (i.e. aminotriptyline, nortriptyline, dothiepin)
  3. Anti-epileptics: Gabapentin, sodium valproate, topiramate
  4. Propanolol, candesartan
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5
Q

If a woman of child-bearing age has migraine, which class of drugs should be avoided?

A

Anti-epileptics

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6
Q

If a woman has migraine with aura, what OTC drug should be avoided?

A

OCP

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7
Q

How is a pregnant woman with migraine treated?

A

Abortive: Paracetamol
Preventative: Propanolol, aminotriptyline

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8
Q

What is the abortive treatment for cluster headache?

A
  1. Subcutaneous sulmatriptan or nasal zolmatriptain

3. 100% oxygen (mask)

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9
Q

What is the abortive treatment for cluster headache bouts?

A
  1. Occipital depomedrone injection
    Or
  2. Course of oral prednisolone
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10
Q

What is the preventative treatment for cluster headache ?

A
  1. Verapamil
  2. Methylsergide (retroperitoneal fibrosis)
  3. Lithium
  4. Topiramate
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11
Q

What is the abortive treatment for paroxysmal hemicrania?

A

No treatment

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12
Q

What is the preventative treatment for paroxysmal hemicrania?

A
  1. Indometacin

2. Others: COX-II inhibitors, topiramate

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13
Q

What is the abortive treatment for SUNCT/SUNA?

A

No treatment

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14
Q

What is the preventative treatment for SUNCT/SUNA?

A
  1. Gabapentin
  2. Carbamazepine/Oxcarbazepine
  3. Topiramate
  4. Lamotrigine
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15
Q

What is the abortive treatment for trigeminal neuralgia?

A

No abortive treatment.

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16
Q

What is the preventative treatment for trigeminal neuralgia?

A
  1. Oxcarbazepine

2. Carbamazepine

17
Q

What are the surgical intervention methods for treating trigeminal neuralgia?

A
  1. Glycerol ganglion injection
  2. Steriotactic radiosurgery
  3. Decompressive surgery