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Top 100 Drugs (Brand-Generic) > MiGRAINES > Flashcards

Flashcards in MiGRAINES Deck (27)
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1
Q

Amerge

A

Naratriptan

Oral tabs

MAX: 5mg/d**

NOTE: WAIT 4 hours between doses

-Slower onset HOWEVER, last long

2
Q

Maxalt

A

Rizatriptan

Tabs (5-10mg)
ODT*

MAX: 30mg/ DAY

WAIT AT LEAST 2 hours between doses

Counseling:

phenylketonurics**

Use clean dry hands

3
Q

Imitrex; Alsuma; sumavel; zembrace, Onsetra

A

Sumatriptan

Tabs
SUBQ*
NASAL*

PO: 25, 50, 100mg (works in 30 minutes) MAX DOSE: 200mg/ 24 hours wait 2 HOURS in between doses * (READ ALL OF THIS*
———————
SQ(Alsuma): 6mg each dose; MAX IS TWO SHOTS PER DAY or 12mg/d ##1 hour WAIT PERIOD##
———————
SC(Sumavel DosePro): High pressure burst of nitrogen; INJECTION free. Max: 12mg/ d.
———————
SQ(Zembrace Symtouch): 3mg/0.5mL: MAX IS 12mg/ day which means 4 SHOTS ##1 hr WAIT PERIOD##
———————
NS: MAX 40mg/ d works in 15 minutes ; Nasal Powder (Onzetra)

4
Q

Zomig

A

Zolmitriptan

Oral tabs
ODT*
Nasal*

5
Q

Axert

A

Almotriptan

6
Q

Frova

A

Frovatriptan

Oral tabs

7
Q

Relpax

A

Eletriptan

20;40mg TABS

8
Q

TRIPTANS

A

5HT AGONIST

1) increase SEROTONIN
2) VASOCONSTRICTION

9
Q

Triptans

SIDE EFFECTS

A

Nausea or HA recurrence

Chest TIGHTNESS*
Dizziness
SLEEPINESS

parathesias (NUMBNESS OR TINGLING)

10
Q

Triptans

CAUTIONS/ contraindications

A

1) CAD**
2) uncontrolled HTN
3) VASOSPASTIC ANGINA (prinzmetal)
4) pregnancy CATEGORY C
5) ischemic stroke/ heart disease

  • *CONTRAINDICATED WITH ERGOTA
  • *CONTRAINDICATED WITH MAOI’s

*KIDS: 6-11 recommended:MAXALT TABS OR IMITREX NASAL

11
Q

Onzetra

A

Sumatriptan Nasal Powder

Fast-Acting-NASAL

BREATH ACTIVATED NASAL FORMULATION

MAX: 44mg/ day (TWICE PER DAY)

12
Q

Treximet

A

One tablet (sumatriptan 85mg & naproxen 500mg)

-ORIGINAL CONTAINER HAS A DESICCANT

13
Q

Zomig

A

ODT
NASAL SPRAY

MAX: 10mg/ day

Wait 2 HOURS in BETWEEN

14
Q

Axert

A

Almotriptan

Tabs ONLY

Max:25mg/ d

Wait: 2 HOURS

15
Q

Frova

A

Frovatriptan

Tabs

Max 7.5mg/ day

VERY SLOW ONSET

2 hour WAIT

16
Q

Relpax

A

Eletriptan

Tabs ONLY

MAX: 80mg/ d

CYP3A4 substrate DO NOT USE WITHIN 72 hours of 3A4 INHIBITORS

17
Q

Migranal

DHE 45

A

Dihydroergotamine

Migranal (NASAL SPRAY)

DHE 45 (IV/IMSQ)

18
Q

Ergomar

A

Ergotamine SL TABLETS

19
Q

Cafergot

A

Ergotamine plus caffeine

Cafergot - tabs

Migergot - SUPP

20
Q

Ergot alkaloids

A

MOA:

Vasoconstriction

Interacts with DA/ 5HT/ NE

21
Q

Ergot alkaloids

CAUTIONS/ contraindication

A

PREGNANCY CATEGORY X

CYP3A4 substrates BLACK BOX WARNING

CAD, PVD, HEPATIC IMPAIRMENT, RENAL IMPAIRMENT

22
Q

Ergot SIDE EFFECTS

A

Nausea/ vomitting

Numbess/ tingling

**BETA BLOCKERS: peripheral ischemia

**INHIBITORS WILL INCREASE THEM

23
Q

Fioricet, esgic

A

Butalbital/ Caffeine/ APAP

INDICATION: tension/ muscle HA > 12YO

FORMS: 50/40/325 TABS
50/40/300 CAPSULES

Dose: 1-2 tabs/caps Q4H

MAX: 6 TABLETS PER DAY

SE: slow thinking, depressed mood, drowsiness, hepatotoxicity
——————————————-

24
Q

FioriNAL

A

Butalbital ; caffeine; ASA (C-III)

1-2 TABS Q4H. MAX: 6 TABS/ DAY

25
Q

Nodolor

A

Isometheptene + Dichloralphenazone + APAP

65mg/ 100/ 325mg CAPS

  • Isometheptene: VASOCONSTRICTOR
  • Dichloralphenazone: (1-2 mixture of antipyrine with chloral hydrate; a sedative

Apap- analgesic
———————————-

2 caps at onset then 1 CAP Q1H until PAIN relieved

  • MAX 5 caps Q12H
26
Q

Nodolor DI and CAUTIONS

A

MAOIs: Severe HA, HTN, possible hypertensive crisis

Cautions:

  • Renal failure/ Hepatic impairment
  • HTN/ PVD/ CAD
27
Q

Excedrin MIGRAIN

A

APAP; aspirin; CAFFEINE

PREGANCY CATEGORY D

DRINK WITH WATER AND FULL GLASS OF WATER