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BCPS study guide

headaches

QuestionAnswer
prophylaxis options for migraines that have established efficacy propranolol, frovatriptan for menstrual migraines, metoprolol, petasites (butterbur extract), timolol, topiramate, valproic acid
drugs that are likely ineffective acebutolol, botulinum toxin, comipramine, clonazepam, lamotrigine, montelukast, mabumetone, oxcarbazepine, telmisartan
acute treatment options for migrains triptans, ergots, NSAIDS, opioids, isometheptene (conflicting efficacy evidence), antiemetics may help with migraine itself
treatment of status migrainosus corticosteroids, dihydroergotamine, sodium valproate
tension headache prophylaxis options tricyclics and botox.
prophylaxis options for cluster headaches suboccipital injection of betamethasone, lithium at low dose, verapamil, melatonin.
treatments for cluster headaches octreotide with 10% cocaine, intranasal lidocaine, oxygen. triptans
Created by: mjuhlin