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Neuro Headache treatments
Neuroscience block headache treatments
11
Medical
Professional
03/10/2008

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Cards

Term
Sumatriptan(imitrex)
Definition
MOA: Acute/abortive tx, selective 5HTR agonist
Use: closes shunt between arteriovenous anastamoses and restores flow to parenchyma
Tox: irritation @ injection site, tight chest, heavy head, coronary vasospasm
Term
Ondansetron
Definition
MOA: antiemetic, blocks 5HT3R (nAchR family, Lig gated, cations), only cation channel (others metabotropic)
USE: with antidepressants which incr ST->N and V
Term
Methylsergide
Definition
MOA: prophylactic tx, ST antagonist (blocks 5HT2), non spec effects on ST, adrenergic and Dopa neurons
USE: cluster HA
Tox: NVD, retroperitoneal fibrosis after prolonged use
Term
Ketanserin
Definition
MOA: ST antagonist
USE: migraines
Term
Cyproheptadine
Definition
MOA: prophylactic, ST antagonist
Use: Migraines
Term
p-chlorophenylalanine
Definition
MOA: inhibits ST synthesis
Use: Migraines
Term
Ergotamine
Definition
MOA: partial 5HT2 agonist at some BV, nonsel 5HT antagonist at smooth m, partial agonist and antagonist effects a adrenergicR, constricts arteries and veins
Tox: N b/c direct action on CTZ, leg weakness, m. pain, numbness, vasospasm, contraindicated in preg and heart ds
Term
Valproate
Definition
MOA: prophylactic, tricyclic anticonv.
USE: antiepileptic drug
Term
Verapamil
Definition
MOA: Prophylactic, Ca channel blocker
USE: migraines
Tox: orthostatic hypotension and constipation
Term
Nimodipine
Definition
MOA: Ca Channel blocker
Use: migraines
Tox: orthostatic hypotension and constipation
Term
Amitriptyline
Definition
MOA: prophylactic tx, tricyclic antidepressant
Use: migraine
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