Pain Management and Migraines
Terms
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- Fentanyl Brand
- Sublimaze, Duragesic, Actiq Generic
- Dilaudid generic
- Hydromorphone Brand
- Demerol Generic
- Meperidine Brand
- Dolophine/Methadose generic
- Methadone brand
- Talwin generic
- Pentazocine Brand
- Pentazocine drug class
- Agonist-antagonist opioid
- Stadol generic
- Butorphaenol Brand
- Butorphanol drug class
- Agonist-antagonist opioid
- Nubain Generic
- Nalbuphine brand
- Nubain drug class
- Agonist-antagonist opioid
- Naloxone brand
- Narcan generic
- Ergotamine Brand
- Cafergot Generic
- Ergotamine MOA
- Constriction and reduction of amplitude of pulsations. Serotonin agonist
- Ergotamine Adverse effects
-
Nausea and vomiting...metoclopramide can help this
Pregnancy category X - Dihydroergotamine (DHE) brand
- Migranal generic
- Dihydrogergotamine MOA
- Similar to Ergotamine, minimal peripheral vasoconstriction, little Nausea and vomiting. Diarrhea prominent
- Triptans MOA
- All activate the 5HT receptors
- Triptans adverse effects
- Well tolerated. tingling, parestesias, warmth in head neck chest and limbs
- Almotriptan brand
- Axert Generic
- Sumatriptan brand
- Imitrex generic
- Eletriptan brand
- Relpax generic
- Frovatriptan brand
- Frova Generic
- Rizatriptan brand
- Maxalt Generic
- Zolmatriptan brand
- Zomig generic
- Naratriptan brand
- Amerge generic
- Migraine prophylaxis Beta blockers
-
Propranolol drug of choice
Propranolol, atenolol, metoprolol, nadolol, timolol - Migraine prophylaxis anticonfulsants
- Divalproex and sodium valproate, Gabapentin
- Migraine prophylaxis antidepressants
- Amitriptyline
- Migraine prophylaxis Calcium channel blockers
- Verapamil, nifedipine, nimodipine