Pharmacy and Therapeutics
Preventive Medications for Migraines Consider in pts with > 1-2 episodes or 3 days of sx / month. OCPs: Consider continuous monophasic low-dose OCPs in pts with a menstrual trigger; however, contraindicated in pts with aura & can worsen sx or cause pt to...
Pharmacy and Therapeutics
Acute or Abortive Medications for Migraines Take ASAP for max efficacy. Avoid using > 2 x / wk as can lead to overuse HA. Will develop “toolbox” of different medications for different presentations (mild/early vs. severe vs. refractory) with patient. Over the...
Pharmacy and Therapeutics
Compound Prescription Order Meloxicam 0.18% / Topiramate 2.5% / Lidocaine 2.5% / Prilocaine 2.5% Cream Apply 1-2 pumps (1-2gm) 4 times daily, Rub in for 2 minutes. Dispense 60 gm OR 120 gm. ___ Refills Ketoprofen Cream 10% or 20% Apply 2 to 3 times daily, rub in for 2...
Pharmacy and Therapeutics
Dosage for prevention Dosage for treatment AMS Acetazolamide 125 or 250 mg every 12 h 250 mg every 12 h Dexamethasone 2 mg every 6 h OR 4 mg every 12 h 4 mg every 6 h HACE Dexamethasone 8 mg once then 4 mg every 6 h HAPE Nifedipine 30 mg sustained release version...
Pharmacy and Therapeutics, PSYCHIATRY
Diazepam, lorazepam (Ativan), and chlordiazepoxide (Librium) are the most common benzos used. Symptom-triggered therapy (Give medication only when the patient has symptoms) If CIWA-Ar ≥ 8, treat with benzos. Lorazepam 2-4 mg, IV Push, Q4hrs PRN for CIWA score greater...
Pharmacy and Therapeutics
Methimazole adverse reactions Agranulocytosis. Before starting treatment, advise the patient to be alert for a fever and severe sore throat. Hepatotoxicity is another adverse effect to watch out for.
