13 results
Pharmacotherapy for Migraine Prophylaxis 

Who is indicated for migraine prophylaxis? Patients who experience more than 3
despite appropriate acute ... contraindications to acute ... #Prophylaxis #Medications ... #Table #Pharmacology ... #Management #Neurology
Acute Treatment of Migraine

- BWH Medicine Chiefs @BrighamChiefs

#Migraine #Treatment #management #neurology #headache #medications
Acute Treatment ... of Migraine - ... #Treatment #management ... #neurology #headache ... #medications
Migraine Prevention and Prophylaxis
Who to Consider: 
 • ≥ 4 significant headaches or migraine attacks/month
 •
Migraine Prevention ... to acute migraine ... Preventative Medications ... #prophylaxis #neurology ... #headache #management
Oral Antihypertensive Medications - Selection by Comorbidities
Comorbidities: 
 • Stable Angina, HFpEF, HFrEF, AFib, TAA/Marfan, Aortic
Antihypertensive Medications ... Pregnancy, Cluster Headache ... , Migraine, Opioid ... Comorbidities #pharmacology ... #table #management
Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient
Pain pathways by indication ... Pharmacology #NonOpioid ... Indications #Pathways #Table ... #MSK #Migraine ... #Headache #Colic
Acute Treatment of Migraine
Mild Attacks: NSAIDs, Simple Analgesics
Moderate/Severe Attacks: Triptans, Ditans, Gepants, Ergots
Non-pharmacologic Treatment: Neuromodulation, Rest,
Acute Treatment ... of Migraine Mild ... Gepants, Ergots Non-pharmacologic ... Rest, Hydration, Meditation ... #management #neurology
Triptan Selection - Migraine Management
Choosing triptans:
 • Reponse to given triptan do not predict to others
Management Choosing ... month to avoid medication-overuse ... headache Rapidly ... response: • Consider preventive ... #neurology #pharmacology
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 • IV NS IL bolus then infusion
Acute ED Migraine ... Therapy Algorithm: Acute ... Preventative Medications ... #management #algorithm ... #treatment #prevention
Aimovig (Erenumab)
Mechanism: Calcitonin Gene-related Peptide Receptor Antagonist 
Indication: Preventive Treatment of Migraines:
Dosing: 70 mg SQ monthly,
Receptor Antagonist Indication ... : Preventive Treatment ... Dosing: 70 mg SQ ... #Neurology #Pharmacology ... #Dosing
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... nocturnal enuresis • Prevention ... Excretion #Diuresis #Nephrology ... #Pharmacology # ... Medications #Table