Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Migraine Treatment Overview

 โ€ข What is a Migraine?
 โ€ข Pathophysiology
 โ€ข Common Migraine Triggers
 โ€ข Diagnosis
Migraine Treatment ... โ€ข What is a Migraine ... Prophylactic Treatment ... #pharmacology # ... prophylaxis #neurology
Migraine - Preventative Treatments

 โ€ข Anticonvulsants: *Topiramate, *Sodium valproate, Gabapentin, Pregabalin
 โ€ข Antidepressants: Amitriptyline, Venlafaxine, Duloxetine,
Migraine - Preventative ... Treatments ... #management #prophylaxis ... #prevention #pharmacology ... #neurology
Acute Treatment of Migraine
Mild Attacks: NSAIDs, Simple Analgesics
Moderate/Severe Attacks: Triptans, Ditans, Gepants, Ergots
Non-pharmacologic Treatment: Neuromodulation, Rest,
of Migraine Mild ... Gepants, Ergots Non-pharmacologic ... , Rest, Hydration ... neudrawlogy #Migraine ... #management #neurology
Prophylactic Migraine Medications

Established Efficacy: 
 โ€ข Metoprolol, Propranolol, Timolol, Divalproex, Valproate, Topiramate, Frovatriptan
Probably Effective: 
 โ€ข
Prophylactic Migraine ... Cyproheptadine #Migraine ... #prophylaxis #Medications ... #pharmacology # ... EBM #neurology
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 โ€ข IV NS IL bolus then infusion
20 mg/min -> Neurology ... management #algorithm #treatment ... #prevention #prophylaxis ... #neurology #cocktail ... #prophylaxis
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 โ€ข Rest angina attributed to coronary artery vasospasm.
 โ€ข Patients often
disorders (Raynaud, migraine ... anginal chest pain ... tolerance โ€ข Pain ... perform provocative tests ... in cath lab Treatment
Migraine Prevention and Prophylaxis
Who to Consider: 
 โ€ข โ‰ฅ 4 significant headaches or migraine attacks/month
 โ€ข
Migraine Prevention ... and Prophylaxis ... treatments โ€ข ... #treatment #prevention ... #prophylaxis #neurology
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Systemic N - Neurologic ... Headache Sx change Migraine ... Patient Prefers to Rest ... Eye/Temple โ€ข Pain ... quickly, deep pain
Aimovig (Erenumab)
Mechanism: Calcitonin Gene-related Peptide Receptor Antagonist 
Indication: Preventive Treatment of Migraines:
Dosing: 70 mg SQ monthly,
Indication: Preventive Treatment ... of Migraines: ... monthly to prevent migraines ... Aimovig #Erenumab #Migraine ... #Neurology #Pharmacology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... claudication: pain ... chews, not just pain ... the โ€œChewing gum test ... Treatment of GCA