PA Boards 100: Migraine Pharmacology
Medgeeks Clinical Review Podcast
Medgeeks
4.7 • 989 Ratings
🗓️ 28 October 2016
⏱️ 20 minutes
🧾️ Download transcript
Summary
Today we're going to discuss abortive and prophylactic therapies for migraine. We'll go into the pharmacology to help you create a game plan for your patients. Enjoy :)
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Transcript
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| 0:00.0 | All right, guys. So today we're going to be talking pharmacology of migraines. We're going to talk about abortive therapies, and we're going to talk about preventative therapies. |
| 0:08.0 | Now in the previous lecture, we talked about who's going to be at risk, how to diagnose, what are patients going to present with when they present with migraines. |
| 0:15.6 | Now in case you missed the previous lecture, let's just quickly, quickly recap this. |
| 0:20.0 | Now if you want more detail, then definitely go back and check out the last |
| 0:23.5 | lecture but typically migraines are going to be unilateral in nature and are going to |
| 0:27.4 | be pulsotel throbbing they're going to last 4 to 72 hours and they're going to be |
| 0:31.2 | associated with something called an aura. Now the aura is not |
| 0:34.3 | associated with every single headache. It's only going to be present in 25% of patients. |
| 0:38.4 | Now the aura is nothing more than a focal neurological finding and most commonly it's going to be things |
| 0:43.7 | like scintillating scatomas, lost division, paresthesias. So the other thing we need to |
| 0:48.9 | be aware of is who needs imaging, who needs MRI, who needs a scan? And typically you're going to want to image patients who have a first onset headache over the age of 55 or even first headache under five years of age. |
| 1:00.0 | If it's a sudden severe onset headache, if it's associated with fever, or if you have focal neurological findings that are not typical of the normal migraine pattern. |
| 1:10.0 | All right, so now that we did a quick recap, let's talk about the pharmacology, and we're |
| 1:15.0 | going to specifically talk about abortive therapy of migraines. |
| 1:18.4 | Now, just something to keep in mind. |
| 1:21.0 | Whenever a patient comes into your clinic clinic they come into your ER or your |
| 1:24.0 | urgent care wherever you may be you have to treat the patient first it's more |
| 1:28.8 | important to make your patient feel comfortable it's more important to get |
| 1:31.9 | rid of the pain than it is to figure out what's going on. |
| 1:35.3 | If you can control the pain, get them talking to you, then you can more easily figure out what |
| 1:39.8 | the diagnosis is and how to better help up. |
| 1:42.0 | So don't be scared about numbing the pain |
... |
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