Migraine
Prevalence in Men 6 % in women 18%
Typical Characteristics
Can be preceded by aura, visual or auditory or nausea and vomiting
Aggravated or starting with physical activity
Unilateral, throbbing (pulsating), moderate to severe, lasts 4hrs to 24hrs
Better with staying in dark room
Common triggers
Light, chocolate, wine, alcohol, cheese, citreous juices, tiredness, stress, menstruation and COP
Treatment
Acute attack
Paracetamol + NSAIDs + antiemetic
Sumatriptans (5HT 1 agonist) Start as soon as the attack starts
S/E chest tightness/heaviness
Contraindications IHD/ MI/cerebrovascular disease
Prophylaxis
B-Blocker /gabapentin/ sodium valoprate/ venlafaxine/ 5HT2 antagonist
No comments:
Post a Comment
Thank you for leaving a comment, I really appreciate your feedback.