Neurology - Pharm Brand Names + HA Summary

Created by csc32 

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Almotriptan

Axert
(Triptan)

Eletriptan

Relpax
(Triptan)

Rizatriptan

Maxalt
(Triptan)

Sumatriptan

Imitrex
(Triptan)

Ergotamine

Ergomar
(Ergot Alkaloid)

Dihydroergotamine

DHE 45 - IV
Migranal - Nasal

(Ergot Alkaloid)

Levodopa-Carbidopa

Sinemet
(DA precursor - DDC inhibitor)

Apomorphine

Apokyn
(DA Agonist)

Pramipexole

Mirapex
(DA Agonist)

Entacapone

Comtan
(COMT-inhibitor)

Rasagiline

Azilect
(MAO- B inhibitor)

Phenytoin

Dilantin
(Na channel blocker)

Fosphenytoin

Cerebryx
(Na channel blocker)

Carbamazepine

Tegretol
Carbatrol

(Na channel blocker)

Oxcarbazepine

Trileptal
(Na chanel blocker)

Lamotrigine

Lamictal
(Na channel blocker)

Zonisamide

Zonegram
(Module Na and Ca channels)

Valproic Acid

Depakene
(Na channel blocker)

Gabapentin

Neurontin
(Modulate Ca channels and enhance GABA activity)

Pregabalin

Lyrica
(Modulate Ca channels)

Topiramate

Topamax
(Na channel blocker + GABA potentiator + inhibit glutamate)

Ethosuximide

Zarontin
(Module Ca channels)

Levetiracetam

Keppra
(Modulate synaptic vesicle protein)

Migraine Abortives (MILD)

Mild - single/combo analgesics

Migraine Abortives (Outpatient)

Triptans
Antiemetics
Prescription combo
Opioids

Migraine Abortives (Inpatient)

Anti-emetic (metoclopramide)
NSAIDs (ketorolac)
Steroids (dexamethasone)
Ergotamine

Migraine Prophylactic

Propanaolol
Verapamil
TCA
SSRIs
Short-term NSAIDs
Anticonvulsants (Valproic acid, Carbamezepine)
Botox

Tension Type Abortive

1. SINGLE OTC analgesics
2. Analgesic + caffeine
avoid but you can then use
Butalbital (barbituate) -- caution with overuse HA

Tension Type Prophylactic

TCA (amitriptyline)
SSRI (Daloxetine)
Skeletal muscle relaxant
Botox into cranial nerves

Cluster Headache Abortives

1. Oxygen
2. SQ sumatriptan (imitrex)
Or....
Octeotrde
DHE IV
intranasal lidocaine

Cluster Headache Prophylatic

Verapamil
Lithium
Ergotamine
Steroids with taper
Nerve block

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