22 Questions
What is the primary purpose of abortive therapy for migraine headaches?
To treat the symptoms of migraine headache
Which medication is considered an effective analgesic adjuvant in the acute treatment of migraine headache?
Caffeine
What is the initial pharmacotherapy for acute treatment of migraine?
Administration of triptans subcutaneously
What is the primary purpose of preventive therapy for migraine headaches?
To prevent the development of a migraine headache
Which medication is used for the initial abortive therapy for women with acute menstrual migraines?
Triptans
What is the pharmacologic treatment for tension-type headaches?
Acetaminophen and aspirin
What has been shown to be effective in relieving migraine-associated symptoms in eligible adults in an emergency department?
Intravenous metoclopramide
What medication has been found to lead to a small decrease in the number of tension-type headaches per month?
Botulinum toxin type A
What is the role of tricyclic drugs in the treatment of tension-type headaches?
Reverse the central sensitization and chronicity of these headaches
What is the primary purpose of nonpharmacologic methods in the acute therapy for tension-type headaches?
Rest, relaxation techniques, or stress reduction strategies
What is the primary purpose of preventive medications for people suffering from migraines?
To reduce the frequency, severity, and disability of migraines
What is the initial treatment for a cluster headache?
Subcutaneous sumatriptan and high-flow oxygen
Why should the resumption of high-flow oxygen shortly after relief of a cluster headache be avoided?
Overuse of high-flow oxygen may increase the frequency of cluster headaches in some patients
What are the other effective treatments for acute cluster headaches mentioned in the text?
Ergot derivatives, lidocaine, and octreotide
What is the main factor guiding drug therapy to manage a migraine?
Severity of the attacks
In cluster headache treatment, why is high-flow oxygen administered for 15 minutes to determine effectiveness?
Because the adverse effects of oxygen use are less than those of sumatriptan
What nonpharmacologic options are mentioned for the treatment of cluster headaches?
Occipital and vagal nerve stimulation
What has been suggested as an effective treatment for cluster headaches in new guidelines?
Sumatriptan and zolmitriptan nasal spray, augmented by high-flow oxygen
In migraine management, what patient-specific factor is mentioned as important?
The patient’s medication preference
Besides sumatriptan, what other drug is mentioned as effective in the treatment of cluster headaches?
Zolmitriptan nasal spray
What should be avoided in the treatment of cluster headaches to prevent an increase in headache frequency?
Resuming the use of high-flow oxygen within a short period of time following relief of the headache
What is the reason for avoiding the overuse of high-flow oxygen in cluster headache treatment?
Evidence shows that the frequency of cluster headaches may increase in some patients with overuse of high-flow oxygen
Test your knowledge of cluster headache treatment with this quiz. Explore the use of subcutaneous sumatriptan and high-flow oxygen, and understand the factors to consider in determining their effectiveness and potential adverse effects.
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