Ergot Derivatives and Triptans Quiz
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Questions and Answers

What is the primary action of triptans in treating migraines?

  • Dilate cranial arteries
  • Bind to selective serotonin receptor sites (correct)
  • Block alpha-adrenergic receptors
  • Increase blood flow to cranial vessels
  • What adverse effect is commonly associated with ergotamine?

  • Ventricular arrhythmias
  • Severe sedation
  • Hypertension (correct)
  • Excessive fatigue
  • Which of the following describes the primary function of CGRP inhibitors?

  • Block serotonin receptor sites
  • Enhance vasodilation during migraines
  • Inhibit the release of a potent vasodilator (correct)
  • Increase cranial artery pulsation
  • Which side effect is reported with almotriptan compared to other triptans?

    <p>Fewer side effects</p> Signup and view all the answers

    The primary concern of using triptans is associated with which cardiovascular effect?

    <p>Coronary artery vasospasm</p> Signup and view all the answers

    What distinguishes ergot derivatives from triptans in migraine treatment?

    <p>They block alpha-adrenergic and serotonin receptor sites</p> Signup and view all the answers

    What CNS effect is common with CGRP inhibitors like eptinezumab?

    <p>Drowsiness</p> Signup and view all the answers

    Which of the following describes a gastrointestinal effect associated with triptans?

    <p>Dry mouth</p> Signup and view all the answers

    What is a common CNS effect associated with ergot derivatives in migraine treatment?

    <p>Dizziness</p> Signup and view all the answers

    What is a reported gastrointestinal side effect of triptans?

    <p>Abdominal pain</p> Signup and view all the answers

    Which ergot derivative is commonly used for migraine relief?

    <p>Ergomar</p> Signup and view all the answers

    Which of the following side effects is unique to the use of calcitonin?

    <p>Sedation</p> Signup and view all the answers

    What is a significant cardiovascular effect of triptans?

    <p>Coronary artery vasospasm</p> Signup and view all the answers

    What is the mechanism by which triptans alleviate migraine pain?

    <p>Binding to selective serotonin receptors</p> Signup and view all the answers

    Almotriptan is reported to have which benefit compared to other triptans?

    <p>Fewer side effects</p> Signup and view all the answers

    What vasodilator chemical do CGRP inhibitors target during migraine attacks?

    <p>CGRP</p> Signup and view all the answers

    What is the primary mechanism of action of ergot derivatives in treating migraines?

    <p>Block alpha-adrenergic and serotonin receptor sites</p> Signup and view all the answers

    Which side effect is most commonly associated with triptans?

    <p>Coronary artery vasospasm</p> Signup and view all the answers

    What is a characteristic effect of CNS stimulation from ergot derivatives?

    <p>Dizziness and vertigo</p> Signup and view all the answers

    Which of the following describes a common gastrointestinal effect associated with ergots?

    <p>Vomiting</p> Signup and view all the answers

    How do CGRP inhibitors function in alleviating migraines?

    <p>Inhibit CGRP, a potent vasodilator</p> Signup and view all the answers

    What differentiates almotriptan from other triptans?

    <p>It has fewer reported side effects</p> Signup and view all the answers

    What effect does sumatriptan primarily have on cranial blood vessels?

    <p>It induces vasoconstriction</p> Signup and view all the answers

    Which side effect is commonly associated with calcitonin usage?

    <p>Nausea</p> Signup and view all the answers

    Which of the following effects is commonly associated with ergot derivatives in migraine treatment?

    <p>Decreased hyperperfusion of the basilar artery bed</p> Signup and view all the answers

    What is a notable side effect of triptans such as almotriptan?

    <p>Coronary artery vasospasm</p> Signup and view all the answers

    Which mechanism do CGRP inhibitors utilize to alleviate migraine symptoms?

    <p>Inhibit the action of vasodilation chemicals</p> Signup and view all the answers

    What CNS effect is frequently reported with the use of ergotamine?

    <p>Drowsiness</p> Signup and view all the answers

    What distinguishes eptinezumab among migraine treatments?

    <p>It targets CGRP directly.</p> Signup and view all the answers

    Which gastrointestinal effect is associated with triptan medications?

    <p>Abdominal pain</p> Signup and view all the answers

    Which option best describes a potential adverse effect of triptans?

    <p>Cardiac arrhythmias</p> Signup and view all the answers

    What effect do ergot derivatives have on serotonin receptors?

    <p>Block serotonin receptor sites</p> Signup and view all the answers

    What is a potential central nervous system effect reported with the use of ergotamine?

    <p>Dizziness</p> Signup and view all the answers

    Which serious cardiovascular effect is associated with the use of triptans?

    <p>Myocardial infarction</p> Signup and view all the answers

    Which gastrointestinal effect is associated with triptans?

    <p>Abdominal pain</p> Signup and view all the answers

    What type of receptor sites do ergot derivatives block to relieve migraine pain?

    <p>Alpha-adrenergic and serotonin receptors</p> Signup and view all the answers

    Which side effect is reported to be less common with almotriptan compared to other triptans?

    <p>Drowsiness</p> Signup and view all the answers

    What effect do CGRP inhibitors primarily target during a migraine?

    <p>Inhibition of vasodilator chemicals</p> Signup and view all the answers

    What is one of the known CNS effects of Lasmiditan?

    <p>Paresthesia</p> Signup and view all the answers

    What is a marked side effect of ergotism related to ergot derivative usage?

    <p>Gangrene</p> Signup and view all the answers

    Study Notes

    Ergot Derivatives

    • Block alpha-adrenergic and serotonin receptors in the brain, constricting cranial vessels, decreasing cranial artery pulsation and basilar artery hyperperfusion.
    • CNS effects include dizziness, vertigo, tingling sensation (warm), and hypertension; GI effects include abdominal pain and nausea.
    • Examples include ergotamine (Ergomar) and sumatriptan (Imitrex).

    Triptans

    • Bind to selective serotonin receptors in cranial vessels, causing vasoconstriction.
    • CNS effects encompass drowsiness, headache, and paresthesia; GI effects include dry mouth, nausea, and abdominal pain. Cardiovascular effects may include coronary artery vasospasm, MI, and ventricular arrhythmias.
    • Examples include almotriptan, eletriptan (Relpax).
    • CGRP inhibitors like CGRP block a potent vasodilator chemical released during migraine headaches.
    • Serotonin agonists have selective action on specific serotonin receptors.
    • Possible side effects include dizziness, fatigue, paresthesia, sedation, and hypersensitivity reactions to the CGRP inhibitors.
    • Examples include lasmiditan (Reyvow), and eptinezumab-jjmr (Vyepti).

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    Description

    Test your knowledge on ergot derivatives and triptans, focusing on their mechanisms of action, effects, and examples. This quiz covers key concepts including CGRP inhibitors and their role in treating migraines. Explore the complexities of these medications and their pharmacological implications.

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