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What are some red flags for a HA?
Rapid onset (sec-min), HA w/ stiff neck, or ALOC or following trauma, or with exertion, sex, or Valsalva. Also if 1st HA in pt > 50 y
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How long should pts wait before expecting to see an effect w/ a new med?
6 weeks
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What are contraindications to triptans?
CV disease, PVD, uncontrolled HTN.
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What are conditions that one should be careful in giving triptans?
Obesity, DM, hypercholesterolemia, smoker, estrogen use
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Should pts quit a triptans if it doesn't work the 1st time?
No, try w/ at least 2-3 HA
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What are the 3 most common triggers for migraines?
Poorly managed stress, hormonal changes, poor sleep patterns
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Most type of aura: visual, auditory, motor, or sensory?
Visual
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