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Comprehensive Overview of Common Medications for Migraines and Pain Management

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This article provides an in-depth look at various medications used to treat migraines and pain management. It includes details on brands such as Maxalt, Vicodin, Fiorinal, and Lasix, covering their indications, classes, dosing schedules, and potential side effects. The article also lists other medications in the same classes, highlighting the comparative aspects of treatments. Understanding these drugs helps inform choices for managing conditions such as migraines and hypertension effectively.

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Comprehensive Overview of Common Medications for Migraines and Pain Management

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  1. Rizatriptan • Brand • Maxalt • Indication and class • Migraine headaches – selective serotonin agonist • Dosing • 1 at onset MR in 2 hours • Side effects • Dizziness • Other drugs in this class • Eletriptan, Sumatriptan, Zolmitriptan

  2. Hydrocodone/APAP • Brand • Vicodin • Indication and class • Pain - opiods • Dosing • Q 4 to 6 hours • Side effects • Drowsiness, constipation • Other drugs in this class • Oxycodone, codeine, morphine

  3. Butalbital/aspirin/caffeine • Brand • Fiorinal • Indication and class • Headaches - “other” pain relievers • Dosing • Q 4 to 6 h • Side effects • GI upset, drowsiness, insomnia • Other drugs in this class • Fioricet,

  4. Furosemide • Brand • Lasix • Indication and class • Hypertension, edema – loop diuretic • Dosing • Usually once a day in the AM • Side effects • Dizziness, orthostatic hypotension photosensitivity • Other diuretics • HCTZ, spironolactone, triamterene/hctz

  5. Metoprolol • Brand • Lopressor, Toprol XL • Indication and class • Hyptertension – beta blocker • Dosing • Once or twice a day • Side effects • Fatigue, dizziness • Other drugs in this class • Atenolol, propranolol

  6. Enalapril • Brand • Vasotec • Indication and class • Hypertension – ACE inhibitor • Dosing • Usually once or twice a day • Side effects • Dizziness, cough • Other drugs in this class • Lisinopril, quinapril, benazepril, ramipril, fosinopril,

  7. Zolmitriptan • Brand • Zomig • Indication and class • Migraines – selective serotonin agonist • Dosing • At onset then MR in 2 hours • Side effects • Dizziness, feeling of “heaviness in the chest”

  8. Naproxen • Brand name • Naprosyn, Anaprox • Indications and class • Pain, inflammation – NSAID • Dosing • Usually bid, but not for every drug in the class • Side effects • GI, dizziness • Other drugs in this class • Ibuprofen, Nabumetone, Oxaprozin, Diclofenac/misoprostil

  9. Prescription Examples • For the following prescriptions, identify the incorrect or unusual information.

  10. P1 Pharmacy 1601 SW Jefferson St Corvallis, OR (541) 555-5555 DEA # AB6098901 name____________________ date___________ address_____________________________________ Ibuprofen 800mg 1 tid on an empty stomach #90 Refills__2____ MD_______________________________________

  11. P1 Pharmacy 1601 SW Jefferson St Corvallis, OR (541) 555-5555 DEA # AB6098901 name____________________ date___________ address_____________________________________ Celecoxib (Celebrex) 200mg 1 q 4-6 h for pain #30 Refills__2____ MD_______________________________________

  12. P1 Pharmacy 1601 SW Jefferson St Corvallis, OR (541) 555-5555 DEA # AB6098901 name____________________ date___________ address_____________________________________ Morphine sulfate 15mg IR #30 1 q 3 hours prn severe pain Refills__2____ MD_______________________________________

  13. P1 Pharmacy 1601 SW Jefferson St Corvallis, OR (541) 555-5555 DEA # AB6098901 name____________________ date___________ address_____________________________________ Sumatriptan (Midrin) 50mg tablets 1 at onset of HA, MR in 2 hours prn #9 Refills__2____ MD_______________________________________

  14. P1 Pharmacy 1601 SW Jefferson St Corvallis, OR (541) 555-5555 DEA # AB6098901 name____________________ date___________ address_____________________________________ Tramadol (Fiorinal) 50mg 1 or 2 q 4 to 6 h NTE 8/day #60 Refills__2____ MD_______________________________________

  15. P1 Pharmacy 1601 SW Jefferson St Corvallis, OR (541) 555-5555 DEA # AB6098901 name____________________ date___________ address_____________________________________ Isometheptene/dichloralphenazone/APAP (midrin) #20 2 @ onset then 1 q hr until relief. NTE 5/12hour period Refills__2____ MD_______________________________________

  16. P1 Pharmacy 1601 SW Jefferson St Corvallis, OR (541) 555-5555 DEA # AB6098901 name____________________ date___________ address_____________________________________ Nabumetone (Relafen) 500mg 2qd #60 Refills__2____ MD_______________________________________

  17. P1 Pharmacy 1601 SW Jefferson St Corvallis, OR (541) 555-5555 DEA # AB6098901 name____________________ date___________ address_____________________________________ HCTZ 25mg 1 qd hs #30 Refills__2____ MD_______________________________________

  18. P1 Pharmacy 1601 SW Jefferson St Corvallis, OR (541) 555-5555 DEA # AB6098901 name____________________ date___________ address_____________________________________ Atenolol (Tenormin) 50mg 1 qd for bp #30 Refills__2____ MD_______________________________________

  19. P1 Pharmacy 1601 SW Jefferson St Corvallis, OR (541) 555-5555 DEA # AB6098901 name____________________ date___________ address_____________________________________ Lisinopril (Zestril) 20mg 1qd for cough #30 Refills__2____ MD_______________________________________

  20. P1 Pharmacy 1601 SW Jefferson St Corvallis, OR (541) 555-5555 DEA # AB6098901 name____________________ date___________ address_____________________________________ Naproxen (Daypro) 500mg 1 bid for blood pressure #60 Refills__2____ MD_______________________________________

  21. P1 Pharmacy 1601 SW Jefferson St Corvallis, OR (541) 555-5555 DEA # AB6098901 name____________________ date___________ address_____________________________________ Tylenol with codeine #3 #36 2 q 4 to 6 hours prn pain wf Refills__2____ MD_______________________________________

  22. P1 Pharmacy 1601 SW Jefferson St Corvallis, OR (541) 555-5555 DEA # AB6098901 name____________________ date___________ address_____________________________________ Propranolol (Inderal) 40mg 1 bid for headache #30 Refills__2____ MD_______________________________________

  23. P1 Pharmacy 1601 SW Jefferson St Corvallis, OR (541) 555-5555 DEA # AB6098901 name____________________ date___________ address_____________________________________ Ramipril 5mg (Altace) #30 1qid for blood pressure Refills__2____ MD_______________________________________

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