問題詳情

44.下列何者不建議用於叢發性頭痛(cluster headache)之發作前期症狀治療(abortive therapy)?
(A)口服ibuprofen
(B)吸入oxygen
(C)皮下注射sumatriptan
(D)zolmitriptan鼻噴劑

參考答案

答案:A
難度:非常困難0.19
書單:沒有書單,新增

用户評論

Filgrastim zz】評論

Ref:UpToDate: Cluster headache: Treatment and prognosis

m60406】評論

叢發性頭痛(cluster headache)急性期治療用藥     首選藥純氧 (吸入)  SomatostatinOctreotide (SC) 5-HT agonistTriptans(SC Sumatriptan、IN Zolmitriptan) 、  Ergotamines

HUSpiTLE】評論

 NSAID適用於偏頭痛、緊張性頭痛的治療。(叢發性頭痛的治療:無)cluster headache治療: oxygen, -triptan, lidocaine, ergots, octreotide預防: verapamil, steroids, CGRP-i (Galcanezumab), topiramate(併用verapamil)Migraine治療: NSAID, acetaminophen, -triptan, CGRP-i( rimegepant或ubrogepant) 預防: beta-blocker, ARB, CCB (verapamil, flunarizine), anti-depressant (amitriptyline, venlafexine), topiramate, valproate, gabapentin, CGRP-iTension headache治療: NSAID, acetaminophen預防: tricyclic antidepressants(amitriptline), mirtazapine, venlafaxine(SNRI)

Tegralition】評論

applied 11e p1243, 1244