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Ibuprofen
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- OTC, NSAID
- forms available: tablets, capsules,
liqui-gels, liquid
- approved for children
- sometimes effective for menstrual
migraine
- action too short for many migraines
- used for mild to moderate migraine,
tension, menstrual headache and intractable migraine
- should be taken at first indication of
headache
- major potential for rebound headache,
should generally not be used for more than three days consecutively
- significant risk of GI and kidney side
effects
- contraindicated in those with GI or
kidney disorders or risks
- It is not known whether ibuprofen will
harm an unborn baby. Ibuprofen should not be taken late in pregnancy
(the third trimester) because a similar drug is known to affect the
baby's heart. Do not take ibuprofen without first talking to your doctor
if you are pregnant.
- Ibuprofen passes into breast milk in
very small amounts, however it is not expected to harm a nursing baby.
Talk to your doctor before taking ibuprofen if you are breast-feeding.
- Potential side effects:
- Discontinue and contact your doctor
immediately if you experience an allergic reaction (difficulty
breathing; closing of your throat; swelling of your lips, tongue, or
face; or hives); muscle cramps, numbness, or tingling; mouth ulcers;
rapid weight gain (fluid retention); seizures; black, bloody, or tarry
stools; blood in your urine or vomit; decreased hearing or ringing in
the ears; jaundice; or abdominal cramping, indigestion, or heartburn.
- Continue, but talk to your doctor if
you experience dizziness or headache; nausea, gaseousness, diarrhea, or
constipation; depression; fatigue or weakness; dry mouth; or irregular
menstrual periods.
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Imitrex / Imigran (Sumatriptan)
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- Rx, abortive, triptan
- Brand names: Imitrex in U.S. and
Canada, Imigran in Great Britain
- forms available: tablets, injections,
nasal spray. Nasal spray may not be as effective if nasal passages
are congested.
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Be sure to tell your doctor if you have any
other medical problems, especially: Angina (chest pain), fast or irregular heartbeat,
heart or blood vessel disease, high blood pressure, kidney disease, liver disease,
or stroke (history of)--The chance of side effects may be increased. Heart or
blood vessel disease and high blood pressure sometimes do not cause any
symptoms, so some people do not know that they have these problems. Before
deciding whether you should use sumatriptan, your doctor may need to do some
tests to make sure that you do not have any of these conditions.
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Tell your doctor if you are taking any
other medications, especially
Monoamine oxidase (MAO) inhibitors (furazolidone [e.g., Furoxone];
isocarboxazid [e.g., Marplan], phenelzine [e.g., Nardil], procarbazine [e.g.,
Matulane], selegiline [e.g., Eldepryl], tranylcypromine [e.g., Parnate])--Taking sumatriptan while you are taking or within 2 weeks of taking
MAO inhibitors may cause sudden high body temperature, extremely high blood
pressure and severe convulsions; at least 14 days should be allowed between
stopping treatment with one medicine and starting treatment with the other.
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Sumatriptan is in the FDA pregnancy category C.
This means that it is not known whether sumatriptan will harm an unborn baby. Do
not take this medication without first talking to your doctor if you are
pregnant or could become pregnant during treatment.
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Sumatriptan passes into breast milk and may
affect a nursing infant. Do not take sumatriptan without first talking to your
doctor if you are breast-feeding a baby.
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Potential side effects:
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Discontinue use and contact your physician
immediately if you experience: chest pain (severe); changes in skin color on face; convulsions
(seizures); fast or irregular breathing; puffiness or swelling of eyelids,
area around the eyes, face, or lips; shortness of breath, troubled
breathing, or wheezing.
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Contact your physician immediately if you
experience any of the following for more than an hour. If you experience
these symptoms for less than an hour, contact your physician before using
sumatriptan again: chest pain (mild); heaviness, tightness, or pressure in chest and/or
neck, difficulty in swallowing; pounding heartbeat; skin rash, hives,
itching, or bumps on skin
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The following side effects generally do not
need medical attention, but should be discussed with your physician if they
continue or are bothersome: burning, discharge, pain, and/or soreness in the nose; burning, pain, or
redness at place of injection; change in sense of taste; discomfort in jaw,
mouth, tongue, throat, nose, or sinuses; dizziness; drowsiness; feeling of
burning, warmth, heat, numbness, tightness, or tingling; feeling cold,
``strange,'' or weak; flushing; lightheadedness; muscle aches, cramps, or
stiffness; nausea or vomiting; anxiety; general feeling of illness or tiredness; vision
changes
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Inderal
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Indocin (indomethacin)
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- Rx, NSAID
- Brand names (U.S.): Indocin, Indocin
SR (sustained release)
- Brand names (Canada): Apo-Indomethacin,
Indocid, Indocid SR (sustained release), Novo-Methacin, Nu-Indo
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Be sure to tell your doctor if you have any
other medical problems, especially if you have an allergy to aspirin or any
other NSAIDs, have an ulcer or bleeding in your stomach, drink more than three
alcoholic beverages a day, have liver or kidney disease, have a bleeding
disorder, have congestive heart failure, have fluid retention, have heart
disease, or have high blood pressure.
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Tell your doctor if you are taking any
other medications, especially
other nonsteroidal anti-inflammatory drugs (NSAIDs); aspirin and other
salicylates (forms of aspirin); diuretics; anticoagulants; steroids; alcohol;
oral antidiabetic drugs such as glipizide (Glucotrol) and glyburide (Micronase,
Diabeta); lithium; cyclosporine; or bismuth subsalicylate in drugs such as
Pepto-Bismol.
- Indomethacin can also decrease the
effects of other drugs, such as ACE inhibitors and beta-blockers.
- It is not known whether indomethacin taken
early in pregnancy will harm an unborn baby. Indomethacin must not be taken late
in pregnancy (the third trimester) because it can affect the baby's heart. Do
not take indomethacin without first talking to your doctor if you are pregnant.
- Indomethacin passes into breast milk. Do not
take indomethacin without first talking to your doctor if you are breast-feeding
a baby.
- Avoid prolonged exposure to sunlight.
Indomethacin may increase the sensitivity of your skin to sunlight. Use a
sunscreen and wear protective clothing when exposure to the sun is unavoidable.
- If you drink more than three alcoholic
beverages a day, indomethacin may increase the risk of stomach bleeding.
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Potential side effects:
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Discontinue use and contact your physician
immediately if you experience: an allergic reaction (difficulty breathing;
closing of your throat; swelling of your lips, tongue, or face; or hives);
muscle cramps, numbness, or tingling; mouth ulcers; rapid weight gain (fluid
retention); seizures; black, bloody, or tarry stools; blood in your urine or
vomit; decreased hearing or ringing in the ears; jaundice; or abdominal
cramping, indigestion, or heartburn.
- Continue, but talk to your doctor if you
experience dizziness or headache; nausea, gaseousness, diarrhea, or
constipation; depression; fatigue or weakness; dry mouth; or irregular
menstrual periods.
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Keppra (levetiracetam)
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- Rx, anticonvulsant, sometimes used for
Migraine prevention
- Brand names (U.S.): Indocin, Indocin
SR (sustained release)
- Brand names (Canada): Apo-Indomethacin,
Indocid, Indocid SR (sustained release), Novo-Methacin, Nu-Indo
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Be sure to tell your doctor if you have any
other medical problems, especially kidney disease.
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Tell your doctor if you are taking any
other medications, especially
antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia),
pain relievers, anxiety medicines, and muscle relaxants. Dangerous sedation,
dizziness, or drowsiness may occur.
- FDA pregnancy category C. This means
that it is not known whether levetiracetam will harm an unborn baby. Do
not take this medication without first talking to your doctor if you are
pregnant.
- It is not known whether levetiracetam
passes into breast milk. Do not take levetiracetam without first talking
to your doctor if you are breast-feeding a baby.
- Levetiracetam is not approved for use
by children younger than 16 years of age.
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Potential side effects:
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Discontinue use and contact your physician
immediately if you experience: an allergic reaction (difficulty breathing;
closing of your throat; swelling of your lips, tongue, or face; or hives);
psychosis; or hallucinations.
- Continue, but talk to your doctor if you
experience dizziness; drowsiness; weakness or a loss of strength; poor
coordination or difficulty walking; or changes in behavior or mood (agitation,
hostility, anxiety, apathy, or depression).
- more info
- FDA approved
prescribing information
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