Triptans are more effective when patients have

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migraine, ergots are usually effective. Triptans are more effective when patients have difficulty "catching the headache in time." Sumatriptan begins to work in 15 minutes and so would be indicated for this patient. Frovatriptan has a longer half-life. Cyproheptadine is not a first-line migraine treatment. - A woman tells a primary care NP that she is considering getting pregnant. During a health history, the NP learns that the patient has seasonal allergies, asthma, and epilepsy, all of which are well controlled with a second-generation antihistamine daily, an inhaled steroid daily with albuterol as needed, and an antiepileptic medication daily. The NP should counsel this patient to: Avoid using antihistamine medications during her first trimester of pregnancy. Optimal treatment of asthma during pregnancy includes treatment of comorbid allergic rhinitis, which can trigger symptoms. Antihistamines are recommended after the first trimester, if possible. Asthma medications should be continued during pregnancy because poorly
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  • Fall '16
  • Dr. Thomas
  • urinary tract infection, primary care NP

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