Chapter 19 Headaches Q&A (1 of 32) Sample Questions

1. A 25-year-old woman comes to your pharmacy to fill her prescription of Rx: Sumatriptan 50mg tablets PRN (dispense 4 tablets) for acute migraine attack. She states that she experiences migraine throbbing headache associated with nausea. She is treating them with over the counter medications acetaminophen tab 500 mg and the acetaminophen was not effective in relieving her headache. She has no other significant medical history and not using any other medications and she has no known allergies. Which of the following statement is the most appropriate Sumatriptan counselling?
  1. A. Max dose of Sumatriptan should not exceed 200 mg/24 hours.
  2. B. If migraine headache returns or if patient has partial response to initial dose, the dose may be repeated after 2 hours.
  3. C. If migraine headache has no response with first dose, the dose may be repeated after 2 hours up to 4 times per day.
  4. D. Doubling the dose likely to be effective if 1st dose provided no relief of migraine attack
Answer
Ans: B
Tips: Sumatriptan Oral: 25–100 mg at start of headache; if headache returns after initial relief, May repeat in 2 h; maximum 200 mg/24 h. Second dose not likely to be effective if 1st dose provided no relief.