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Chapter 14 Pain Management Sample Questions

1. 1. A 25-year-old woman comes to your pharmacy to fill her Rx: Sumatriptan 50mg tablets PRN (dispense 4 tablets) for acute migraine attack. She states that she experiences migraine and throbbing headache associated with nausea. She tries over the counter medications acetaminophen tab 500 mg but has not been effective to relive her headache. She has no other significant medical history and not on any other medications and has no known allergies. Which of the following statement is the most appropriate counselling regarding her Sumatriptan medication?*

A. Maximum dose of Sumatriptan should not exceed 200 mg/24 hours.
B. If migraine headache returns or if patient has partial response to initial dose, the dose may be repeated after 2 hours.
C. If migraine headache has no response with first dose, the dose may be repeated after 2 hours up to 4 times per day.
D. Doubling the dose is likely to be effective if 1st dose did not provide relief from 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.

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