8 NEWS
8 NEWS
13 SEPTEMBER 2024 ausdoc . com . au
‘ Consider triptans for headaches ’
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Rachel Fieldhouse A NEUROLOGIST is encouraging GPs to consider trialling triptans for headaches that affect day-to-day function even without “ show-stopper ” migraine symptoms .
Dr Bronwyn Jenkins , a former president of the Australian and New Zealand Headache Society , said migraine was a very treatable condition but diagnoses were often missed if patients did not present with severe pain .
“ We expect these show-stopper ,
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severe migraine attacks to be what we would call a migraine ,” the Sydney neurologist said .
“ But with anything more than a mild tension-type headache that they can function with , we are probably looking at someone with migraine disorder .
“ Some of the disabling features are associated symptoms , such as sensitivity to light or noise , nausea or even just inability to concentrate , exercise or have good energy levels . “ If it is limiting their activities
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in any way — even if they can get to work or maintain relationships — it is still worth treating .”
For patients with moderate to severe pain or inadequate relief from simple analgesics , Dr Jenkins said triptans were a first-line option .
“ The biggest group of patients I see are trying simple analgesics , but these are never stopping the migraine headache effectively within an hour or two ,” she added . Five triptans — sumatriptan , eletriptan , zolmitriptan ,
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naratriptan and rizatriptan — are available in Australia and PBS listed , while OTC formulations are also available .
For patients who could not tolerate triptans or had vascular risk factors , Dr Jenkins said medications such as rimegepant could prevent migraines by blocking calcitonin gene-related peptides .
Dr Jenkins has received consulting fees for education and advisory boards from Allergan , Eli Lilly , Novartis and Teva .
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Dr Bronwyn Jenkins . |
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I love him beyond all reason , and care for him above all else .
BECAUSE THEY ’ RE TOO IMPORTANT
No pelvic thrust : judge
FROM PAGE 1 The employee , who successfully claimed workers ’ compensation for her distress , said he would leave “ rude and abrupt ” post-it notes on returned hard copies of images .
The radiologist denied bullying the employee , saying he was under significant stress at the time as he was frustrated by the practice ’ s computer systems , and believed she did not have the experience for the job .
He said he considered her breast biopsies “ missed the
He had been ‘ rude and abrupt ’.
PBS Information : Authority required . Refer to PBS schedule for full authority information . mark ”, citing about 20 % of cases where the usual success rate was 96-99 %, and that mistakes could lead to negligence claims against the practice .
The judge found Dr Daynes had been rude and abrupt to her at times but rejected allegations he had sworn at her , thrown paperwork at her , regularly raised his voice , attempted to have her fired and tried to isolate her from other staff .
“ The evidence does not rise to the level of constant belittling ,” the judge said .
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EPIPEN ® and EPIPEN ® JR are Viatris Company trademarks . Copyright © 2022 Viatris Inc . All rights reserved . Alphapharm Pty Ltd , trading as Viatris . Level 1 , 30-34 Hickson Road , Millers Point NSW 2000 . ABN 93 002 359 739 . Tel 1800 274 276 . Date of preparation : Sept 2022 . EPI-2022-0310 . MYL0695 .
Dr Kevin Daynes .