This is aspirin-intolerant asthma. Acetaminophen only inhibits COX within the CNS, so doesnโt cause the leukotriene shunting that characterizes that disease.
joyceeepanthe girl has tension headache. Triptans is not a drug of choice. NSAID, Acetaminophen, (or TCA for prophylaxis)+3
vsn001but question asks which drug she should take to /treat/ her headache? -> I fell into sumatriptan cause I know it didn't have prophylactic indications but more of a treatment. idk, was between the acetaminophen and sumatriptan, and would appreciate if someone can tell me why acetaminophen is the move for this patient.+2
texasdude4for HA treatment you want to start off conservative anyway w/ Tylenol / NSAIDs before you move on to triptans. That and triptans are not used for tension HA+
jurrutiaTriptans are used for migraine headaches by causing trigeminal vasoconstriction. They are not analgesics. +
Why is acetaminophen the correct answer other than process of elimination. NSAIDs can be used for tension HA and sheโs too old for Reye Syndrome (i mean technically shes a child since shes <17, but not a classic picture at all). Iโm confused.
zelderonmorningstarMy reasoning was that aspirin and the other 3 are all NSAIDs, and she had an adverse reaction. Acetaminophen is not an NSAID, so she probably wonโt have the reaction.+
gainsgutsglory@zelderon But whatโs the pathophys here?+
generic_loginThis is aspirin-intolerant asthma. Acetaminophen only inhibits COX within the CNS, so doesn't cause the leukotriene shunting that characterizes that disease.+3
pfeboAcetaminiphen is only antipyretic and analgesic. Does not have anti-inflammatory action like NSAIDs, so it is the most appropriate to treat a headache in a patient with aspirin-induced asthma.+
pfeboAlso, it is inactive peripherally so less probability of adverse effects+
submitted by generic_login(13)
This is aspirin-intolerant asthma. Acetaminophen only inhibits COX within the CNS, so doesnโt cause the leukotriene shunting that characterizes that disease.