Internal Medicine

0521779407-14 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 21:16

984 Migraine Headache Miliaria

■Abortive agents for nausea

➣Promethazine

➣Prochlorperazine

➣Metaclopramide

■Prophylactic agents for head pain & nausea

➣Anti-inflammatory agents (above)

➣Tricyclic antidepressants

Amitriptyline

Nortriptyline

Doxepin

➣B-receptor antagonists

Propranolol

Nadolol

Atenolol

➣Calcium channel blockers

Verapamil

Amlodipine

➣Ergot preparations

Methysergide

➣Anticonvulsant: valproic acid

Botulinum toxin type A

follow-up

■Every 3–12 months depending on level of control

complications and prognosis

■Drug dependence to opiates & sedative meds

■Prognosis: good

MILIARIA

JEFFREY P. CALLEN, MD

history & physical

■Pruritic rash on occluded areas or areas exposed to heat

■Caused by occlusion of the eccrine sweat ducts and pores, which

leads to retention of sweat

■Back-up pressure causes rupture of sweat gland into adjacent tissue.

■Eruption is more common in hot, humid climates and hot summer

months.

■May occur in hospitalized patients with a high fever