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Pharmacology · Neuro drugs: migraine prophylaxis
Sample itemA woman with frequent migraines and hypertension needs preventive therapy. Which drug serves both conditions?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Propranolol
Propranolol, topiramate, amitriptyline and valproate are prophylactic agents, and the beta blocker also treats hypertension. CGRP monoclonal antibodies such as erenumab are newer options. Triptans and ergots abort attacks.
Option by option
A. Sumatriptan
Sumatriptan aborts attacks and can raise blood pressure.
B. Propranolol (correct)
Correct. Propranolol prevents migraine and lowers blood pressure.
C. Ergotamine
Ergotamine aborts attacks and constricts vessels.
D. Ondansetron
Ondansetron is an antiemetic only.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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