Sumatriptan
Brand: Imitrex
No boxed warning on the current FDA label.
- Caution
- Contraindicated with coronary artery disease, uncontrolled hypertension, or prior stroke because it constricts blood vessels.
Common side effects
- Chest tightness
- Tingling or flushing
- Dizziness
- Fatigue
- Injection-site reaction
Key interactions
- Avoid within 24 hours of ergot medicines
- Avoid MAO inhibitors
- Serotonin syndrome risk with SSRIs or SNRIs
- Do not use with other triptans same day
Counseling points
- Take at first sign of migraine
- Do not use for more than a few days weekly
- Report chest pain or pressure
- Avoid if you have heart disease
- May repeat dose after 2 hours if needed
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