A nurse is admitting a patient with a severe migraine headache. The patient has a history of myocardial infarction in the past year. What migraine medication would the nurse question for this patient?
A) Rizatriptan (Maxalt)
B) Naratriptan (Amerge)
C) Sumatriptan succinate (Imitrex)
D) Zolmitriptan (Zomig)
Ans: C
Feedback: Sumatriptan may cause chest pain and is contraindicated in patients with ischemic heart disease. Adverse effects of sumatriptan succinate include angina, chest pressure, and chest tightness. None of the triptan medications should be taken concurrently with medications containing ergotamine (vascular headache suppressant) due to the potential for a prolonged vasoactive reaction. Maxalt, Amerge, and Zomig are triptans used in routine clinical use for the treatment of migraine headaches.
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