Triptan use over the age of 40?

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  • Full Question:

    I am 63 and post-menopausal.  I have used Maxalt for a number of years and before that Zomig, usually to good effect. But I read that my age and post-menopausal state put me on the "no" list for triptans. The warning is against anyone over 40 taking them.  However, my doctor has prescribed them without reservation. I have no history of heart disease or stroke; I have a low BMI and healthy blood lipid readings, reasons why she feels it's OK.


    What do you think? Do you recommend triptans to people in their 60s and above?
    Thank you for your opinion -- Rosalind.


    Dear Rosalind;

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    The issue with being over 40 and taking triptans is risk of heart disease. For example: in the Imitrex prescribing information it lists risk factors for heart disease to discuss with your doctor. One of the factors listed is being a male over 40 years of age.


    The use of triptans over the age of 40 is generally considered safe if the patient doesn't have a history of heart disease or is at risk for heart disease. Discuss this with your doctor at your next visit to put your mind at ease.



    Good luck,
    John Claude Krusz and Teri Robert



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    Last updated June 13, 2010.


Published On: June 13, 2010