6/23/08 - Can I take triptans with angina?

Ask the Clinician Health Pro
  • Full Question:

    Can I take triptans with angina? Just had a stent put medicated stent put in on 6-12 can I still use triptans with this. I know that Imitrex Injections give me a tight chest when I use them so I won't use them again but what about other triptans? Thanks, Jim.




    Dear Jim;


    There really isn't a simple answer to your question. The prescribing information for all of the triptans lists a contraindication if the patient has heart disease or significant history of heart disease. Some patients weigh the risks of triptans against the risks of Migraine attacks and want to use triptans anyway. Some doctors, considering this "informed consent," will prescribe triptans, usually the newer ones. Other doctors will not prescribe triptans for any patient with cardiovascular issues.

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    Thus, this is a decision each patient must make with their doctors. The best course of action at this point would be a conversation among you, your cardiologist, and the doctor who treats you for Migraine. The three of you together can then plan the best course of action for you.


    Good luck,
    John Claude Krusz and Teri Robert



    About Ask the Clinician:

    Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert.


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    We hope you find this general medical and health information useful, but this Q & A is meant to support not replace the professional medical advice you receive from your doctor. For all personal medical and health matters, including decisions about diagnoses, medications and other treatment options, you should always consult your doctor. See full Disclaimer.


    © Teri Robert and J.C. Krusz, 2008.

    Last updated June 17, 2008.



Published On: June 17, 2008