Are triptans contraindicated for migraine treatment in patients with sickle cell disease?
What are alternative treatment options if so?
Community PollStarted
Do you prescribe triptans to patients with sickle cell disease for migraine treatment?
17 physicians have voted
Join Mednetto vote and see how they answered.
1 Answer
Mednet MemberInvited Expert
Neurology · Stanford University
Answered on
Although triptans are not formally contraindicated in sickle cell disease, many SCD patients have silent cerebral infarcts and significant cerebrovascular vasculopathy, which are absolute contraindications to triptans. A thorough assessment for silent strokes, such as MRI/MRA, is recommended, and ex...
Join for free or sign in to see the full answer