I am not aware of specific evidence regarding triptans and Moyamoya. The contraindication in stroke is not based on data, just from concern about vasoconstriction, for which there is no clear evidence in the intracranial circulation. Hence I would be willing to prescribe a triptan, with appropriate ...

I agree with @Howard on all points. Perhaps if the patient had a history of stroke, I would be more cautious (not based on hard data, more from a medicolegal perspective). That said, the CGRP abortive medications are such a great option and, with patient assistance programs, generally available. I h...