Triptans in the treatment of basilar migraine and migraine with prolonged aura.
ABSTRACT
OBJECTIVE
To report on the use of triptans in migraine with prominent neurologic symptoms.
BACKGROUND
As stated in their package inserts, the triptans are contraindicated in patients with basilar or familial hemiplegic migraine, and physicians are reluctant to prescribe these drugs to other patients with prominent or prolonged aura.
METHODS
We evaluated 13 patients with basilar migraine, familial hemiplegic migraine, or migraine with prominent or prolonged aura who had received triptans.
RESULTS
Excellent; no adverse events.
CONCLUSION
The contraindication of triptans in basilar migraine should be reconsidered. Similarly, prominent or prolonged aura may not represent a reasonable contraindication to triptan therapy.
New comment by at Albany Med Health System ( July 22, 2025)
Thank you for pointing out MUMS. There are too many people who do not get the right treatment for their disorder and instead continue down a neurological diagnostic/treatment ...