• Headache · Nov 2001

    Case Reports

    Triptans in the treatment of basilar migraine and migraine with prolonged aura.

    • J Klapper, N Mathew, and R Nett.
    • Colorado Neurology and Headache Center, Denver, CO 80218, USA.
    • Headache. 2001 Nov 1; 41 (10): 981-4.

    ObjectiveTo report on the use of triptans in migraine with prominent neurologic symptoms.BackgroundAs 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.MethodsWe evaluated 13 patients with basilar migraine, familial hemiplegic migraine, or migraine with prominent or prolonged aura who had received triptans.ResultsExcellent; no adverse events.ConclusionThe contraindication of triptans in basilar migraine should be reconsidered. Similarly, prominent or prolonged aura may not represent a reasonable contraindication to triptan therapy.

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