Based on drug sumatriptan writteGeneric drug name Uses (indications) Adverse effects Who should not use the medication (contraindications) Any monitoring required Any specific teaching points.
### Sumatriptan (Generic Name)
#### Uses (Indications)
Sumatriptan is primarily indicated for the acute treatment of migraine attacks with or without aura. It is also used for the treatment of cluster headaches.
#### Adverse Effects
Common adverse effects of sumatriptan can include:
- Dizziness or lightheadedness
- Drowsiness
- Fatigue
- Nausea
- Vomiting
- Dry mouth
- Flushing
- Pain or tightness in the chest or throat
- Sensations of tingling or numbness
Less common but more serious side effects may include:
- Increased blood pressure
- Heart attack (myocardial infarction)
- Stroke
- Serotonin syndrome (especially if taken with other serotonergic drugs)
#### Who Should Not Use the Medication (Contraindications)
Sumatriptan is contraindicated in individuals with:
- Ischemic heart disease (such as angina pectoris or myocardial infarction)
- Severe hypertension
- History of stroke or transient ischemic attack (TIA)
- Peripheral vascular disease
- Hypersensitivity to sumatriptan or any of its components
- Concurrent use of monoamine oxidase inhibitors (MAOIs) or within 14 days of discontinuating an MAOI
#### Any Monitoring Required
Patients on sumatriptan should generally be monitored for:
- Heart rate and blood pressure, particularly after the first dose, especially in those with cardiovascular risk factors.
- Symptoms of serotonin syndrome, particularly if they are on other serotonergic medications.
- Frequency and severity of migraine attacks to determine the effectiveness of treatment.
#### Any Specific Teaching Points
When prescribing or dispensing sumatriptan, consider the following teaching points for patients:
- Take sumatriptan at the first sign of a migraine; it is most effective when taken early in an attack.
- Do not exceed the recommended dose and frequency; overuse can lead to rebound headaches.
- Be aware of the potential for side effects such as dizziness; advise caution when driving or operating machinery.
- Report any chest pain, tightness, or serious side effects to a healthcare provider immediately.
- Avoid use with other medications that can raise serotonin levels (such as other triptans, SSRIs, or SNRIs) without consulting a healthcare provider.
- Maintain proper hydration and lifestyle measures to help manage migraine triggers.
Patients should also be encouraged to keep a headache diary to help identify triggers and patterns which can aid in treatment planning.