What is the first line abortive treatment for migraines? PLACE IN THERAPY
Most current guidelines have NSAIDS first line for mild to moderate and triptans as first line for moderate to severe acute migraines, however, the newer agents have not yet been incorporated into the current guidelines.
Is sumatriptan an abortive? Sumatriptan is an abortive medication for migraine attacks, belonging to the triptan family. It is available for administration by four different routes: oral, subcutaneous, intranasal, and rectal.
What is the strongest drug for migraine? Triptans. Prescription drugs such as sumatriptan (Imitrex, Tosymra) and rizatriptan (Maxalt, Maxalt-MLT) are used to treat migraine because they block pain pathways in the brain. Taken as pills, shots or nasal sprays, they can relieve many symptoms of migraine.
Are triptans preventive or abortive? Triptans demonstrate efficacy in the abortive management of menstrually related and pure menstrual migraines. For migraines that occur primarily during menses or that are particularly resistant to other therapies, intermittent prophylactic therapies can be used. Naproxen and estrogens have been studied for this use.