Deans' stroke musings: Can This Patient Take A Triptan?: Review Of The Cardiovascular Safety Of The Triptans And Recommendations For Patient Selection And Evaluation

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, March 29, 2015

Can This Patient Take A Triptan?: Review Of The Cardiovascular Safety Of The Triptans And Recommendations For Patient Selection And Evaluation

Be careful out there. It's a world full of stroke risks. I'm sure your doctor is well aware of this, it is only 12 years old.
https://ispub.com/IJN/3/1/9243

E Loder, D Biondi

Citation

E Loder, D Biondi. Can This Patient Take A Triptan?: Review Of The Cardiovascular Safety Of The Triptans And Recommendations For Patient Selection And Evaluation. The Internet Journal of Neurology. 2003 Volume 3 Number 1.

Abstract

Background: Treatment guidelines issued in 2001 by the United States Headache Consortium emphasize the use of 5-HT1B/1D agonists (triptans) as preferred agents for abortive treatment of moderate to severe migraine. Despite this, triptans are used by only a minority of patients whose attacks are severe enough to require prescription medication, primarily because of persistent concern about their cardiovascular safety.

Discussion: Serious triptan-related cardiac events have occurred, primarily in patients with known cardiac risk factors, but the efficacy and safety of triptans favor their use for the acute treatment of migraine in patients at low risk for cardiovascular disease. The use of simple, validated risk stratification systems such as the Framingham Risk Score, is one method of evaluating cardiovascular risk status in a clinical setting.

Summary: Triptans are safe for the majority of patients with migraine, but clinical assessment of the underlying probability of cardiovascular disease is important prior to triptan prescription.