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Doctors' Answers to "Frequently Asked Questions" - Imitrex
Answer: None that I'm aware of.
Answer: Probably but you could schedule a stress test and remove any doubt, no sense having anxiety about this.
Answer: There is no direct contraindication but you will tend to be sedated on this combination, especially the Depakote, Trazadone, Fiorinal eombo. Imitrex should not be used with ergotamine preparaations or MAO inhibitor anti-depressants. There are reports of weakness, hyhperreflexia and lack of coordination when combinging Imitrex and the SRI antidepressants(like Prozac). Observation for this interaction is the only recommendation-it doesn't seem very common. So there is a potential problem you need to be aware of, but very uncommon and would reverse if the drug were stopped.
Answer: For classic migraines, hard to know the triggers. Patients who have cluster type migraines can often give a list of foods that trigger migraines, typically alcohol or tyramine containing foods. These tyramine type foods sometimes trigger classic migraines and are worth knowing about. Chicken liver,Pickled herring, aged cheese(cream cheese and cottage cheese are not a problem), yogurt, sour cream, bananas, advocados, raisins, chocolate, soy sauce, active yeast in any preparation(bread is not) red wine is especially high. There is a long list of medications used to minimize or prevent migraines. As to the side effects, wouldn't think these would be considered serious enough to avoid the benefit of Imitrex.
Imitrex Nasal Spray vs. Injection [posted 8/13/98]
Answer: Compares very favorably. Onset in 15 minutes or so with the nasal spray versus 10 or so with the injection. The nasal spray comes in two dosages 20 and 40 mg. Start with the 20 mg. Most patients like the nasal spray better.