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Triptan cardiovascular contraindication — GPhC CRA MCQ

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ModerateCNS TherapeuticsTriptan cardiovascular contraindicationGPhC CRA

A 58-year-old man asks to buy sumatriptan for migraine. He reports previous myocardial infarction and uses GTN spray for angina. His headache is similar to previous migraines. What is the most appropriate action?

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Correct answer: DDo not supply and refer to a prescriber

Triptans are vasoconstrictors and are contraindicated in significant cardiovascular disease such as previous myocardial infarction or active angina. The patient needs prescriber review for alternative migraine management. Combining with GTN does not make sumatriptan safe. Recurrent migraine history does not override cardiovascular risk.

Reference: BNF; NICE CKS