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Triptan contraindication — GPhC CRA MCQ

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ModerateCNS TherapeuticsTriptan contraindicationGPhC CRA

A 62-year-old man with previous myocardial infarction asks to buy sumatriptan tablets for migraines after using his wife's supply once. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BDecline supply and refer for medical review

Triptans are vasoconstrictors and are unsuitable in significant cardiovascular disease such as previous myocardial infarction. The patient needs assessment for safer migraine management and should not use another person's prescription. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: BNF; NICE CKS