Triptan cardiovascular contraindication — GPhC CRA MCQ
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Correct answer: C — Do not supply OTC sumatriptan and refer for medical advice
Triptans are vasoconstrictors and are contraindicated or unsuitable in patients with a history of myocardial infarction or significant cardiovascular disease. OTC sumatriptan supply requires careful screening against exclusion criteria. The patient should be referred for prescriber advice on safer migraine management.
Reference: BNF; NICE CKS; SmPC