Which of the following in the client’s history should be reported to the doctor? The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client.
A. Diabetes B. Prinzmetal’s angina C. Cancer D. Cluster headaches
The correct answer to this question is option B - Prinzmetal’s angina
Imitrex (sumatriptan succinate) is a medication used to treat migraine and cluster headache. It is a selective 5-HT1B/1D receptor agonist. It works by causing vasospasm in the brain.
Imitrex is contraindicated in many medical conditions such as Prinzmetal's Angina and other ischemic or vasospastic coronary artery diseases.
The medication can trigger coronary artery vasospasm even in people with no history of ischemic or vasospastic coronary artery diseases. This is much worse for people with a history of ischemic or vasospastic coronary artery diseases.
Imitrex (sumatriptan succinate) is not contraindicated for people with diabetes, cancer, and cluster headaches. Therefore, all the options listed above are wrong except for option B.
M. Porter, Senior Executive, Master of Art, San Jose
Answered Jan 31, 2019
A patient is seen in the clinic for treatments of migraine headaches. The drug Imitrex is prescribed for the client. Imitrex, which is the brand name for sumatriptan, is a headache medicine that narrows blood vessels around the brain. It is used to treat a migraine and cluster headaches.
Some of the side effects associated with the use of sumatriptan include numbness tingling, dizziness, chest discomfort, pressure or tightness, and jaw or neck tightness. It comes from the drug class serotonin 5HT receptor agonists, and antimigraine agents. The injectable form of Imitrex is also approved for the acute treatment of cluster.
If the client has a history of Prinzmetals angina. he should not be prescribed triptan preparations because they cause vasoconstriction and coronary spasms. There is no contraindication for taking triptan drugs in clients with diabetes. cancer. or cluster headaches making answers A. C. and D incorrect.