IMITREX
What it isNasal 5-HT1B/1D agonist (IMITREX 5-20 mg, 1997); abortive treatment of acute migraine.
Why this oneNeedle-free TOSYMRA 10 mg spray and ONZETRA XSAIL 11 mg powder bypass swallowing and gastric delay; faster than oral, slower than subcutaneous.
What limits itCoronary vasospasm precludes use in ischemic or vasospastic disease; overuse can perpetuate headache.
NO BOXED WARNINGS
Principal riskCoronary vasospasm; contraindicated in ischemic heart disease

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