Ramin Farajpour

• 4.4
• Tabriz University of Medical Sciences

The efficacy of somatriptan in TNG- induced headache?

Headache following nitroglycerine is common finding in most hypertensive patients specially in migraine cases. Somatriptan is used in this cases... I want to know the efficacy of somatriptan in this type of headache and also other treatment suggestion for decreasing it.

There are several aspects that I would like to comment upon:

1. You cannot treat hypertension-NTG linked headache or hypertension-NTG-migraine properly without understanding the mechanism (see attached file).

2. Sumatriptan is cautioned in hypertensive cases or in clinical situations with established or suspected cardiovascular risk.

3. Hypertension should be treated primarily.

4. Beta-blockers should be used for predominantly systolic hypertension, despite the International recommendations (see attached file).

5. For emergencies, metoclopramide might be a better option -- caution: side-effects (see attached file).

Best wishes,

New Delhi

08 March 2016

orcid.org/0000-0002-6770-5916

Dear Dr Gupta, thanks a lot for your complete answer... I wish you answer my other future questions like this one

Give me some time. I am completing an article for Brain and have to submit review reports for 2 articles for Neurology (AAN) and Neurology India.

All files I have attached contain original advances in the thinking in the respective fields. I wish you would read them and benefit.

Best wishes, Ramin

Dear Dr Gupta, I folloow you from this moment. Your articles and editorials are perfect... I wish you follow me too for future scientific communications and cooperations... thamks.