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Trade names | Imitrex, Imigran,Treximet |
AHFS/Drugs.com | Monograph |
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Routes of administration |
tablet, subcutaneous injection, nasal spray, transdermal electrophoresis |
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Pharmacokinetic data | |
Bioavailability | 15% (oral)/ 96% (s.c) |
Protein binding | 14–21% |
Metabolism | MAO |
Biological half-life | 2.5 hours |
Excretion | 60% urine; 40% feces |
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ECHA InfoCard | 100.130.518 |
Chemical and physical data | |
Formula | C14H21N3O2S |
Molar mass | 295.402 g/mol |
3D model (Jmol) | |
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Sumatriptan is a medication used for the treatment of migraine and cluster headaches.
It is a synthetic drug belonging to the triptan class. Structurally, it is an analog of the naturally occurring neuro-active alkaloids dimethyltryptamine (DMT), bufotenine, and 5-methoxy-dimethyltryptamine, with an N-methyl sulfonamidomethyl- group at position C-5 on the indole ring.
Sumatriptan is produced and marketed by various drug manufacturers with many different trade names such as Imitrex, Imigran, Sumatran, Sumatriptanum, and Sumax, also as Treximet as a combination product with naproxen.
Sumatriptan is effective for ending or relieving the intensity of migraine and cluster headaches. It is most effective taken early after the start of the pain. Injected sumatriptan is more effective than other formulations.
Large doses of sumatriptan can cause sulfhemoglobinemia, a rare condition in which the blood changes from red to greenish-black, due to the integration of sulfur into the hemoglobin molecule. If sumatriptan is discontinued, the condition reverses within a few weeks.
Serious cardiac events, including some that have been fatal, have occurred following the use of sumatriptan injection or tablets. Events reported have included coronary artery vasospasm, transient myocardial ischemia, myocardial infarction, ventricular tachycardia, and ventricular fibrillation (V-Fib).