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Imitrex

Sumatriptan
Sumatriptan Structural Formula V.1.svg
Sumatriptan molecule
Clinical data
Trade names Imitrex, Imigran,Treximet
AHFS/Drugs.com Monograph
License data
Pregnancy
category
  • C
Routes of
administration
tablet, subcutaneous injection, nasal spray, transdermal electrophoresis
ATC code
Legal status
Legal status
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
Identifiers
CAS Number
PubChem CID
IUPHAR/BPS
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
ECHA InfoCard 100.130.518
Chemical and physical data
Formula C14H21N3O2S
Molar mass 295.402 g/mol
3D model (Jmol)
  

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).


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