Methegine and migraines

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I have a patient who has tried 7 different Tristan's and they have all caused chest pain. It is not coded as an allergy. They are prenatal and I was wondering if thry would be able to tolerate methergine? I haven't found any literature to support one way or not.

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I have a patient who has tried 7 different Tristan's and they have all caused chest pain. It is not coded as an allergy. They are prenatal and I was wondering if thry would be able to tolerate methergine? I haven't found any literature to support one way or not.

Must be awful for her!!

I am not familiar w/ the meds but I hope they find what works. Meanwhile welcome to allnurses and keep posting!

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I think the OP is talking about -triptans, not tristans. Probably the most well known is sumatriptan, or Imitrex.

Methergine is an ergot alkaloid, some of which are indeed used in the treatment of migraines (the one I'm most familiar with is Cafergot, which contains caffeine and ergotamine). However, any OB nurse should be familiar with methergine and recognize that this is the drug we use immediately post-partum to help the uterus contract and control post-partum bleeding. Ergot alkaloids are contraindicated in pregnant patients.

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