Literature DB >> 24741269

Use of triptans for the control of headache in bacterial meningitis.

Viroj Wiwanitkit1.   

Abstract

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Year:  2014        PMID: 24741269      PMCID: PMC3985379          DOI: 10.4103/0976-3147.127935

Source DB:  PubMed          Journal:  J Neurosci Rural Pract        ISSN: 0976-3155


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Sir, The use of triptans for the control of headache in bacterial meningitis is an interesting topic for discussion.[1] Based on theoretical concern,[2] the feasibility can be seen. Nevertheless, as Mojumder proposed, there are several issues for consideration regarding the effectiveness and safety of triptans. Whether the “thrombogenic environment” has any interrelationship with triptans is an important thing to be further studied. Based on our best knowledge, zolmitriptan and naratriptan have no effect on platelet or coagulation factor. This might assume that using triptans is safe. However, there is a report showing a possibility of increased intrapartum blood loss, which implies anti-thrombogenic phenomenon in the pregnant woman who received triptans.[3] If the anti-thrombogenic property actually exists, it might be a good counter factor to the thrombogenic environment in meningitis. Further studies on this topic are recommended.
  3 in total

1.  Triptan exposure during pregnancy and the risk of major congenital malformations and adverse pregnancy outcomes: results from the Norwegian Mother and Child Cohort Study.

Authors:  Katerina Nezvalová-Henriksen; Olav Spigset; Hedvig Nordeng
Journal:  Headache       Date:  2010-01-28       Impact factor: 5.887

2.  Nitrite, vasodilation, and headache in bacterial meningitis: Theoretical approach.

Authors:  Viroj Wiwanitkit
Journal:  J Neurosci Rural Pract       Date:  2013-07

3.  Careful consideration for use of triptans for the control of headache in bacterial meningitis.

Authors:  Deb Kumar Mojumder
Journal:  J Neurosci Rural Pract       Date:  2014-01
  3 in total

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