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Serotonin 5-HT 1 Receptor Agonists (Triptans)

Serotonin 5-HT 1 Receptor Agonists (Triptans)

Serotonin 5-HT 1 receptor agonists (5-HT1 agonists), also known as triptans, constitute a family of medications used to treat, but not prevent, migraine headaches. The 5-HT1 agonist sumatriptan, when injected, also helps treat cluster headaches. These drugs include:

Summary of Interactions with Vitamins, Herbs, and Foods
In some cases, a herb or supplement may appear in more than one category, which may seem contradictory. For clarification, read the full article for details about the summarized interactions.

Avoid Avoid: Adverse interaction—Avoid these supplements when taking this medication because taking them together may cause undesirable or dangerous results.

L-tryptophan

5-HTP

Depletion or interference

None known

Side effect reduction/prevention

None known

Supportive interaction

None known

Reduced drug absorption/bioavailability

None known

An asterisk (*) next to an item in the summary indicates that the interaction is supported only by weak, fragmentary, and/or contradictory scientific evidence.

Interactions with Dietary Supplements

5-HTP and L-tryptophan
Triptans work by stimulating serotonin receptors in the brain. 5-HTP (5-Hydroxytryptophan) and L-tryptophan are converted to serotonin in the brain, and taking them at the same time as 5-HT1 agonists could increase unwanted side effects. However, at the time of this writing there are no known interactions with 5-HT1 agonists and 5-HTP or L-tryptophan.1

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Interactions with Foods and Other Compounds

Food
Though food does not significantly interfere with the overall effectiveness of triptans, it may slow the onset of action of sumatriptan and rizatriptan. Therefore, these drugs are best taken on an empty stomach. However, taking eletriptan with a high-fat meal increases overall absorption of the drug.2

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References
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