The association of the combination of sumatriptan and methysergide in myocardial infarction in a premenopausal woman

Acute myocardial infarction occurred in a 43 year-old premenopausal woman w ith controlled hypertension and no known coronary artery disease following the use of the antimigraine medications sumatriptan succinate injectable fo rm and methysergide maleate. The use of sumatriptan is contraindicated with in 24 hours of using ergotamine or ergotamine-type medications such as meth ysergide. This contraindication is based on the theoretical possibility of prolonged vasospasm with the combined use. Methysergide is primarily a sero tonin type 2 (5-HT2) antagonist, although it does act as a partial agonist at 5-HT1 receptors. It is believed that a major component of coronary arter y vasospasm is possibly due to 5-HT supersensitivity mediated by 5-HT1D bet a receptor activation. Drugs that selectively stimulate the 5-HTD receptors , such as sumatriptan, are potentially hazardous in people with underlying coronary artery disease, and agents with additional agonistic properties at these receptors may potentiate this effect. physicians should be warned to inquire about prior 24-hour medication use before prescribing antimigraine medication.