Page last updated: 2024-11-04

sumatriptan and Hypertension

sumatriptan has been researched along with Hypertension in 10 studies

Sumatriptan: A serotonin agonist that acts selectively at 5HT1 receptors. It is used in the treatment of MIGRAINE DISORDERS.
sumatriptan : A sulfonamide that consists of N,N-dimethyltryptamine bearing an additional (N-methylsulfamoyl)methyl substituent at position 5. Selective agonist for a vascular 5-HT1 receptor subtype (probably a member of the 5-HT1D family). Used (in the form of its succinate salt) for the acute treatment of migraine with or without aura in adults.

Hypertension: Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more.

Research Excerpts

ExcerptRelevanceReference
"We examined the effects of avitriptan, a 5-hydroxytryptamine 1-like (5HT1) receptor agonist for the treatment of migraine, in patients with medicated, controlled, mild to moderate hypertension relative to placebo and sumatriptan."9.09A double-blind, randomized, crossover assessment of blood pressure following administration of avitriptan, sumatriptan, or placebo to patients with mild to moderate hypertension. ( Cutler, NR; Ford, NF; Fulmor, IE; Jhee, SS; Salazar, DE; Sramek, JJ, 1999)
"We report a case of myocardial infarction associated with the use of sumatriptan and review the literature regarding similar cases."7.75Acute myocardial infarction with sumatriptan: a case report and review of the literature. ( Chalaupka, FD, 2009)
"A total of 137 patients with chest pain associated with intake of sumatriptan were identified and compared with 229 consumers of sumatriptan without this adverse reaction."7.69Characteristics and determinants of sumatriptan-associated chest pain. ( Grobbee, DE; Ottervanger, JP; Stricker, BH; Valkenburg, HA, 1997)
"We examined the effects of avitriptan, a 5-hydroxytryptamine 1-like (5HT1) receptor agonist for the treatment of migraine, in patients with medicated, controlled, mild to moderate hypertension relative to placebo and sumatriptan."5.09A double-blind, randomized, crossover assessment of blood pressure following administration of avitriptan, sumatriptan, or placebo to patients with mild to moderate hypertension. ( Cutler, NR; Ford, NF; Fulmor, IE; Jhee, SS; Salazar, DE; Sramek, JJ, 1999)
"We report a case of myocardial infarction associated with the use of sumatriptan and review the literature regarding similar cases."3.75Acute myocardial infarction with sumatriptan: a case report and review of the literature. ( Chalaupka, FD, 2009)
"A total of 137 patients with chest pain associated with intake of sumatriptan were identified and compared with 229 consumers of sumatriptan without this adverse reaction."3.69Characteristics and determinants of sumatriptan-associated chest pain. ( Grobbee, DE; Ottervanger, JP; Stricker, BH; Valkenburg, HA, 1997)
"Migraine is a common disorder with a prevalence of 9-10% in Hungary."2.41[Treatment of migraine in patients with hypertension and ischemic heart disease]. ( Csiba, L; Ficzere, A, 2002)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (30.00)18.2507
2000's5 (50.00)29.6817
2010's2 (20.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Levin, M1
Chalaupka, FD1
White, WB1
Derosier, FJ1
Thompson, AH1
Adams, BE1
Goodman, DK1
Ficzere, A1
Csiba, L1
Petro, DJ1
Sato, S1
Shimizu, M1
Endo, K1
Homma, M1
Yamamoto, T1
Yildiz, O1
Ciçek, S1
Ay, I1
Demirkiliç, U1
Tuncer, M1
Ottervanger, JP1
Valkenburg, HA1
Grobbee, DE1
Stricker, BH1
Jhee, SS1
Salazar, DE1
Ford, NF1
Fulmor, IE1
Sramek, JJ1
Cutler, NR1
Watts, SW1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Assessment of the Effect of Sumatriptan and Naproxen Sodium Combination Tablet, Sumatriptan Tablet, and Naproxen Sodium Tablet Treatment on Blood Pressure When Administered Intermittently for Six Months for the Acute Treatment of Migraine Attacks, With or[NCT00792636]Phase 4407 participants (Actual)Interventional2008-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants With a Consecutive 2-day Average Diastolic Blood Pressure of >=90 mmHg

The number of participants with any valid two-day consecutive average diastolic blood pressure measurement of >=90 mmHg was calculated. Valid blood pressure measurements were defined as follows: must be taken at least 24 hours following last dose of investigational product used to treat an individual migraine, must be taken no later than 96 hours after last dose of investigational product used to treat an individual migraine, must be taken prior to the onset of a subsequent individual migraine. (NCT00792636)
Timeframe: Baseline to End of Study (6-month study duration)

Interventionparticipants (Number)
Sumatriptan/Naproxen10
Sumatriptan11
Naproxen11

Number of Participants With a Consecutive 2-day Average Systolic Blood Pressure of >=140 mmHg During the Study

The number of participants with any valid two-day consecutive average systolic blood pressure measurement of >=140 mmHg was calculated. Valid blood pressure measurements were defined as follows: must be taken at least 24 hours following last dose of investigational product used to treat an individual migraine, must be taken no later than 96 hours after last dose of investigational product used to treat an individual migraine, must be taken prior to the onset of a subsequent individual migraine. (NCT00792636)
Timeframe: Baseline to End of Study (6-month study duration)

Interventionparticipants (Number)
Sumatriptan/Naproxen2
Sumatriptan2
Naproxen3

Number of Participants With an Increase of >=3 mmHg From the Baseline Diastolic Blood Pressure for the Average of Any Given Two-day Consecutive Collection of Blood Pressure Measurements

The number of participants with an increase of >=3 mmHg from the baseline diastolic blood pressure for the average of any given two-day consecutive collection of valid blood pressure measurements during the study were summarized. Valid blood pressure measurements were defined as follows: must be taken at least 24 hours following last dose of investigational product used to treat an individual migraine, must be taken no later than 96 hours after last dose of investigational product used to treat an individual migraine, must be taken prior to the onset of a subsequent individual migraine. (NCT00792636)
Timeframe: Baseline to End of Study (6-month study duration)

Interventionparticipants (Number)
Sumatriptan/Naproxen72
Sumatriptan65
Naproxen77

Number of Participants With an Increase of >=5 mmHg From the Baseline Systolic Blood Pressure for the Average of Any Given Two-day Consecutive Collection of Blood Pressure Measurements

The number of participants with an increase of >=5 mmHg from the baseline systolic blood pressure for the average of any given two-day consecutive collection of valid blood pressure measurements during the study were summarized. Valid blood pressure measurements were defined as follows: must be taken at least 24 hours following last dose of investigational product used to treat an individual migraine, must be taken no later than 96 hours after last dose of investigational product used to treat an individual migraine, must be taken prior to the onset of a subsequent individual migraine. (NCT00792636)
Timeframe: Baseline to End of Study (6-month study duration)

Interventionparticipants (Number)
Sumatriptan/Naproxen53
Sumatriptan57
Naproxen63

Number of Participants Withdrawn From the Study Due to Blood Pressure Changes

The number of participants withdrawn from the study due to protocol-defined blood pressure changes were summarized for each treatment group. Defined blood pressure changes included (1) monthly average BP ≥140 mmHg systolic or >=90 mmHg diastolic and confirmed in clinic, (2) monthly average BP increase of >=30 mmHg systolic or >=20 mmHg from in-clinic screening and confirmed in clinic, and (3) systolic >=140 mmHg or diastolic >=90 mmHg on consecutive clinic visits >=2 weeks apart. (NCT00792636)
Timeframe: Baseline to End of Study (6-month study duration)

Interventionparticipants (Number)
Sumatriptan/Naproxen1
Sumatriptan0
Naproxen0

Time to the First Day With an Average Diastolic Blood Pressure Increase of >=3 mmHg From the Baseline Diastolic Blood Pressure

Kaplan-Meier curves for the distribution of time to the first day with an average diastolic BP increase of >=3 mmHg from the baseline diastolic BP during each calendar day were calculated and graphed for each treatment group. Only valid BP measurements were included and were defined as follows: must be taken at least 24 hours following last dose of investigational product used to treat an individual migraine, must be taken no later than 96 hours after last dose of investigational product used to treat an individual migraine, must be taken prior to the onset of a subsequent individual migraine. (NCT00792636)
Timeframe: Baseline to End of Study (6-month study duration)

Interventiondays (Median)
Sumatriptan/Naproxen51
Sumatriptan50.5
Naproxen26

Time to the First Day With an Average Systolic Blood Pressure Increase of >=5 mmHg From the Baseline Systolic Blood Pressure

Kaplan-Meier curves for the distribution of time to the first day with an average diastolic BP increase of >=3 mmHg from the baseline diastolic BP during each calendar day were calculated and graphed for each treatment group. Only valid BP measurements were included and were defined as follows: must be taken at least 24 hours following last dose of investigational product used to treat an individual migraine, must be taken no later than 96 hours after last dose of investigational product used to treat an individual migraine, must be taken prior to the onset of a subsequent individual migraine. (NCT00792636)
Timeframe: Baseline to End of Study (6-month study duration)

Interventiondays (Median)
Sumatriptan/Naproxen42.5
Sumatriptan32.5
Naproxen18.5

Mean Change From Baseline in Systolic and Diastolic Blood Pressure at Month 6 for Sumatriptan and Naproxen

The calculation of baseline and post-baseline mean BP (either systolic or diastolic) for each month (30-day period) is the average of all valid Telephonic Self-Measured Blood Pressure (T-SMBP) measurements. T-SMBP technology is a method that allows the participant to self-measure BP outside the clinic using a BP monitor and transfer the data from their home to a central server. Change from baseline was calculated as the Month 6 value minus the Baseline value. Least squares mean and confidence intervals were based on mixed model repeated measures analysis (MMRM). (NCT00792636)
Timeframe: Baseline and Month 6

,
InterventionmmHg (Mean)
Systolic, Baseline, n=109, 115Systolic, Month 6, n=42, 37Systolic, Change from Baseline, n=41, 36Diastolic, Baseline, n=109, 115Diastolic, Month 6, n=42, 37Diastolic, Change from Baseline, n=41, 36
Naproxen110.1108.2-1.874.774.3-0.6
Sumatriptan110.8109.4-2.875.773.9-1.6

Mean Change From Baseline in Systolic and Diastolic Blood Pressure at Month 6 for Sumatriptan/Naproxen

The calculation of baseline and post-baseline mean blood pressure (BP) (either systolic or diastolic) for each month (30-day period) is the average of all valid Telephonic Self-Measured Blood Pressure (T-SMBP) measurements. T-SMBP technology is a method that allows the participant to self-measure BP outside the clinic using a BP monitor and transfer the data from their home to a central server. Change from baseline was calculated as the Month 6 value minus the Baseline value. Least squares mean and confidence intervals were based on mixed model repeated measures analysis (MMRM). (NCT00792636)
Timeframe: Baseline and Month 6

Interventionmillimeters of mercury (mmHg) (Mean)
Systolic, Baseline, n=120Systolic, Month 6, n=48Systolic, Change from Baseline, n=47Diastolic, Baseline, n=120Diastolic, Month 6, n=48Diastolic, Change from Baseline, n=47
Sumatriptan/Naproxen111.7107.1-2.976.073.0-2.1

Mean Change From Baseline in Systolic and Diastolic Blood Pressure at Month 6 for Sumatriptan/Naproxen for the ITT Subpopulation of Participants Treating With <30 Total Doses, 30-60 Total Doses, >=30, 60-90 Total Doses, and >90 Total Doses

The calculation of baseline and post-baseline mean BP (either systolic or diastolic) for each month (30-day period) is the average of all valid T-SMBP measurements. The subgrouping of the ITT population was created and examined to demonstrate the robustness of the results for the primary analysis. Descriptive statistics were calculated for baseline, month 6, and change from baseline to month 6. LSMeans and corresponding confidence intervals (CIs) were based on MMRM analysis. LSMeans and CIs were not calculated for the 60-90 and the >90 total dose groups due to lack of convergence. (NCT00792636)
Timeframe: Baseline and Month 6

InterventionmmHg (Least Squares Mean)
Systolic, <30 total dosesSystolic, 30-60 total dosesSystolic, >=30 total dosesDiastolic, <30 total dosesDiastolic, 30-60 total dosesDiastolic, >=30 total doses
Sumatriptan/Naproxen-1.2-3.4-3.7-0.6-3.3-3.6

Mean Change From Baseline in Systolic and Diastolic Blood Pressure at Month 6 for Sumatriptan/Naproxen for the ITT Subpopulation of Participants Treating, on Average, <1.3 Times Per Migraine, 1.3-1.7 Times Per Migraine, and >1.7 Times Per Migraine

The calculation of baseline and post-baseline mean BP (either systolic or diastolic) for each month (30-day period) is the average of all valid T-SMBP measurements. The subgrouping of the ITT population was created and examined to demonstrate the robustness of the results for the primary analysis.Descriptive statistics were calculated for baseline, month 6, and change from baseline to month 6. LSMeans and corresponding confidence intervals were based on MMRM analysis. (NCT00792636)
Timeframe: Baseline and Month 6

InterventionmmHg (Least Squares Mean)
Systolic, <1.3 doses per migraineSystolic, 1.3-1.7 doses per migraineSystolic, >1.7 doses per migraineDiastolic, <1.3 doses per migraineDiastolic, 1.3-1.7 doses per migrainesDiastolic, >1.7 doses per migraine
Sumatriptan/Naproxen-0.3-2.7-3.8-0.4-0.9-3.2

Mean Change From Baseline in Systolic and Diastolic Blood Pressure at Month 6 for Sumatriptan/Naproxen for the ITT Subpopulation of Participants Treating, on Average, <4 Migraines, 4-6 Migraines, >=4 Migraines, and >6 Migraines Per Month

The calculation of baseline and post-baseline mean BP (either systolic or diastolic) for each month (30-day period) is the average of all valid T-SMBP measurements. The subgrouping of the ITT population was created and examined to demonstrate the robustness of the results for the primary analysis.Descriptive statistics were calculated for baseline, month 6, and change from baseline to month 6. LSMeans and corresponding confidence intervals were based on MMRM analysis. LSMeans and corresponding confidence intervals were not calculated for > 6 migraines/month group due to lack of convergence. (NCT00792636)
Timeframe: Baseline and Month 6

InterventionmmHg (Least Squares Mean)
Systolic, <4 migraines per monthSystolic, 4-6 migraines per monthSystolic, >=4 migraines per monthDiastolic, <4 migraines per monthDiastolic, 4-6 migraines per monthDiastolic, >=4 migraines per month
Sumatriptan/Naproxen-2.0-3.3-3.7-1.2-5.3-4.1

Mean Change From Baseline in Systolic and Diastolic Blood Pressure at Month 6 for Sumatriptan/Naproxen for the ITT Subpopulation of Participants Treating, on Average, With <6, 6-10, >=6, 10-14, and >14 Doses Per Month

The calculation of baseline and post-baseline mean BP (either systolic or diastolic) for each month (30-day period) is the average of all valid T-SMBP measurements. The subgrouping of the ITT population was created and examined to demonstrate the robustness of the results for the primary analysis. Descriptive statistics were calculated for baseline, month 6, and change from baseline to month 6. LSMeans and corresponding confidence intervals (CIs) were based on MMRM analysis. LSMeans and CIs were not calculated for the 10-14 and the >14 doses/month groups due to lack of convergence. (NCT00792636)
Timeframe: Baseline and Month 6

InterventionmmHg (Least Squares Mean)
Systolic,<6 doses per monthSystolic, 6-10 doses per monthSystolic, >=6 doses per monthDiastolic,<6 doses per monthDiastolic, 6-10 doses per monthDiastolic, >=6 doses per month
Sumatriptan/Naproxen-1.6-4.6-4.3-1.0-3.7-3.5

Treatment Difference in Systolic and Diastolic Blood Pressure Mean Changes From Baseline at 6 Months Between Sumatriptan/Naproxen and Naproxen

The calculation of baseline and post-baseline mean BP (either systolic or diastolic) for each month (30-day period) is the average of all valid Telephonic Self-Measured Blood Pressure (T-SMBP) measurements. T-SMBP technology is a method that allows the participant to self-measure BP outside the clinic using a BP monitor and transfer the data from their home to a central server. Change from baseline was calculated as the Month 6 value minus the Baseline value. Least squares mean and confidence intervals were based on mixed model repeated measures analysis (MMRM). (NCT00792636)
Timeframe: Baseline and Month 6

,
InterventionmmHg (Mean)
Systolic, Baseline, n=120, 115Systolic, Month 6, n=48, 37Systolic, Change from Baseline, n=47, 36Diastolic, Baseline, n=120, 115Diastolic, Month 6, n=48, 37Diastolic, Change from Baseline, n=47, 36
Naproxen110.1108.2-1.874.774.3-0.6
Sumatriptan/Naproxen111.7107.1-2.976.073.0-2.1

Treatment Difference in Systolic and Diastolic Blood Pressure Mean Changes From Baseline at 6 Months Between Sumatriptan/Naproxen and Sumatriptan

The calculation of baseline and post-baseline mean BP (either systolic or diastolic) for each month (30-day period) is the average of all valid Telephonic Self-Measured Blood Pressure (T-SMBP) measurements. T-SMBP technology is a method that allows the participant to self-measure BP outside the clinic using a BP monitor and transfer the data from their home to a central server. Change from baseline was calculated as the Month 6 value minus the Baseline value. Least squares mean and confidence intervals were based on mixed model repeated measures analysis (MMRM). (NCT00792636)
Timeframe: Baseline and Month 6

,
InterventionmmHg (Mean)
Systolic, Baseline, n=120, 109Systolic, Month 6, n=48, 42Systolic, Change from Baseline, n=47, 41Diastolic, Baseline, n=120, 109Diastolic, Month 6, n=48, 42Diastolic, Change from Baseline, n=47, 41
Sumatriptan110.8109.4-2.875.773.9-1.6
Sumatriptan/Naproxen111.7107.1-2.976.073.0-2.1

Reviews

1 review available for sumatriptan and Hypertension

ArticleYear
[Treatment of migraine in patients with hypertension and ischemic heart disease].
    Ideggyogyaszati szemle, 2002, Jan-20, Volume: 55, Issue:1-2

    Topics: Adjuvants, Pharmaceutic; Analgesics, Non-Narcotic; Anti-Inflammatory Agents, Non-Steroidal; Carbazol

2002

Trials

2 trials available for sumatriptan and Hypertension

ArticleYear
Evaluation of the migraine treatment sumatriptan/naproxen sodium on blood pressure following long-term administration.
    Journal of clinical hypertension (Greenwich, Conn.), 2011, Volume: 13, Issue:12

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Blood Pressure; Confidence Intervals; Double-Blind M

2011
A double-blind, randomized, crossover assessment of blood pressure following administration of avitriptan, sumatriptan, or placebo to patients with mild to moderate hypertension.
    Cephalalgia : an international journal of headache, 1999, Volume: 19, Issue:2

    Topics: Adult; Aged; Blood Pressure; Double-Blind Method; Female; Humans; Hypertension; Indoles; Male; Middl

1999

Other Studies

7 other studies available for sumatriptan and Hypertension

ArticleYear
Teaching case: hypertensiveheadache.
    Headache, 2013, Volume: 53, Issue:4

    Topics: Brain Diseases; Cerebral Hemorrhage; Female; Headache; Humans; Hypertension; Middle Aged; Seizures;

2013
Acute myocardial infarction with sumatriptan: a case report and review of the literature.
    Headache, 2009, Volume: 49, Issue:5

    Topics: Acute Disease; Adrenergic beta-Antagonists; Aspirin; Coronary Vasospasm; Coronary Vessels; Echocardi

2009
Cerebral vasoconstriction and stroke after use of serotonergic drugs.
    Neurology, 2002, Aug-27, Volume: 59, Issue:4

    Topics: Antidepressive Agents; Brain; Cerebrovascular Circulation; Dietary Supplements; Drug and Narcotic Co

2002
[Postpartum cerebral angiopathy--a case report the vasculopathy associated with co-administration of two vasoconstrictives, methylergometrine maleate and sumatriptan].
    Rinsho shinkeigaku = Clinical neurology, 2004, Volume: 44, Issue:2

    Topics: Adult; Cerebrovascular Disorders; Female; Humans; Hypertension; Magnetic Resonance Imaging; Methyler

2004
Hypertension increases the contractions to sumatriptan in the human internal mammary artery.
    The Annals of thoracic surgery, 1996, Volume: 62, Issue:5

    Topics: Aged; Case-Control Studies; Constriction, Pathologic; Dose-Response Relationship, Drug; Drug Evaluat

1996
Characteristics and determinants of sumatriptan-associated chest pain.
    Archives of neurology, 1997, Volume: 54, Issue:11

    Topics: Adult; Age Distribution; Chest Pain; Cohort Studies; Female; Humans; Hypertension; Male; Middle Aged

1997
Serotonin-induced contraction in mesenteric resistance arteries: signaling and changes in deoxycorticosterone acetate-salt hypertension.
    Hypertension (Dallas, Tex. : 1979), 2002, Mar-01, Volume: 39, Issue:3

    Topics: Animals; Carbazoles; Desoxycorticosterone; Dose-Response Relationship, Drug; Fluorobenzenes; Hyperte

2002