If the use of Imitrex in the form of a spray is not appropriate for the case of Mia, it is also possible to propose taking such sumatriptan as Imigran which is distributed in the form of tablets. However, it is important to accentuate the fact that the patient should follow certain prescriptions and recommendations while taking this medication in order to avoid increasing the concentration of sumatriptan in the breast milk (Davanzo, Bua, Paloni, & Facchina, 2014). Therefore, it is recommended to breastfeed an infant before taking a drug.
While speaking about other types of medications which are used to cope with migraines in those women who breastfeed their children, it is important to focus on using simple analgesics, such as acetaminophen (Tylenol). According to researchers and clinicians, acetaminophen is compatible with pregnancy and breastfeeding because of minimal side effects and low toxicity (Hutchinson et al., 2013). Therefore, if Mia has some side effects associated with consuming sumatriptan, it is possible to recommend using acetaminophen as an effective medication to cope with symptoms of migraines. However, some patients note that the effectiveness of acetaminophen is not as high as of triptans (Hutchinson et al., 2013; Serrano, Buse, Manack Adams, Reed, & Lipton, 2015). Therefore, for this case, the use of triptans is recommended depending on the analysis of their effectiveness and compatibility with breastfeeding.
Still, if medications which belong to the category of triptans are discussed as ineffective or inappropriate in this case, it is reasonable to recommend the treatment based on the use of acetaminophen. If acetaminophen is ineffective to cope with symptoms of a migraine in the case of Mia, it will be important to evaluate the appropriateness of other medications depending on their toxicity levels.
Davanzo, R., Bua, J., Paloni, G., & Facchina, G. (2014). Breastfeeding and migraine drugs. European Journal of Clinical Pharmacology, 70(11), 1313-1324.
Hutchinson, S., Marmura, M. J., Calhoun, A., Lucas, S., Silberstein, S., & Peterlin, B. L. (2013). Use of common migraine treatments in breast‐feeding women: A summary of recommendations. Headache: The Journal of Head and Face Pain, 53(4), 614-627.
Serrano, D., Buse, D. C., Manack Adams, A., Reed, M. L., & Lipton, R. B. (2015). Acute treatment optimization in episodic and chronic migraine: Results of the American Migraine Prevalence and Prevention (AMPP) study. Headache: The Journal of Head and Face Pain, 55(4), 502-518.