Can I take Sumatriptan during pregnancy or breastfeeding?

Migraines are a common and often debilitating condition that affects many women during pregnancy and breastfeeding. Sumatriptan is a commonly prescribed medication for those suffering from migraines to relieve pain and other associated symptoms. However, many women wonder whether taking Sumatriptan during pregnancy or while breastfeeding is safe.

What is Sumatriptan?

Sumatriptan belongs to a class of medications known as triptans. Triptans are used to treat migraines by targeting the cause of the pain by constricting the blood vessels in the brain, reducing inflammation and relieving the associated symptoms. Sumatriptan is available in different forms, such as tablets, injections, and nasal sprays.

Sumatriptan during pregnancy

There are limited studies on the use of Sumatriptan during pregnancy. Like many medications, it is difficult to determine the exact effects of Sumatriptan on a developing fetus. However, studies have shown that Sumatriptan crosses the placenta, which can reach the developing fetus.

In 2014, a study investigated the risk of congenital malformations following exposure to Sumatriptan during pregnancy. The study consisted of a population-based cohort study of all live births in Denmark over 14 years. As a result, 815 infants exposed to Sumatriptan in the first trimester of pregnancy were identified. The study revealed no significant increase in the risk of congenital malformations following exposure to Sumatriptan during the first trimester of pregnancy.

While this study is reassuring, it is essential to note that using Sumatriptan during pregnancy should only be considered if the potential benefits outweigh the potential risks. In addition, it is recommended that pregnant women speak to their healthcare provider before taking Sumatriptan, as each pregnancy is unique and requires individualised treatment plans.

Sumatriptan during breastfeeding

There is also limited information available on the use of Sumatriptan during breastfeeding. However, based on the limited amount of Sumatriptan excreted into human breast milk, it is believed to be safe for use during breastfeeding.

A study was conducted to investigate the excretion of Sumatriptan into human breast milk. The study included 35 women who were taking Sumatriptan to treat migraines. The study revealed that Sumatriptan was excreted into human breast milk at deficient levels, thus having minimal effect on the nursing baby.

However, as with any medication, women must speak to their healthcare provider before using Sumatriptan during breastfeeding. In addition, it's important to discuss any potential risks and benefits, as well as alternative options that could be considered.

Side Effects of Sumatriptan

During pregnancy:

• Increased risk of bleeding during pregnancy
• Increased risk of high blood pressure and preeclampsia (rare)

During breastfeeding:

• The potential transfer of the medication to the nursing baby through breast milk
• Low levels of Sumatriptan are typically found in breast milk, but the risk to the baby is considered low
• Rare cases of infants experiencing drowsiness, apnea, and reduced feeding have been reported, although these are not always linked to Sumatriptan use.

It is essential to speak with a healthcare provider to discuss potential side effects and ways to manage them, considering individual circumstances, medical history, and other factors before deciding whether to use Sumatriptan during pregnancy or breastfeeding.

Migraines/headaches during pregnancy

Migraines and headaches are common conditions during pregnancy, affecting many women. The hormonal changes during pregnancy can trigger these headaches, and the frequency and intensity can vary from woman to woman.

Can you take Sumatriptan during pregnancy?

The use of Sumatriptan during pregnancy is a concern for many women, as it is not clear whether it is safe for use during pregnancy. Limited studies have been conducted to determine its effects on a developing fetus.

Can Sumatriptan cause a miscarriage?

There is no evidence to suggest that Sumatriptan increases the risk of miscarriage. However, speaking with a healthcare provider before taking any medication during pregnancy is still recommended to ensure it is safe for both the mother and the developing fetus.

Can Sumatriptan increase the risk of congenital disabilities?

A population-based cohort study conducted in Denmark revealed that using Sumatriptan during the first trimester of pregnancy did not increase the risk of congenital malformations. However, as with all medications, discussing potential risks and benefits with a healthcare provider before taking Sumatriptan during pregnancy is essential.

Can I take Sumatriptan if I am breastfeeding?

Limited studies have been conducted to determine whether Sumatriptan is safe during breastfeeding. However, the available evidence suggests that it is safe to use, as only low levels of Sumatriptan are excreted into breast milk. Nevertheless, we recommend discussing potential risks and benefits with a healthcare provider before breastfeeding Sumatriptan.

Conclusion

Limited information is available on using Sumatriptan during pregnancy and breastfeeding. While studies suggest that Sumatriptan could be safe for use during these periods, it is essential to note that each individual's case is unique. Therefore, speaking with a healthcare provider before taking any medication during pregnancy or breastfeeding is necessary. In addition, there are potential risks associated with Sumatriptan use during pregnancy and breastfeeding, and it should only be considered if the expected benefits outweigh the potential risks. Ultimately, the decision to take Sumatriptan during pregnancy or while breastfeeding should be made in consultation with a healthcare provider after weighing all the potential risks and benefits.