These include: Ergotamine or ergot derivatives like dihydroergotamine (Migranal, Ergomar) Other triptans such as sumatriptan (Imitrex), rizatriptan (Maxalt), zolmitriptan, naratriptan, frovatriptan, or almotriptan within 24 hours Strong CYP3A4 inhibitors such as ketoconazole (Sporanox), itraconazole, clarithromycin, ritonavir, nelfinavir (Viracept), and nefazodone These drug interactions can increase eletriptan levels in the body and raise the risk of serious side effects, including coronary artery vasospasm and arrhythmias
Increase calorie burn at rest (BMR elevation)
Certain variants of PAM are more common in those with diabetes and may impair the release of insulin from the pancreas
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