A patient with ischemic heart disease, diagnosed with migraine; indicated drug in this case is:: (A) Propranolol, (B) Triptans, (C) Ergotamines, (D) Butorphanol
Answer is D. For patients with a history of CAD, triptans or ergotamine are contra-indicated, therefore opioids like intranasal butorphanol should be used for acute severe migraine.