which triptan to use for migraines

New sumatriptan generics are raising questions about which triptan to use for migraines.

Payors will encourage starting with generic sumatriptan...but it's not the best triptan for everyone.

Efficacy. If sumatriptan doesn't work well, try a different triptan. Tell patients who fail their first triptan that the next one might work better. Explain that it requires some trial and error.

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