Huong N. answered 07/13/20
Doctor of Pharmacy, PharmD degree, CA registered RPh
Serotonin levels in the brain can be erratic before a migraine. Since sumatriptan is structurally similar to serotonin its able to bind to serotonin receptors and stabilize serotonin levels in the brain. CNS activation of serotonin receptors by sumatriptan then causes vasoconstriction, which provides pain relief from vascular headaches. It also decreases release of vasoactive neuropeptides and inflammatory proteins from trigeminal nerves. Tryptophan depletion has been shown in a couple of studies to worsen or trigger migraines. But its use as a potential treatment has not been studied to my knowledge.