
Roland H. answered 05/06/24
4th Year Medical Student with Rigorous Pharmacology Education
I’d like point out that Sumatriptan is indicated as an abortive treatment of migraines specifically. Therefore, it is given when a patient presents with an acute migraine currently occurring. Therefore, a report that the patient’s current headache is improved would be the expected response. We do not give sumatriptan for migraine prophylaxis, so we wouldn’t expect our patient to report a decrease in frequency/intensity of migraines, as this is not a benefit of sumatriptan. It treats a migraine that the patient is currently suffering from but no future migraines.
Now, there prophylactic agents that are taken regularly to prevent migraines - a reduction in frequency/intensity of migraines would be expected for a therapeutic response for these agents, but that response isn’t applicable to abortive meds like sumatriptan.