Acute Porphyria Drug Database

Monograph

N02CC02 - Naratriptan
Propably not porphyrinogenic
PNP

Rationale
Naratriptan is a minor substrate of CYP1A2, CYP3A4, CYP2C19, CYP2C9 and CYP2D6. It does not inhibit or induce CYP enzymes. Risk for gastrointestinal adverse events in the form of nausea and vomiting motivates vigilance against insufficient intake of food, especially of carbohydrate.
Chemical description
Naratriptan is a serotonin-receptor agonist.
Therapeutic characteristics
Naratriptan is indicated for the acute treatment of migraine attacks with or without aura. Common side effects that can be potentially porphyrinogenic through reduction in carbohydrate intake and that also can be confused with an acute porphyria attack are nausea and vomiting. There is however unclear whether it is related to naratriptan or the underlying condition. Naratriptan is indicated for the acute treatment of migraine attacks with or without aura. Common side effects that can be potentially porphyrinogenic through reduction in carbohydrate intake and that also can be confused with an acute porphyria attack are nausea and vomiting. There is however unclear whether it is related to naratriptan or the underlying condition.
Metabolism and pharmacokinetics
In vitro data indicates that naratriptan is metabolised by several CYP450 isoenzymes (SPC). It is listed as a minor substrate of CYP1A2, CYP3A4, CYP2C19, CYP2C9 and CYP2D6 (Ferrari 2003). 50% of an administered dose is excreted as unchanged drug and 30% as inactive metabolites (SPC). In vitro data indicates that it does not inhibit any CYP450 enzymes (SPC). No drug-drug interactions with naratriptan as a perpetrator are observed (Interaksjoner and Interaktionsdatabasen), which indicate that naratriptan is not an inhibitor or inducer of CYP enzymes.

References

# Citation details PMID
*Scientific articles
1. Emerging problems in the pharmacology of migraine: interactions between triptans and drugs for prophylaxis.
Ferrari A, Sternieri E, et al. Pharmacol Res. 2003 Jul;48(1):1-9.
12770508
*Drug interaction databases
2. Interaksjoner. Naratriptan
3. Interaktionsdatabasen. Naratriptan
*Summary of Product Characteristics
4. Norwegian medicines agency. Summary of Product Characteristics (SPC). Naratriptan.

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Tradenames and packages
From some sources, we get a list of packages (United Kingdom, Ireland, Estonia). Other sources contain more or less "clean" versions of the trade name (Denmark, Finland, Iceland, Lithuania, Norway). What you see here is the raw data we get from each country, so there will appear to be duplicates. The bold names are the searchable terms. The gray names that follow are all mapped to the bolded term.
Note: The cleaning is done automatically by a proprietary algorithm, and it may produce errors. We strive to improve it continuously.
Netherlands
Naramig · Naramig, filmomhulde tabletten 2,5 mg · Naratriptan · Naratriptan CF 2,5 mg, filmomhulde tabletten · Naratriptan HCl 2,5 mg Teva, filmomhulde tabletten · Naratriptan Mylan 2,5 mg, filmomhulde tabletten · Naratriptan Sandoz 2,5 mg, filmomhulde tabletten
Belgium
Naramig · Naramig 2.5 mg (PI Pharma) compr. pellic. · Naramig 2.5 mg compr. pellic. · Naratriptan · Naratriptan Sandoz 2.5 mg compr. pellic.
United Kingdom
Naramig · Naramig 2.5mg tablets · Naratriptan · Naratriptan 2.5mg tablets
Denmark
Naratriptan · Naratriptan "Abacus Medicine" · Naratriptan "Teva" · Naratriptan Teva
Norway
Naramig · Naratriptan Orifarm
Poland
Naramig
Luxembourg
NARAMIG · NARAMIG-2,5
Finland
Naramig · Naratriptan Orifarm
 
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