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Hormonal imbalances in womenfluctuations in oestrogenespecially during menopause or pregnancy seem to trigger a migraine.

Drinks like wine and extremely caffeinated beverages Foods such as salty foodsaged cheese as well as processed foods can trigger the migraine attackMedicationsvasodilators such as nitroglycerine and oral contraceptives can intensify migraine pain.

The development of a potentially life-threatening serotonin syndrome may occur with triptansincluding rizatriptan treatmentparticularly during combined use with SSRIs or SNRIsIf concomitant treatment with rizatriptan and an SSRIe.gfluoxetineparoxetinesertralinefluvoxaminecitalopramescitalopramor SNRIe.gvenlafaxineduloxetineis clinically warrantedcareful observation of the patient is advisedparticularly during treatment initiation and dose increases or with addition of another serotonergic medicationSerotonin syndrome symptoms may include mental status changese.gagitationhallucinationsand comaautonomic instabilitye.gtachycardialabile blood pressureand hyperthermianeuromuscular aberrationse.ghyperreflexiaincoordinationand/or gastrointestinal symptomse.gnauseavomitingand diarrhoea

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