What's the evidence for eletriptan?

The evidence that eletriptan works for migraine attacks is good. We found a big summary of the evidence (known as a systematic review) and six further studies (which were randomised controlled trials).1 2 3 4 5 6 7

The summary included 10 studies of eletriptan. These were all high-quality studies. Some of the studies compared eletriptan to a dummy treatment (a placebo). Other studies compared eletriptan to another triptan drug called sumatriptan.

Here is a summary of what we found.

  • Eletriptan is better than a placebo at relieving pain and getting rid of migraines.1
  • Higher doses worked for more people, but were more likely to cause side effects.1
  • Higher doses of eletriptan worked better than sumatriptan.1 2 4
  • Eletriptan works better than a drug that's called ergotamine and caffeine.1

One big summary of the research (a systematic review) looked at all the triptan drugs available at the time (in 2007). They looked at 221 studies in total and selected 38 good-quality studies. The researchers said all triptans worked better than a placebo at reducing pain or getting rid of migraines within two hours. But only sumatriptan and rizatriptan worked better than a placebo drug within half an hour.8

For more details:

Read this information about the treatment in Clinical Evidence

Sources for the information on this page:

  1. Ferrari MD, Goadsby PJ, Roon KI, et al. Triptans (serotonin, 5-HT1B/1D agonists) in migraine: detailed results and methods of a meta-analysis of 53 trials. Cephalalgia. 2002; 22: 633-658.[PubMed]
  2. Sandrini G, Farkkila M, Gurgess G, et al. Eletriptan versus sumatriptan: a double-blind, multiple migraine attack study. Neurology. 2002; 59: 1210-1217.[PubMed]
  3. Stark R, Dahlos C, Haughie S, et al. Efficacy, safety and tolerability of oral eletriptan in the acute treatment of migraine: results of a phase III, multicentre, placebo controlled study across three attacks. Cephalalgia. 2002; 22: 23-32.[PubMed]
  4. Mathew NT, Schoenen J, Winner P, et al. Comparative efficacy of eletriptan 40 mg versus sumatriptan 100 mg. Headache. 2003; 43: 214-222.[PubMed]
  5. Eletriptan Steering Committee in Japan. Efficacy and safety of eletriptan 20 mg, 40 mg and 80 mg in Japanese migraineurs. Cephalalgia. 2002; 22: 416-423.[PubMed]
  6. Farkkila M, Olesen J, Dahlof C, et al. Eletriptan for the treatment of migraine in patients with previous poor response or tolerance to oral sumatriptan. Cephalalgia. 2003; 23: 463-471.[PubMed]
  7. Sheftell F, Ryan R, Pitman V. Efficacy, safety, and tolerability of oral eletriptan for treatment of acute migraine: a multicenter, double-blind, placebo-controlled study conducted in the United States. Headache. 2003; 43: 202-213.[PubMed]
  8. Pascual J, Mateos V, Roig C et al.  Marketed oral triptans in the acute treatment of migraine: a systematic review on efficacy and tolerability. Headache. 2007; 47: 1152-1168.[PubMed]
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