Do you maintain an age cutoff for the use of triptans in healthy older patients without cardiovascular risk factors?  

I do not have an age cutoff for the use of triptans in older patients. I do not perform routine screening for coronary artery disease in aging patients already on triptan therapy. I do recommend 5HT1f agonist or CGRP antagonist over triptans if they have documented CAD, peripheral vascular...