What abortive migraine medication is advised for a patient with angina pectoris?

In the context of treating migraines, it's important to consider the cardiovascular conditions of the patient, particularly with angina pectoris. Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is often used as a first-line treatment for mild to moderate migraines. It can effectively relieve headache pain without the vasoconstrictive properties that can be problematic for patients with cardiac issues.

Using medications like sumatriptan and ergot derivatives can pose risks for individuals with angina. These classes of medication work by constricting blood vessels, which can exacerbate ischemic conditions in a patient with angina pectoris.

Nortriptyline is primarily an antidepressant and is more commonly used for migraine prophylaxis rather than as an abortive treatment during an acute migraine attack.

Overall, ibuprofen is advised for treating acute migraine in patients with angina pectoris due to its safety profile and lack of cardiovascular side effects, making it a suitable choice in this scenario.