Xi, a 54-Year-Old Female, Has a History of Migraines That

Xi, a 54-year-old female, has a history of migraines that do not respond well to OTC migraine medication. She is asking to try Maxalt (rizatriptan) because it works well for her friend. Appropriate decision making would be:

A) Prescribe the Maxalt, but only give her four tablets with no refills to monitor the use.
B) Prescribe Maxalt and arrange to have her observed in the clinic or urgent care with the first dose.
C) Explain that rizatriptan is not used for postmenopausal migraines and recommend Fiorinal (aspirin and butalbital) .
D) Prescribe sumatriptan (Imitrex) with the explanation that it is the most effective triptan.