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SUMATRIPTAN (Imitrex®) helps to relieve a migraine attack that starts with or without aura (a peculiar feeling or visual disturbance that warns you of an attack). Sumatriptan (Imitrex®)is not used to prevent migraine attacks. Generic sumatriptan (Imitrex®) tablets are not yet available.
What should my health care professional know before I take sumatriptan (Imitrex®)?
They need to know if you have any of these conditions:
•bowel disease or colitis
•diabetes
•family history of heart disease
•fast or irregular heart beat
•headaches that are different from your usual migraine
•heart or blood vessel disease, angina (chest pain), or previous heart attack
•high blood pressure
•high cholesterol
•history of stroke, transient ischemic attacks (TIAs or "mini-strokes"), or intracranial bleeding
•postmenopausal or surgical removal of uterus and ovaries
•liver disease
•overweight
•poor circulation
•Raynaud's disease
•seizure disorder
•shortness of breath
•tobacco smoker
•an unusual or allergic reaction to sumatriptan (Imitrex®), other medicines, foods, dyes, or preservatives
•pregnant or trying to get pregnant
•breast-feeding
How
should I take this medicine (Imitrex®)?
Take sumatriptan (Imitrex®)tablets by mouth. Follow the directions on
the prescription label. Sumatriptan (Imitrex®) is taken at the first
symptoms of a migraine attack; it is not for everyday use. Swallow the tablets
with a drink of water. If your migraine headache returns after one dose, you can
take another dose as directed. You must leave at least 2 hours between doses,
and do not take more than 100 mg as a single dose. Do not take more than 200 mg
total in any 24 hour period. If there is no improvement at all after the first
dose, do not take a second dose without talking to your doctor or health care
professional. Do not take your medicine more often than directed. Contact
your pediatrician or health care professional regarding the use of this medicine
in children. Special care may be needed.
What
if I miss a dose?
This does not apply, sumatriptan (Imitrex®) is not for regular use.
What
drug(s) may interact with sumatriptan ?(Imitrex®)
Do not take sumatriptan (Imitrex®) with any of the
following medicines:
•amphetamine or cocaine
•dihydroergotamine, ergotamine, eroloid mesylates, methysergide, or ergot-type
medication - do not take within 24 hours of taking sumatriptan.
•almotriptan, eletriptan, naratriptan, rizatriptan, zolmitriptan - do not take
within 24 hours of taking sumatriptan.
•medicines for weight loss such as dexfenfluramine, dextroamphetamine,
fenfluramine, or sibutramine
•monoamine oxidase inhibitors (MAOIs) such as phenelzine (Nardil®),
tranylcypromine (Parnate®), isocarboxazid (Marplan®), and
selegiline (Carbex®, Eldepryl®) - do not take sumatriptan
within 2 weeks of stopping MAOI therapy.
Check with your doctor or pharmacist if you take any of these medications:
•cough syrup or other products containing dextromethorphan
•feverfew
•lithium
•medicines for mental depression, anxiety or mood problems such as buspirone,
citalopram, fluoxetine, fluvoxamine, mirtazapine, nefazodone, paroxetine,
sertraline, trazodone, tricyclic antidepressants, or venlafaxine
•meperidine
•propranolol
•St. John's wort
•tryptophan
Tell your doctor or health care professional about all other medicines you are
taking, including non-prescription medicines, nutritional supplements, or herbal
products. Also tell your doctor or health care professional if you are a
frequent user of drinks with caffeine or alcohol, if you smoke, or if you use
illegal drugs. These may affect the way your medicine works. Check with your
health care professional before stopping or starting any of your medicines.
What
side effects may I notice from taking sumatriptan (Imitrex®)?
Side effects that you should report to your doctor or health care professional
as soon as possible:
Rare or uncommon:
•chest or throat pain, tightness
•dizziness or faintness
•fast, slow, or irregular heart beat
•feeling of chest heaviness or pressure
•increased or decreased blood pressure
•loss of vision or vision changes
•palpitations
•seizures (convulsions)
•severe stomach pain and cramping, bloody diarrhea
•shortness of breath, wheezing, or difficulty breathing
•tingling, pain, or numbness in the face, hands or feet
•unusual reaction or swelling of the skin, eyelids, face, or lips
Side effects that usually do not require medical attention (report to your
doctor or health care professional if they continue or are bothersome):
•change in taste
•diarrhea
•drowsiness
•feeling warm, flushing, or redness of the face
•muscle pain or cramps
•nausea, vomiting, or stomach upset
•tiredness or weakness
What should
I watch for while taking sumatriptan (Imitrex®)?
Only take sumatriptan (Imitrex®) tablets for a migraine headache.
Take it if you get warning symptoms or at the start of a migraine attack.
Sumatriptan (Imitrex®) is not for regular use to prevent
migraine attacks. Do not take migraine products that contain ergotamine
while you are taking sumatriptan (Imitrex®); this combination can
affect your heart. You may get drowsy, dizzy. Do not drive, use machinery,
or do anything that needs mental alertness until you know how sumatriptan (Imitrex®)
affects you. To reduce dizzy or fainting spells, do not sit or stand up quickly,
especially if you are an older patient. Alcohol can increase drowsiness,
dizziness and flushing. Avoid alcoholic drinks. Smoking cigarettes may
increase the risk of heart-related side effects from using sumatriptan (Imitrex®).
Where
can I keep my medicine (Imitrex®)?
Keep out of the reach of children in a container that small children cannot
open. Store at room temperature between 15 and 30 degrees C (59 and 86 degrees
F). Throw away any unused medicine after the expiration date.
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