Zomig Nasl - Drug Information and Side Effects on Drug3k.com


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Overview

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How To Use

Side Effects

Precautions

Missed Dose

Drug Interactions

Zomig Nasl

Uses
Zolmitriptan is used to treat migraines. It helps to relieve headaches, pain, and other symptoms of migraines, including nausea, vomiting, and sensitivity to light/sound. Prompt treatment allows you to get back to your normal routine and may decrease your need for other pain medications. Zolmitriptan does not prevent future migraines or reduce how often you may get a migraine.Zolmitriptan belongs to a group of drugs called "triptans." Migraines are thought to occur when certain blood vessels in the brain become swollen (dilated). This drug works by helping blood vessels in the brain to return to normal size. It may also block pain signals in the brain.
Notes

Do not share this medication with others.Laboratory and/or medical tests (e.g., EKG) may be performed periodically to monitor your progress or check for side effects.
Consult your doctor for more details.

Storage

Store the US product at room temperature between 68-77 degrees F (20-25 degrees C) away from light and moisture.
Discard each spray device after 1 use.Store the Canadian product at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture.
Discard each spray device after 1 useDo not store in the bathroom.
Keep all medicines away from children and pets.

How To Use

Read the Patient Information Leaflet available from your pharmacist before you start using zolmitriptan and each time you get a refill.
Ask your doctor or pharmacist if you have any questions.The usual dose is 1 spray into 1 nostril at the first sign of a migraine as directed by your doctor.
Each spray device contains 1 dose.
Your dosage is based on your medical condition and response to treatment.Avoid spraying the drug into your eyes.
Blow your nose gently before using this medication.
Remove the protective cap, and block 1 nostril by pressing firmly on the side of your nose.
Place the tip of the spray device into the other nostril and breathe in gently as you press the plunger.
Keep your head tilted slightly back, remove the tip from your nose, and breathe gently through your mouth for 5 to 10 seconds.
You may feel liquid in your nose or the back of your throat.
This is normal.If there is no improvement in your symptoms after your dose, do not use any more doses of this medication before talking to your doctor.
If your symptoms are only partly relieved, or if your headache comes back, you may use a second dose after 2 hours or as directed by your doctor.
Do not use more than 2 doses in a 24-hour period.If you have certain conditions that increase your risk of heart disease and you have never used this medication before, you may need to be monitored for rare but serious side effects (e.g., chest pain) when you use the first dose.
Your doctor may ask you to use the first dose in the office.
See Precautions section for more information.Tell your doctor if your condition does not improve or if it worsens.

Side Effects

Unusual taste, discomfort in the nose, tingling/numbness, nausea, dry mouth, weakness, drowsiness, or dizziness may occur.
If any of these effects persist or worsen, tell your doctor or pharmacist promptly.Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects.
Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: blue fingers/toes/nails, cold feeling in the hands/feet.Pain/pressure/tightness in the chest/neck/jaw can occur shortly after using zolmitriptan.
These side effects are usually not serious.
However, you may not be able to tell them apart from a rare but very serious reaction related to a lack of blood flow to the heart, brain, or other parts of the body.
Therefore, seek immediate medical attention if you notice any of these unlikely side effects: chest/jaw/left arm pain, fainting, irregular/pounding heartbeat, vision changes, severe nausea, weakness on one side of the body, confusion, seizures, slurred speech, sudden or severe stomach/abdominal pain, trouble swallowing, bloody diarrhea.This medication may rarely cause a very serious condition called serotonin syndrome.
The risk increases when this medication is used with certain other drugs such as other "triptans" used to treat migraine headaches (e.g., sumatriptan, eletriptan), certain antidepressants including SSRIs (e.g., citalopram, fluoxetine, paroxetine) and NSRIs (e.g., duloxetine, venlafaxine), or a certain drug to treat obesity (sibutramine).
Before using this drug, tell your doctor if you take any of these medications.
Serotonin syndrome may be more likely when you start or increase the dose of any of these medications.
Seek immediate medical attention if you develop some of the following symptoms: hallucinations, unusual restlessness, loss of coordination, fast heartbeat, severe dizziness, high fever, severe nausea/vomiting/diarrhea, twitchy muscles.A very serious allergic reaction to this drug is rare.
However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching, swelling, severe dizziness, trouble breathing.If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions

See also How to Use section.Before using zolmitriptan, tell your doctor or pharmacist if you are allergic to it; or to other "triptan" migraine drugs; or if you have any other allergies.This medication should not be used if you have certain medical conditions.
Before using this medicine, consult your doctor or pharmacist if you have: heart disease (e.g., chest pain, heart attack, irregular heartbeat, coronary artery disease, vasospasm), blood flow problems in the brain (e.g., stroke, transient ischemic attack), blood vessel disease (e.g., peripheral vascular disease, ischemic bowel disease), uncontrolled high blood pressure (hypertension), certain types of headaches (hemiplegic or basilar migraine), severe liver disease.Before using this medication, tell your doctor or pharmacist your medical history, especially of: blood circulation disorder (e.g., Raynaud's disease), kidney disease.Before using this medication, tell your doctor or pharmacist if you have any condition that increases your risk of heart disease, including: high cholesterol level, high blood pressure, diabetes, smoking history, family history of heart disease or stroke, overweight, female after menopause, male older than 40 years.If you are at high risk for heart disease, your doctor may want to check your heart before prescribing zolmitriptan.This drug may make you dizzy or drowsy.
Use caution while driving, using machinery, or doing any other activity that requires alertness.
Limit alcoholic beverages.During pregnancy, this medication should be used only when clearly needed.
Discuss the risks and benefits with your doctor.It is not known whether this drug passes into breast milk.
Because of the possible harm to the nursing infant, breast-feeding while using this drug is not recommended.
Consult your doctor before breast-feeding.

Missed Dose

Not applicable.

Drug Interactions

See also Side Effects section.Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them.
Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.This drug should not be used with the following medication because very serious interactions may occur: sibutramine.Do not take MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, rasagiline, tranylcypromine) for at least 2 weeks before or after using this drug.This drug should not be used within 24 hours of the following medications because very serious interactions may occur: ergot-type drugs (e.g., ergotamine, dihydroergotamine, methysergide), other "triptan" migraine drugs (e.g., sumatriptan).If you are currently using any of the above medications, tell your doctor or pharmacist before starting zolmitriptan.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: hormonal birth control (pill, patch, ring), cimetidine, certain types of antidepressants (e.g., SSRIs such as fluoxetine/paroxetine/sertraline, NSRIs such as venlafaxine), St John's wort.Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., chlorpromazine, risperidone, amitriptyline, trazodone).Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain ingredients that cause drowsiness.
Ask your pharmacist about using those products safely.Cimetidine is a nonprescription drug that is commonly used to treat extra stomach acid.
Because it may interact with zolmitriptan, ask your pharmacist about other products to treat stomach acid.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.