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Common Brand Name(s)
Imitrex
Uses
This medicine is used to treat acute migraine headache
with or without aura (flashing lights, wavy lines, dark
spots) in adults. It should not be used to prevent migraines
or cluster headaches.
Contraindications
Do not take this medicine if you are allergic to any ingredient
in this medicine, you have heart, brain, or peripheral
blood vessel disease, you have a history of heart disease,
or heart attack; you have other types of migraine headaches
(hemiplegic, basilar, or cluster headaches); you have
chest pain; you have had a stroke or transient ischemic
attack; you have ischemic bowel disease; you have uncontrolled
high blood pressure; you are currently taking or have
taken a monoamine oxidase (MAO) inhibitor within the last
14 days; you have used other migraine medications (eg,
ergot-containing medications or another 5-HT1 agonist)
within the last 24 hours; you have severe liver disease.
How to Use
How much medicine you take and how often you take it depends
on many factors, including the condition being treated,
your age, and weight. If you have any questions about
the amount and/or frequency of the medicine you are taking,
talk with your health care provider. Carefully read the
information provided with this medicine and reread it
each time you get this prescription refilled. Take this
medicine exactly as prescribed by your health care provider.
This medicine is intended to relieve acute migraine headaches.
Do not use it to prevent or reduce the number of attacks
you experience. Use this medicine only to treat an actual
migraine attack. Take 1 tablet whole with fluids as soon
as migraine symptoms appear. A second dose may be taken
after the first dose if there is only a partial response
or symptoms of the migraine return. Wait 2 hours after
taking the first does. If your symptoms do not improve
after the first dose, do not take a second dose for the
same attack without contacting your health care provider.
Do not take a second tablet without first talking with
your health care provider. Do not take more than 200 mg
in any 24-hour period. The safety of treating more than
4 headaches in a 30-day period has not been established.
Contact your health care provider at once if you experience
pain or tightness in the chest or throat while using this
medicine, or if the pain or tightness is severe or does
not go away. Contact your health care provider at once
if you have sudden or severe stomach pain while taking
this medicine. Contact your health care provider at once
if shortness of breath, wheezing, heart throbbing, swelling
of eyelids, face, or lips, skin rash or lumps, or hives
occur. If you experience tingling, abnormally high body
temperature, redness of the face, heaviness, pressure,
drowsiness, dizziness, tiredness, or sickness after using
this medicine, notify your health care provider during
your next visit. Do not use this medicine if you are not
using adequate birth control methods or if you are pregnant
or planning to become pregnant without talking with your
health care provider.a If your medicine has expired, throw
it away. If your health care provider stops treatment,
throw away any leftover medicine unless otherwise advised
by your health care provider. This medicine may cause
dizziness or drowsiness. Use caution while driving or
performing other tasks requiring alertness, coordination,
or physical dexterity. Diabetes patients -- This medicine
may affect your blood sugar level. Your doctor may need
to change the dose of diabetes medicine you are taking.
Do not take this medicine if you are currently taking
or have taken an MAO inhibitor within the last 2 weeks.
If you are uncertain whether your other medications contain
an MAO inhibitor, check with your health care provider.
Patients with previous medical conditions should talk
with their health care provider before taking this medicine.
Side Effects
Every medicine can cause side effects, but many people
have no, or minor, side effects. Tell your doctor or pharmacist
if any of the following occurs: Severe allergic reactions
(rash; hives; difficulty breathing; swelling of the mouth,
face, lips, or tongue); serious heart problems; chest
pain, pressure, heaviness, or tightness. Common: Abnormal
skin sensations; warm/cold sensations. Other: Nausea;
vomiting; migraine; headache; decreased salivation; dizziness;drowsiness/sleepiness;
chest, jaw, or neck tightness, pressure, or pain; pain;
feeling of a whirling motion; tiredness.
Precautions
Before using the
Imitrex
migraine medication, tell your health care provider
about any of the following: if you are pregnant, planning
to become pregnant, or breastfeeding; if you are taking
any other prescription medicine, nonprescription medicine,
herbal preparation, or dietary supplement; if you have
impaired liver or kidney function; if you have a history
of seizures; if you have a history brain lesions; if you
have high blood pressure; if you have high cholesterol;
if you are overweight; if you have diabetes; if you smoke;
if you have a strong family history of heart disease;
if you are a female past menopause; if you are a male
over the age of 40; if you have any other medical condition.
Overdose
Contact your doctor or pharmacist immediately.
Notes
If you have any questions about your medicine, please
talk with your doctor, pharmacist, or health care provider.
Missed Dose
If a dose is missed, take it as soon as possible. If several
hours have passed or if it is nearing time for the next
dose, do not double the dose to catch up, unless advised
by your health care provider. If more than one dose is
missed, contact your health care provider or pharmacist.
Storage
Store between 36 and 86 degrees F. Protect from heat and
light.