"Jan. 15, 2013 -- Women who have migraine with aura may have a higher risk of heart attacks, and they may face a higher risk of dangerous blood clots if they use certain hormonal contraceptives.
Those are the findings from two newly pu"...
Zomig Patient Information including How Should I Take
In this Article
- What is zolmitriptan (Zomig)?
- What are the possible side effects of zolmitriptan (Zomig)?
- What is the most important information I should know about zolmitriptan (Zomig)?
- What should I discuss with my healthcare provider before taking zolmitriptan (Zomig)?
- How should I take zolmitriptan (Zomig)?
- What happens if I miss a dose (Zomig)?
- What happens if I overdose (Zomig)?
- What should I avoid while taking zolmitriptan (Zomig)?
- What other drugs will affect zolmitriptan (Zomig)?
- Where can I get more information?
What should I discuss with my healthcare provider before taking zolmitriptan (Zomig)?
You should not take this medication if you are allergic to zolmitriptan, or if you have:
- coronary heart disease, angina (chest pain), blood circulation problems, lack of blood supply to the heart;
- a history of heart disease, heart attack, or stroke, including "mini-stroke";
- severe or uncontrolled high blood pressure;
- ischemic bowel disease; or
- a headache that seems different from your usual migraine headaches.
Do not use zolmitriptan if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days.
To make sure you can safely take zolmitriptan, tell your doctor if you have any of these other conditions:
- kidney disease;
- liver disease;
- high blood pressure, a heart rhythm disorder; or
- coronary heart disease (or risk factors such as diabetes, menopause, smoking, being overweight, having high cholesterol, having a family history of coronary artery disease, being older than 40 and a man, or being a woman who has had a hysterectomy).
FDA pregnancy category C. It is not known whether zolmitriptan will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.
Zolmitriptan disintegrating tablets may contain phenylalanine. Talk to your doctor before using this form of zolmitriptan if you have phenylketonuria (PKU).
It is not known whether zolmitriptan passes into breast milk or if it could harm a nursing baby. Do not take this medication without telling your doctor if you are breast-feeding a baby.
Do not give this medication to a child younger than 18 years old.
How should I take zolmitriptan (Zomig)?
Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Overuse of migraine headache medicine can actually make your headaches worse.
Take zolmitriptan as soon as you notice headache symptoms, or after an attack has already begun.
Your doctor may want to give your first dose of this medicine in a hospital or clinic setting to see if you have any serious side effects.
Take one zolmitriptan tablet whole with a full glass of water.
To take zolmitriptan orally disintegrating tablets (Zomig-ZMT):
- Keep the tablet in its blister pack until you are ready to take the medicine. Open the package and peel back the foil from the tablet blister. Do not push a tablet through the foil or you may damage the tablet.
- Using dry hands, remove the tablet and place it in your mouth. It will begin to dissolve right away.
- Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing.
- Swallow several times as the tablet dissolves. If desired, you may drink liquid to help swallow the dissolved tablet.
After taking a tablet: If your headache does not completely go away, or goes away and comes back, take a second tablet two (2) hours after the first. Do not take more than 10 mg of zolmitriptan in 24 hours. If your symptoms have not improved, contact your doctor before taking any more tablets.
Contact your doctor if you have more than four headaches in one month (30 days).
If you use zolmitriptan long-term, your doctor may want to check your heart function using an electrocardiograph or ECG (sometimes called an EKG), a machine that measures electrical activity of the heart. This will help your doctor determine if it is still safe for you to use this medication. Visit your doctor regularly.
Store at room temperature away from moisture and heat.
Additional Zomig Information
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Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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