Sumatriptan transdermal patch

July 17, 2018

Sumatriptan transdermal patch

What is this medicine?

SUMATRIPTAN (soo ma TRIP tan) is used to treat migraines with or without aura. An aura is a strange feeling or visual disturbance that warns you of an attack. It is not used to prevent migraines.

How should I use this medicine?

This medicine is for external use only. Only use this medicine at the first symptoms of a migraine. It is not for everyday use. Do not cut the patch. Apply to an area of the upper arm or thigh that is clean and relatively hairless. Do not apply to other areas of the body. Follow the directions in the instructions for use booklet that comes with your medicine. The patch must be activated within 15 minutes of starting step one (pull tabs) in the instructions for use. You may tape down the patch with medical tape if it starts to peel off. Keep the patch dry. Do not bathe, shower, or swim while wearing the patch. If your headache comes back or you only get some relief from your headache, you may apply a second patch to your other arm or thigh, at least 2 hours after the activation of the first patch. Do not apply any more than 2 patches in 24 hours.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

  • allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

  • bloody or watery diarrhea

  • hallucination, loss of contact with reality

  • pain, tingling, itching, warmth, discomfort, or a change in skin color at the site where patch worn

  • pain, tingling, numbness in the face, hands, or feet

  • seizures

  • signs and symptoms of a blood clot such as breathing problems; changes in vision; chest pain; severe, sudden headache; pain, swelling, warmth in the leg; trouble speaking; sudden numbness or weakness of the face, arm, or leg

  • signs and symptoms of a dangerous change in heartbeat or heart rhythm like chest pain; dizziness; fast or irregular heartbeat; palpitations, feeling faint or lightheaded; falls; breathing problems

  • signs and symptoms of a stroke like changes in vision; confusion; trouble speaking or understanding; severe headaches; sudden numbness or weakness of the face, arm, or leg; trouble walking; dizziness; loss of balance or coordination

  • stomach pain

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • changes in taste

  • facial flushing

  • headache

  • muscle cramps

  • muscle pain

  • nausea, vomiting

  • weak or tired

What may interact with this medicine?

Do not take this medicine with any of the following medicines:

  • cocaine

  • ergot alkaloids like dihydroergotamine, ergonovine, ergotamine, methylergonovine

  • feverfew

  • MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

  • other medicines for migraine headache like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, zolmitriptan

  • tryptophan

This medicine may also interact with the following medications:

  • certain medicines for depression, anxiety, or psychotic disturbances

What if I miss a dose?

This does not apply; this medicine is not for regular use.

Where should I keep my medicine?

Keep out of the reach of children.

Store between 20 and 25 degrees C (68 and 77 degrees F). Throw away any unused medicine after the expiration date. Fold the used patch so the sticky side sticks to itself and safely throw it away. The patch contains lithium-manganese dioxide batteries. Talk to your pharmacist or healthcare provider about how to follow state and local regulations when throwing away.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

  • circulation problems in fingers and toes

  • diabetes

  • have or have had any side effects caused by the use of medical electronic devices

  • heart disease

  • high blood pressure

  • high cholesterol

  • history of irregular heartbeat

  • history of stroke

  • kidney disease

  • liver disease

  • postmenopausal or surgical removal of uterus and ovaries

  • seizures

  • skin conditions or sensitivity

  • smoke tobacco

  • stomach or intestine problems

  • an unusual or allergic reaction to sumatriptan, other medicines, foods, dyes, or preservatives

  • pregnant or trying to get pregnant

  • breast-feeding

What should I watch for while using this medicine?

Only take this medicine for a migraine headache. Take it if you get warning symptoms or at the start of a migraine attack. It is not for regular use to prevent migraine attacks.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine 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 this medicine.

If you are going to have a magnetic resonance imaging (MRI) procedure, tell your MRI technician if you have this patch on your body. This patch must be removed before a MRI.

If you experience moderate or severe pain at the patch site, immediately remove the patch and contact your health care professional.

If you take migraine medicines for 10 or more days a month, your migraines may get worse. Keep a diary of headache days and medicine use. Contact your healthcare professional if your migraine attacks occur more frequently.


July 17, 2018