Zolmitriptan Nasal Spray
What is this medicine?
ZOLMITRIPTAN (zohl mi 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 use in the nose. Follow the directions on the prescription label. This medicine is taken at the first symptoms of a migraine. It is not for everyday use. Do not take your medicine more often than directed.
Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 12 years for selected conditions, precautions do apply.
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
fast, slow, or irregular heart beat
increased blood pressure
severe stomach pain and cramping, bloody diarrhea
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
tingling, pain, or numbness in the face, hands, or feet
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
feeling warm, flushing, or redness of the face
muscle cramps, pain
unusually tired or weak
What may interact with this medicine?
Do not take this medicine with any of the following medicines:
amphetamine or cocaine
dihydroergotamine, ergotamine, ergoloid mesylates, methysergide, or ergot-type medication - do not take within 24 hours of taking zolmitriptan
MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate - do not take zolmitriptan within 2 weeks of stopping MAOI therapy
other migraine medicines like almotriptan, eletriptan, naratriptan, rizatriptan, sumatriptan - do not take within 24 hours of taking zolmitriptan
This medicine may also interact with the following medications:
birth control pills
medicines for mental depression, anxiety or mood problems
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 at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Throw away any unused medicine after the expiration date.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
bowel disease, colitis or bloody diarrhea
family history of heart disease
fast or irregular heartbeat
headaches that are different from your usual migraine
heart or blood vessel disease, angina (chest pain), or previous heart attack
high blood pressure
history of stroke, transient ischemic attacks (TIAs or mini-strokes), or intracranial bleeding
kidney or liver disease
postmenopausal or surgical removal of uterus and ovaries
an unusual or allergic reaction to zolmitriptan, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
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 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