Zomig (nasal)

Zomig (nasal)

Possible uses for Zomig

Many people find that their headaches disappear completely after using zolmitriptan. Other people find that their headaches are much less painful and that they can go about their normal activities even if the headache has not completely gone away. Zolmitriptan often relieves other symptoms that occur with migraine headaches, such as nausea, vomiting, and sensitivity to light and sound.

Zolmitriptan is not an ordinary painkiller. It does not relieve pain other than migraine headaches. This medicine is usually used in people whose headaches are not relieved by acetaminophen, aspirin, or other painkillers.

Zolmitriptan has caused serious side effects in some people, especially those with heart or blood vessel disease. Be sure to discuss with your doctor the risks of using this medication as well as the possible benefits.

This medicine is only available with a doctor's prescription.

Before using Zomig

When deciding whether to use a medicine, the risks of taking the medicine must be weighed against the benefits it produces. This is a decision that you and your doctor will make. The following should be noted with this medicine:

Allergies

Tell your doctor if you have ever had an unusual or allergic reaction to this medicine or any other medicines. Also tell your doctor if you have other allergies, such as to foods, dyes, preservatives or animals. For over-the-counter products, read the label or package ingredients carefully.

Pediatrics

Safety and effectiveness of zolmitriptan nasal spray in pediatric patients younger than 12 years have not been established

geriatrics

Studies conducted to date have not shown any geriatric-specific problems that would limit the benefit of zolmitriptan nasal spray in the elderly. However, older patients are at higher risk of kidney, liver, or heart disease, which may require caution and dose adjustment in patients receiving zolmitriptan nasal spray.

Breastfeeding

There are insufficient studies in women to determine the risk to infants when using this drug while breast-feeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Drug interactions

Although certain medicines should not be used together at all, in other cases two different medicines can be used together, although interactions may occur. In these cases, your doctor may want to change the dose or other precautions may be necessary. If you are taking this medicine, it is particularly important that your doctor knows whether you are taking any of the medicines listed below. The following interactions were selected for their potential significance and are not necessarily exhaustive.

The use of this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or to change some of the other medications you are taking.

• Almotriptan
• Bromocriptin
• Cisaprid
• Dihydroergotamin
• Eletriptan
• Ergoloidmesylate
• Ergonovin
• Ergotamin
• Frovatriptan
• Isocarboxazid
• Levomethadyl
• Linezolid
• Mesoridazin
• Methylenblau
• Methylergonovin
• Methysergid
• Naratriptan
• Phenelzin
• Procarbazin
• Rizatriptan
• Sumatriptan
• Terfenadin
• Thioridazin
• Tranylcypromin

Using this medicine with any of the following medicines is not usually recommended but may be necessary in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both medicines.

• Acecainid
• Ajmaline
• Alfentanil
• Amiodaron
• Amitriptylin
• Amoxapin
• Amphetamin
• Aprindin
• Azimilid
• Benzhydrocodon
• Benzphetamin
• Bretylium
• Buprenorphin
• Chloroquin
• Citalopram
• Kodein
• Desipramin
• Desvenlafaxin
• Dextroamphetamin
• Dibenzepin
• Dihydrocodein
• Disopyramid
• Dofetilid
• Dolasetron
• Doxepin
• Dronedaron
• Droperidol
• Duloxetin
• Erythromycin
• Escitalopram
• Fenfluramin
• Fentanyl
• Flecainid
• Fluconazol
• Fluoxetin
• Fluvoxamin
• Foscarnet
• Gemifloxacin
• Gepiron
• Granisetron
• Halofantrin
• Hydrocodon
• Hydromorphon
• Hydrochinidin
• Hydroxyamphetamin
• Ibutilid
• Imipramin
• Isradipin
• Lasmiditan
• Levomilnacipran
• Levorphanol
• Lidoflazin
• Lisdexamfetamin
• Lithium
• Lorcainid
• Lorcaserin
• Mefloquin
• Meperidin
• Metaxalone
• Methadon
• Methamphetamin
• Milnacipran
• Mirtazapin
• Morphium
• Morphinsulfat-Liposom
• Nefazodon
• Nortriptylin
• Octreotid
• Ondansetron
• Oxycodon
• Oxymorphon
• Palonosetron
• Paroxetin
• Pentamidin
• Pirmenol
• Pixantrone
• Prajmaline
• Probukol
• Procainamid
• Prochlorperazin
• Propafenon
• Protriptylin
• Chinidin
• Reboxetin
• Remifentanil
• Sematilid
• Sertralin
• Sibutramin
• Sotalol
• Spiramycin
• Johanniskraut
• Sufentanil
• Tapentadol
• Tedisamil
• Tramadol
• Trazodon
• Trifluoperazin
• Trimipramin
• Venlafaxin
• Vilazodon
• Vortioxetin
• Ziprasidon

Using this medicine with any of the following medicines may result in an increased risk of certain side effects, but using both medicines may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both medicines.

• Cimetidin

Interactions with food/tobacco/alcohol

Certain medicines should not be taken during or near food or consumption of certain foods because interactions may occur. Consuming alcohol or tobacco with certain medications can also lead to interactions. The following interactions were selected for their potential significance and are not necessarily exhaustive.

The use of this medicine for any of the following conditions is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or frequency of use of this medication, or give you special instructions about food, alcohol, or tobacco consumption.

• Tabak

Other medical problems

The presence of other medical problems may affect the use of this medicine. Be sure to tell your doctor if you have any other medical problems, especially:

• Angina (Brustschmerzen) oder
• Arrhythmie (Herzrhythmusstörung) oder
• Basiläre Migräne (Migräne mit Seh- und Hörproblemen), Vorgeschichte oder
• Herzinfarkt, Geschichte von oder
• Hemiplegische Migräne (Migräne mit etwas Lähmung), Vorgeschichte von oder
• Hypertonie (Bluthochdruck), unkontrollierte oder
• Ischämische Darmerkrankung (Darm ist schlecht durchblutet) oder
• Periphere Gefäßerkrankung (verstopfte Arterien) oder
• Schlaganfall, Geschichte von oder
• Vorübergehender ischämischer Anfall (TIA), Vorgeschichte von oder
• Wolff-Parkinson-White-Syndrom (Herzrhythmusstörung) – Sollte bei Patienten mit diesen Erkrankungen nicht angewendet werden.

• Koronare Herzkrankheit, Familiengeschichte von oder
• Diabetes bzw
• Hypertonie (Bluthochdruck) bzw
• Fettleibigkeit bzw
• Raynaud-Syndrom – Mit Vorsicht anwenden. Möglicherweise besteht ein erhöhtes Risiko für bestimmte Nebenwirkungen.

• Herzrhythmusstörungen (z. B. Kammerflimmern, ventrikuläre Tachykardie) – Mit Vorsicht anwenden. Kann diese Bedingungen verschlimmern.

• Lebererkrankung, mittelschwer oder schwer – die Anwendung wird bei Patienten mit dieser Erkrankung nicht empfohlen.

Correct use of Zomig

Use this medicine only as directed by your doctor. Do not use more of it, do not use it more often or for longer than prescribed by your doctor. Using too much zolmitriptan may increase the risk of side effects.

This medicine is for nasal use only. Do not let any of it get into your eyes or on your skin. If it does get on these areas, rinse it off immediately.

Do not use zolmitriptan for headaches that are different from your usual migraine attacks. Instead, ask your doctor.

To relieve your migraine as quickly as possible, use zolmitriptan as soon as the headache begins. Even if you experience warning signs of an impending migraine (an aura), you should wait until the headache starts before using zolmitriptan.

Ask your doctor in advance about other medicines you may be taking if zolmitriptan does not work. After taking the other medicine, contact your doctor as soon as possible. Headaches that are not relieved by zolmitriptan are sometimes caused by medical conditions that require other treatment.

If you feel significantly better after one dose of zolmitriptan, but your headache comes back or gets worse after a while, you can take another dose of zolmitriptan 2 hours after the first dose. Do not use more than 3 doses in 24 hours.

This medicine comes with a package leaflet. It is very important that you read and understand this information. Be sure to ask your doctor if you don't understand anything.

How to use the nasal spray:

• Versuchen Sie nicht, das Nasenspray vorzubereiten, da Sie sonst Ihre Dosis verlieren. Das Gerät enthält nur 1 Spray.
• Putzen Sie sich sanft die Nase, bevor Sie das Spray verwenden.
• Entfernen Sie die graue Schutzkappe und halten Sie Ihren Kopf in einer aufrechten Position.
• Schließen Sie ein Nasenloch mit Ihrem Zeigefinger und atmen Sie sanft durch den Mund aus. Beide Nasenlöcher können verwendet werden.
• Führen Sie die Spitze des Nasenstücks in Ihr Nasenloch ein und neigen Sie Ihren Kopf leicht. Atmen Sie sanft durch die Nase ein und lassen Sie gleichzeitig einen Sprühstoß langsam ab.
• Halten Sie Ihren Kopf leicht nach hinten geneigt, entfernen Sie die Spitze von Ihrer Nase und atmen Sie dann 5 bis 10 Sekunden lang sanft durch den Mund. Möglicherweise spüren Sie Flüssigkeit in Ihrer Nase oder im Rachen. Das ist normal.
• Werfen Sie das gebrauchte Nasenspray weg. Nicht wiederverwenden.

dosage

The dose of this medicine is different for different patients. Follow your doctor's instructions or the label directions. The following information includes average doses of this medicine only. If your dose is different, do not change it unless your doctor tells you to.

The amount of medicine you take depends on the strength of the medicine. In addition, the number of doses you take each day, the time between doses, and how long you take the medicine depend on the medical problem for which you are using the medicine.

• Für die nasale Darreichungsform (Nasenspray):
  • Bei Migränekopfschmerzen:
    • Erwachsene und Kinder ab 12 Jahren – zunächst 2,5 Milligramm (mg) (1 Sprühstoß in ein Nasenloch). Bei später auftretender Migräne kann ein weiterer Sprühstoß (2,5 mg oder 5 mg) angewendet werden, sofern seit dem letzten Sprühstoß mindestens 2 Stunden vergangen sind.
    • Die maximale Einzeldosis beträgt 5 mg. Verwenden Sie innerhalb von 24 Stunden (einem Tag) nicht mehr als 10 mg.

Missed dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and return to your regular dosing schedule. Do not double the dose.

storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Protect from freezing.

Keep away from children.

Do not keep medications that are outdated or no longer needed.

Ask your doctor how to throw away medicines you don't use.

Precautions when using Zomig

It is very important that your doctor check your progress at regular visits. This will help your doctor determine whether the medicine is working properly and decide whether you should continue using it.

Do not use this medicine if you have taken other triptan- or ergot-type migraine medications in the last 24 hours. Some examples of triptan medicines are almotriptan (Axert®), eletriptan (Relpax®), frovatriptan (Frova®), naratriptan (Amerge®), or sumatriptan (Imitrex®, Treximet®). Some examples of ergot-type drugs are dihydroergotamine (DHE 45®, Migranal®), ergotamine (Bellergal®, Cafergot®, Ergomar®, Wigraine®) or methysergide (Sansert®). Also do not use this medicine if you have taken an MAO-A inhibitor (e.g. Nardil®, Parnate®) in the last 14 days.

This medicine can cause serious allergic reactions, including anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor immediately if you experience rash, itching, difficulty breathing, difficulty swallowing, or swelling of your hands, face, or mouth while using this medication.

If you have used zolmitriptan and your migraines get worse or become more frequent, ask your doctor.

This medicine may increase your risk of irregular heartbeat, heart attack, angina, or stroke. This is more likely if you or a family member already has heart disease, if you have diabetes or high blood pressure, or if you smoke. Call your doctor immediately if you have symptoms of a heart problem, such as: B. Chest pain or discomfort, irregular heartbeat, nausea or vomiting, pain or discomfort in the shoulders, arms, jaw, back or neck, shortness of breath, or sweating. Call your doctor immediately if you notice symptoms of a stroke, such as: B. Confusion, difficulty speaking, double vision, headache, inability to move arms, legs, or facial muscles, inability to speak, or slow speech.

This medicine may cause problems if you have heart disease. If your doctor thinks you may have a problem with this medication, he or she may want you to take your first dose in the doctor's office or clinic.

Consult your doctor immediately if you experience chest, jaw, or neck discomfort after using this medication. Also tell your doctor if you experience sudden or severe abdominal or stomach pain or bloody diarrhea after using this medication.

Check with your doctor right away if you have blurred vision, difficulty reading, or any other vision change while using this medication. Your doctor may want you to have your eyes examined by an ophthalmologist.

Using zolmitriptan alone or in combination with other migraine medications for 10 or more days per month may cause headaches to worsen. You can keep a headache diary to record headache frequency and medication use.

Make sure your doctor knows about any other medicines you are taking. Taking zolmitriptan with some medicines can cause a serious condition called serotonin syndrome. These include medicines used to treat depression, such as amitriptyline (Elavil®), citalopram (Celexa®), duloxetine (Cymbalta®), escitalopram (Lexapro®), fluoxetine (Prozac®, Sarafem®, Symbyax®), fluvoxamine (Luvox®). , olanzapine (Zyprexa®), paroxetine (Paxil®), sertraline (Zoloft®) or venlafaxine (Effexor®). Contact your doctor immediately if you experience agitation, confusion, diarrhea, unusual excitement when speaking, fever, overactive reflexes, poor coordination, restlessness, trembling, sweating, shaking or shaking that you cannot control, or twitching. These could be symptoms of serotonin syndrome.

Some people feel dizzy or sleepy during or after a migraine, or after using zolmitriptan to relieve a migraine. If you feel dizzy or sleepy, do not drive, operate machinery, or do other activities that could be dangerous if you are dizzy or inattentive.

Do not take any other medicines unless you have discussed this with your doctor. This includes both prescription and nonprescription (over-the-counter [OTC]) medications and herbal or vitamin supplements.

Zomig side effects

In addition to the necessary effects, a medicine may also have some undesirable effects. Although not all of these side effects may occur, medical attention may be required if they occur.

Consult your doctor immediately if any of the following side effects occur:

Less common or rare

• Verschwommene Sicht
• Husten
• Schwierigkeiten beim Schlucken
• Schwindel
• Ohnmacht
• schneller, langsamer, hämmernder oder unregelmäßiger Herzschlag oder Puls
• Kopfschmerzen
• Nervosität
• in den Ohren hämmern
• Schwellungen oder Schwellungen der Augenlider oder um die Augen, das Gesicht, die Lippen oder die Zunge
• Kurzatmigkeit
• Hautausschlag, Nesselsucht oder Juckreiz
• Engegefühl in der Brust
• ungewöhnliche Müdigkeit oder Schwäche

Rarely

• Arm-, Rücken- oder Kieferschmerzen
• Brustschmerzen oder Unwohlsein
• Engegefühl oder Schweregefühl in der Brust
• Brechreiz
• Schmerzen oder Beschwerden in Armen, Kiefer, Rücken oder Nacken
• Schwitzen

Incident not known

• Agitation
• blutiger Durchfall
• Verwirrung
• Durchfall
• Fieber
• überaktive Reflexe
• Schmerzen, Druck oder Engegefühl in Brust, Hals, Nacken oder Kiefer
• Blässe oder Kältegefühl in den Fingerspitzen und Zehen
• schlechte Koordination
• Unruhe
• starke Magenschmerzen
• Zittern
• Sprechen oder handeln Sie mit Aufregung, die Sie nicht kontrollieren können
• Kribbeln oder Schmerzen in den Fingern oder Zehen bei Kälteeinwirkung
• Zittern oder Zittern
• Zucken

Some side effects may occur that usually do not require medical attention. These side effects may disappear during treatment as your body gets used to the medicine. Your doctor may also be able to give you ways to prevent or reduce some of these side effects. If any of the following side effects persist or are bothersome, or if you have any questions, contact your doctor:

More common

• Schlechter, ungewöhnlicher oder unangenehmer (Nach-)Geschmack
• Geschmacksveränderung

Less common

• Brennen, Krabbeln, Jucken, Taubheitsgefühl, Kribbeln, „Ameisenlaufen“ oder Kribbeln
• Unwohlsein, Reizung oder Schmerzen in der Nase
• trockener Mund
• erhöhte Schmerzempfindlichkeit
• erhöhte Berührungsempfindlichkeit
• Mangel oder Verlust der Kraft
• Schläfrigkeit oder ungewöhnliche Schläfrigkeit

Less common or rare

• Anhaltendes Klingeln oder Summen oder andere unerklärliche Geräusche in den Ohren
• Entmutigung
• Furcht
• sich traurig oder leer fühlen
• häufiges Wasserlassen
• Schwerhörigkeit
• Hyperventilation
• erhöhte Menge an hellem, verdünntem Urin
• Reizbarkeit
• Appetitlosigkeit
• Verlust von Interesse oder Vergnügen
• Gedächtnisverlust
• Probleme mit dem Gedächtnis
• Konzentrationsschwierigkeiten
• Schlafstörungen

Rarely

• Brennende, trockene oder juckende Augen
• Krämpfe
• Ausfluss oder übermäßiges Reißen
• Rötung, Schmerzen oder Schwellung des Auges, des Augenlids oder der inneren Augenlidschleimhaut
• Schwellung oder Entzündung des Mundes

Some patients may also experience other side effects not listed. If you notice other side effects, contact your doctor.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Commonly used brand names

In the USA

• Zomig

Available dosage forms:

• Sprühen

Therapeutic Class: Antimigraine

Pharmacological class: Serotonin receptor agonist, 5-HT1

• Wie oft können Sie Zomig-Tabletten oder -Sprays einnehmen?
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More information