Sumatriptan oral and nasal (patient information)

# Why is this medication prescribed
Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Sumatriptan is in a class of medications called selective serotonin receptor agonists. It works by narrowing blood vessels in the head and stopping pain signals from being sent to the brain. Sumatriptan does not prevent migraine attacks.

# How should this medicine be used
Sumatriptan comes as a tablet to take by mouth and a nasal spray. It should be used at the first sign of a migraine headache. If you are at risk for heart disease and you have never taken sumatriptan before, you may need to take the first dose in your doctor's office. Usually only one dose is needed. If pain is not relieved with the first dose, your doctor may prescribe a second dose to be taken after at least 2 hours. Do not take more than 200mg of the tablets or 40 mg of the nasal spray in any 24-hour period. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take sumatriptan exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
Take the tablet with plenty of water or other fluids.
To use the nasal spray, follow the package directions or ask or your doctor or pharmacist to explain any part you do not understand.

# Other uses for this medicine
This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

# What special precautions should I follow
Before taking sumatriptan:
- tell your doctor and pharmacist if you are allergic to sumatriptan or any other drugs.
- do not take sumatriptan if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Emsam, Eldepryl), or tranylcypromine (Parnate) during the past 2 weeks or if you have taken another medication for migraine headaches such as dihydroergotamine (D.H.E. 45, Migranal), methysergide (Sansert), almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt, Maxalt-MLT), or zolmitriptan (Zomig) during the past 24 hours.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: selective serotonin reuptake inhibitors (SSRIs) such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine, paroxetine (Paxil), and sertraline (Zoloft); and selective serotonin/norepinephrine reuptake inhibitors (SNRIs) such as duloxetine (Cymbalta) and venlafaxine (Effexor). Your doctor may need to change the doses of your medications or monitor you more carefully for side effects.
- tell your doctor if you smoke, if you have a strong family history of heart disease, if you are postmenopausal, or if you are a man over 40. Also tell your doctor if you have or have ever had high blood pressure; angina (recurring chest pain); a heart attack; diabetes; high cholesterol; obesity; stroke; transient ischemic attack (mini-stroke); ischemic bowel disease; coronary artery disease; seizures; or blood vessel, kidney, or liver disease.
- tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking sumatriptan, call your doctor.
- you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.
- remember that alcohol can add to the drowsiness caused by this drug.

# What should I do if I forget a dose
Sumatriptan is not for routine use. Use it only to relieve your migraine headache as soon as symptoms of the migraine appear.

# Side effects can this medication cause

## Mild side effects
Sumatriptan may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- flushing
- tingling feeling
- feeling of warmth or heaviness
- drowsiness
- dizziness
- upset stomach
- diarrhea
- vomiting
- irritation of the nose
- muscle cramps

## Severe side effects
If you experience any of the following symptoms, call your doctor immediately:
- pain or tightness in chest or throat
- sudden or severe stomach pain
- fast heartbeat
- difficulty breathing
- wheezing
- redness, swelling, or itching of the eyelids, face, or lips
- skin rash, lumps, or hives
- change in vision

# What storage conditions are needed for this medicine
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature, away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

# In case of emergency/overdose
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

# What other information should I know
Keep all appointments with your doctor.
Call your doctor if you continue to have symptoms.
Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.

# Brand names
- Imitrex