Why is this medication prescribed?

Zomig Nasal Spray contains the active ingredient zolmitriptan, which belongs to a class of medications known as triptans. It is commonly prescribed to treat acute migraine headaches with or without aura in adults. Migraines are characterized by severe headache pain, nausea, sensitivity to light, and other symptoms. Zomig Nasal Spray is specifically prescribed for the acute treatment of migraines, helping to alleviate the symptoms associated with migraine attacks.

How should this medicine be used?

Here are some key points about the use of Zomig Nasal Spray:

• Dosage: The recommended dose of Zomig Nasal Spray can vary, and it’s important to follow the specific instructions provided by your healthcare provider. The usual starting dose is one spray (5 mg) into one nostril.
• Administration: Zomig Nasal Spray is administered intranasally, which means it is sprayed into the nostrils.
• Early Use: It is generally more effective when used as early as possible after the onset of a migraine headache. However, it can be used at any time during a migraine attack.
• Repeat Dosing: If the migraine symptoms return after an initial dose, a second dose may be taken after at least two hours, if needed. However, the total daily dose should not exceed 10 mg.
• Do Not Exceed Recommended Dose: It’s essential not to exceed the recommended dosage, as doing so can increase the risk of side effects.
• Consultation with Healthcare Provider: Before using Zomig Nasal Spray, it’s important to consult with your healthcare provider. They will assess your medical history and determine if this medication is appropriate for you.
• Monitoring: Be aware of how your body responds to the medication, and report any unusual or severe side effects to your healthcare provider.
• Not for Prophylaxis: Zomig Nasal Spray is not intended for the prophylactic treatment of migraines (prevention). It is designed to be used during an actual migraine attack.
• Other Medications: Inform your healthcare provider about any other medications you are taking, including over-the-counter drugs and herbal supplements, as they may interact with Zomig.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits of using Zomig Nasal Spray with your healthcare provider.

Always follow the specific instructions provided by your healthcare provider and the medication’s official prescribing information. If you have any concerns or questions about the use of Zomig Nasal Spray, consult your healthcare professional for personalized advice.

Other uses for this medicine

Zomig Nasal Spray is primarily approved for the treatment of migraine headaches and is not indicated for other medical conditions. Its use should be based on the specific recommendation of your healthcare provider.

What special precautions should I follow?

When using Zomig Nasal Spray, it’s important to take certain precautions to ensure its safe and effective use. These precautions may include:

• Medical History: Inform your healthcare provider about your complete medical history, especially if you have a history of cardiovascular disease, uncontrolled hypertension, liver or kidney disease, or other significant health issues.
• Allergies: If you are allergic to zolmitriptan or any other ingredients in Zomig Nasal Spray, let your healthcare provider know.
• Drug Interactions: Zomig Nasal Spray may interact with other medications, including other migraine medications, selective serotonin reuptake inhibitors (SSRIs), and serotonin and norepinephrine reuptake inhibitors (SNRIs). Inform your healthcare provider about all the medications you are currently taking.
• Cardiovascular Risk: Triptans, including zolmitriptan, have been associated with an increased risk of serious cardiovascular events such as heart attack or stroke. This risk may be higher in individuals with cardiovascular risk factors. Discuss your cardiovascular health with your healthcare provider before using Zomig Nasal Spray.
• Hemiplegic or Basilar Migraine: Zomig Nasal Spray is not recommended for use in individuals with hemiplegic or basilar migraine due to the increased risk of stroke.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits of using Zomig Nasal Spray with your healthcare provider.
• Driving and Operating Machinery: Zomig Nasal Spray may cause dizziness or drowsiness. Avoid driving or operating machinery until you know how the medication affects you.
• Alcohol and Tobacco: Limit alcohol consumption and avoid tobacco products, as they may interact with Zomig Nasal Spray.
• Serotonin Syndrome: Zomig Nasal Spray, like other triptans, can cause serotonin syndrome when used in combination with certain medications. Inform your healthcare provider about all medications you are taking, especially those that increase serotonin levels.

Always follow the specific guidance provided by your healthcare provider and the medication’s official prescribing information. If you have any concerns or experience unexpected side effects while using Zomig Nasal Spray, contact your healthcare provider promptly.

What special dietary instructions should I follow?

There are no specific dietary instructions associated with the use of Zomig Nasal Spray. However, always follow your healthcare provider’s advice. If there have been updates or changes in recommendations since then, your healthcare provider or pharmacist can provide the most current information.

What should I do if I forget a dose?

If you forget a dose of Zomig Nasal Spray, take it as soon as you remember. However, if it’s close to the time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for a missed one.

What side effects can this medication cause?

Zomig Nasal Spray (zolmitriptan) can cause side effects, and it’s important to be aware of them. Common side effects are usually mild and temporary, but some side effects may be more serious. Keep in mind that not everyone will experience these side effects, and the severity can vary from person to person. If you experience any unusual or severe side effects, it’s essential to contact your healthcare provider. Here are some potential side effects of Zomig Nasal Spray:

Common Side Effects:

• Nasal Discomfort: Irritation or a sensation of discomfort in the nose may occur.
• Unpleasant Taste: Some individuals may experience an unpleasant taste after using the nasal spray.
• Dizziness: Zomig Nasal Spray may cause dizziness. Avoid activities that require alertness, such as driving or operating machinery, until you know how the medication affects you.
• Fatigue: Feeling tired or fatigued is a possible side effect.

Less Common Side Effects:

• Nausea: Some people may experience nausea after using Zomig Nasal Spray.
• Dry Mouth: A dry or parched feeling in the mouth may occur.
• Throat Discomfort: Irritation or discomfort in the throat is a less common side effect.

Serious Side Effects (Seek Medical Attention):

• Chest Pain or Tightness: This can be a sign of a serious cardiovascular event. Seek immediate medical attention if you experience chest pain or tightness.
• Changes in Heart Rate: Zomig Nasal Spray can affect the heart rate. Notify your healthcare provider if you experience a rapid or irregular heartbeat.
• Changes in Blood Pressure: Serious increases in blood pressure have been reported. Contact your healthcare provider if you have significant increases in blood pressure.
• Allergic Reactions: Seek emergency medical attention if you experience signs of an allergic reaction, such as rash, itching, swelling, severe dizziness, or difficulty breathing.
• Serotonin Syndrome: Although rare, serotonin syndrome can occur, especially when Zomig is used with other medications that increase serotonin levels. Symptoms may include confusion, hallucinations, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea.

This is not an exhaustive list of side effects, and other side effects may occur. Always consult with your healthcare provider or pharmacist for a complete list of side effects and guidance on what to do if you experience them. It’s important to report any side effects promptly to your healthcare provider.

What should I know about storage and disposal of this medication?

Storage and Disposal of Zomig Nasal Spray:

• Storage Conditions:
  • Store Zomig Nasal Spray at room temperature between 68°F to 77°F (20°C to 25°C).
  • Avoid exposure to excessive heat or direct sunlight.
  • Keep the medication away from moisture.
• Protect from Freezing: Do not freeze Zomig Nasal Spray.
• Keep Out of Reach of Children: Store the medication in a secure place, out of reach of children and pets.
• Protect from Light: Store Zomig Nasal Spray in its original packaging to protect it from light.
• Do Not Use Expired Medication: Check the expiration date on the packaging, and do not use the medication if it has expired.
• Proper Disposal: Dispose of the nasal spray as per local regulations. Do not flush medications down the toilet or pour them into a drain unless instructed to do so.

In case of emergency/overdose

In the case of an overdose or emergency, contact your local poison control center at 1-800-222-1222 or seek emergency medical attention. Overdose symptoms may include:

• Severe dizziness or fainting
• Seizures
• Uncontrolled movements
• Blue fingers or toes
• Loss of consciousness

What other information should I know?

• Follow Healthcare Provider’s Instructions: Always use Zomig Nasal Spray as directed by your healthcare provider. Do not exceed the recommended dosage.
• Inform Healthcare Provider: Inform your healthcare provider about all the medications you are taking, including prescription drugs, over-the-counter medications, and herbal supplements. This is important to avoid potential drug interactions.
• Report Side Effects: Report any unusual or severe side effects to your healthcare provider promptly.
• Allergies: If you are allergic to zolmitriptan or any components of Zomig Nasal Spray, inform your healthcare provider.
• Medical Conditions: Inform your healthcare provider about any existing medical conditions, especially cardiovascular conditions, before using Zomig Nasal Spray.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits of using Zomig Nasal Spray with your healthcare provider.
• Regular Monitoring: Regularly monitor your response to the medication and discuss any concerns with your healthcare provider.
• Driving and Operating Machinery: Zomig Nasal Spray may cause dizziness. Avoid driving or operating machinery until you know how the medication affects you.

Always consult your healthcare provider or pharmacist for specific and up-to-date information about the storage, disposal, and emergency procedures associated with Zomig Nasal Spray.