Zomig

Common use

Zomig is a headache medicine that narrows blood vessels around the brain. Zomig is used to treat migraine headaches in adults. Zolmitriptan also reduces substances in the body that can trigger headache pain, nausea, sensitivity to light and sound, and other migraine symptoms.

Dosage and direction

Initial dose: 2.5 mg intranasally once; may repeat in 2 hours if migraine has not resolved or returns after a transient improvement. Maintenance Dose: Adjust dose based on individual response. Maximum single dose: 5 mg. Maximum daily dose: 10 mg in a 24-hour period.

Precautions

To make sure Zomig is safe for you, tell your doctor if you have: heart disease, high blood pressure, or a heart rhythm disorder; epilepsy or seizures; liver or kidney disease; a condition for which you take cimetidine (Tagamet); or coronary heart disease (or risk factors such as diabetes, menopause, smoking, being overweight, having high cholesterol, having a family history of coronary artery disease, being older than 40 and a man, or being a woman who has had a hysterectomy).

Contraindications

You should not use Zomig if you are allergic to zolmitriptan, or if you have: coronary heart disease, angina (chest pain), blood circulation problems, lack of blood supply to the heart; a history of heart disease, heart attack, or stroke, including "mini-stroke"; Wolff-Parkinson-White syndrome; severe or uncontrolled high blood pressure; a blood vessel disorder or circulation problems that cause a lack of blood supply within the body; or a headache that seems different from your usual migraines.

Possible side effect

Common Zomig side effects may include: pain or tightness in your throat or chest; dry mouth, upset stomach; pressure or heavy feeling anywhere in your body; drowsiness, feeling tired; or flushing (warmth, redness, or tingly feeling).

Drug interaction

Do not use Zomig if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.
Do not take Zomig within 24 hours before or after using another migraine headache medicine, including: zolmitriptan nasal spray, almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, or sumatriptan; or ergot medicine - dihydroergotamine, ergotamine, ergonovine, methylergonovine.

Missed dose

Since Zomig is used as needed, it does not have a daily dosing schedule. Call your doctor promptly if your symptoms do not improve after using Zomig.

Overdose

Seek emergency medical attention.

Storage

Store at room temperature away from moisture, heat, and light. Keep away from children and pets.