Imitrex Nasal Spray
Brand Name Choices
No generic medication is available for Imitrex Nasal Spray (Sumatriptan)
What Imitrex Nasal Spray is and what it is used for
Each Imigran nasal spray contains a single dose of sumatriptan, which belongs to a group of medicines called triptans (also known as 5-HT1 receptor agonists). Imigran nasal spray is used to treat migraine headache. Migraine symptoms may be caused by the temporary widening of blood vessels in the head. Imigran nasal spray is believed to reduce the widening of these blood vessels. This in turn helps to take away the headache and relieve other symptoms of a migraine attack, such as feeling or being sick (nausea or vomiting) and sensitivity to light and sound.
How to take Imitrex Nasal Spray
Only use Imigran after your migraine headache begins
Don’t use Imigran to try to prevent an attack.
Always use this medicine exactly as your doctor has told you. Check with your doctor or
pharmacist if you are not sure.
There’s a step-by-step guide to using the spray at the end of this section.
How much to use
Adults aged 18 to 65
• The usual dose for adults aged 18 to 65 is one Imigran 20 mg spray into just one nostril. But one Imigran 10 mg spray into one nostril is enough for some people. Don’t use more than two sprays in 24 hours. Adolescents aged 12 to 17
• The usual dose for adolescents aged 12 to 17 is one Imigran 10 mg spray into one nostril. Children under 12
• Imigran nasal spray is not recommended for children under 12 years old. Older people (aged over 65)
• Imigran nasal spray is not recommended for people aged over 65. When to use Imigran
• It’s best to use Imigran as soon as you feel a migraine coming on, although it can be used at any time during an attack. If your symptoms start to come back
• You can use a second Imigran nasal spray after 2 hours, but don’t use more than two sprays in 24 hours. If the first spray has no effect
• Don’t use a second spray, or any other Imigran preparation for the same attack. If Imigran doesn’t give you any relief: Ask your doctor or pharmacist for advice. If you use more Imigran than you should
• Don’t use more than two Imigran nasal sprays in 24 hours. Using too much Imigran could make you ill. If you have used more than two sprays in 24 hours: Contact your doctor for advice. If you have any further questions on the use of this medicine, ask your doctor or pharmacist. Step-by-step guide to using your Imigran nasal spray Don’t open a blister until you are ready to use a spray. Each spray is sealed in a blister to keep it clean and safe. If you carry a spray without a blister, or in an open blister, it may not work properly when you need it. Each spray contains just one dose of Imigran. Don’t press the plunger too soon or you will lose the dose. Imigran nasal spray has three parts: How to use the nasal spray 1 Remove the nasal spray from the blister packaging just before you want to use it. 2 Get into a comfortable position. You may prefer to sit down. 3 Blow your nose if it feels blocked, or if you have a cold. 4 Hold the nasal spray gently with your fingers and thumb, as shown in picture A. Don’t press the blue plunger yet. 5 Block one nostril by pressing a finger firmly on the side of your nose. It doesn’t matter which nostril you choose. The nozzle The part that you put into your nostril. The spray comes out of a tiny hole in the top. The finger-grip Hold this when you use the spray. The blue plunger Press this to spray the whole dose into your nostril in one go. This only works once
•don’t press the plunger until you have put the nozzle into your nostril or you will lose the dose. 6 Put the nozzle of the nasal spray into the other nostril, as far as feels comfortable - about 1 cm or 1 /2 inch (picture B). Breathe out gently through your mouth. Hold your head upright and close your mouth. 7 Start to breathe in gently through your nose. As you breathe in: Press the blue plunger firmly with your thumb. The plunger may feel a bit stiff and you may hear it click. Keep breathing in while spraying (picture C). 8 Remove the spray and remove your finger from the side of your nose. Keep your head upright for 10-20 seconds, breathing gently in through your nose and out through your mouth. This helps the medicine stay in your nose. Your nose may feel wet inside and you may notice a slight taste after using the spray - this is normal and will soon pass. 9 Your nasal spray is now empty. Throw it away safely and hygienically.
Possible side effects
Like all medicines, this medicine can cause side effects, but not everybody gets them.
Some symptoms may be caused by the migraine itself.
Adverse events reported in adults have also been observed in adolescents. These include very
rare reports of heart attacks.
Allergic reaction: get doctor’s help straight away
The following side effects have occurred but their frequency is not known.
• The signs of allergy include rash, hives (itchy rash); wheezing; swollen eyelids, face or lips; complete collapse. If you get any of these symptoms soon after using Imigran: Don’t use any more. Contact a doctor straight away.
Very common side effects (affect more than 1 in 10 people)
• Unpleasant taste.
Common side effects (affect up to 1 in 10 people)
• Heaviness, pressure, tightness or pain in the chest, throat or other parts of the body, or feelings of unusual sensations, including numbness, tingling and warmth or cold. These effects may be intense but generally pass quickly. If these effects continue or become severe (especially the chest pain): Get medical help urgently. In a very small number of people these symptoms can be caused by a heart attack. Other common side effects include:
• Irritation or burning sensation in the nose or throat; nose bleeds.
• Feeling sick (nausea) or being sick (vomiting), although this may be due to the migraine itself.
• Tiredness or drowsiness.
• Dizziness, feeling weak, or getting hot flushes.
• Temporary increase in blood pressure.
• Shortness of breath.
• Aching muscles.
Very rare side effects (affect up to 1 in 10,000 people)
• Liver function changes. If you have a blood test to check your liver function, tell your doctor or nurse that you are using Imigran. Some patients may have the following side effects but it is not known how often they occur
• Seizures/fits, tremors, muscle spasm, neck stiffness.
• Visual disturbances such as flickering, reduced vision, double vision, loss of vision and in some cases even permanent defects (although these may be due to the migraine attack itself).
• Heart problems, where your heart beat may go faster, slower or change rhythm, chest pains (angina) or heart attack.
• Pale blue-tinged skin and/or pain in your fingers, toes, ears, nose or jaw in response to cold or stress (Raynaud’s phenomenon).
• Feeling faint (blood pressure may go down).
• Pain in the lower left side of the stomach and bloody diarrhoea (ischaemic colitis).
• Pain in the joints.
• Feeling anxious.
• Excessive sweating.
Reporting of side effects If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.
How to Store Imitrex Nasal Spray
Keep this medicine out of the sight and reach of children. Keep this medicine in the sealed blister in the box to protect it from light. Don’t store above 30°C and don’t freeze. Don’t use this medicine after the expiry date shown on the carton. The expiry date refers to the last day of that month. Don’t throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment
2 to 3 weeks on average
The average shipping time is 2 weeks in North America and 4 weeks internationally. We offer free shipping on all orders shipped to North America. Shipping is a flat rate of $20.00 for all other countries.
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