Sumatriptan Nasal, Oral, Subcutaneous

Name: Sumatriptan Nasal, Oral, Subcutaneous

Before Using sumatriptan

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For sumatriptan, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to sumatriptan or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of sumatriptan nasal powder and spray in the pediatric population. Safety and efficacy have not been established.

Geriatric

Use of sumatriptan nasal powder and spray are not recommended in elderly patients with kidney problems, heart or blood vessel disease, or high blood pressure, and should not be used by elderly patients with liver problems.

Pregnancy

Pregnancy Category Explanation
All Trimesters C Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking sumatriptan, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using sumatriptan with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

  • Almotriptan
  • Bromocriptine
  • Dihydroergotamine
  • Eletriptan
  • Ergoloid Mesylates
  • Ergonovine
  • Ergotamine
  • Frovatriptan
  • Furazolidone
  • Iproniazid
  • Isocarboxazid
  • Linezolid
  • Methylene Blue
  • Methylergonovine
  • Methysergide
  • Moclobemide
  • Naratriptan
  • Phenelzine
  • Procarbazine
  • Rasagiline
  • Rizatriptan
  • Selegiline
  • Tranylcypromine
  • Zolmitriptan

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

  • Alfentanil
  • Amineptine
  • Amitriptyline
  • Amitriptylinoxide
  • Amoxapine
  • Amphetamine
  • Benzphetamine
  • Buprenorphine
  • Butorphanol
  • Citalopram
  • Clomipramine
  • Codeine
  • Dasabuvir
  • Desipramine
  • Desvenlafaxine
  • Dexfenfluramine
  • Dextroamphetamine
  • Dibenzepin
  • Dihydrocodeine
  • Dolasetron
  • Doxepin
  • Duloxetine
  • Escitalopram
  • Fentanyl
  • Fluoxetine
  • Fluvoxamine
  • Granisetron
  • Hydrocodone
  • Hydromorphone
  • Imipramine
  • Levomilnacipran
  • Levorphanol
  • Lisdexamfetamine
  • Lofepramine
  • Lorcaserin
  • Melitracen
  • Meperidine
  • Methamphetamine
  • Milnacipran
  • Mirtazapine
  • Morphine
  • Morphine Sulfate Liposome
  • Nalbuphine
  • Nefazodone
  • Nortriptyline
  • Opipramol
  • Oxycodone
  • Oxymorphone
  • Palonosetron
  • Paroxetine
  • Pentazocine
  • Protriptyline
  • Reboxetine
  • Remifentanil
  • Sertraline
  • Sibutramine
  • St John's Wort
  • Sufentanil
  • Tapentadol
  • Tianeptine
  • Tramadol
  • Trazodone
  • Trimipramine
  • Venlafaxine
  • Vilazodone
  • Vortioxetine
  • Ziprasidone

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of sumatriptan. Make sure you tell your doctor if you have any other medical problems, especially:

  • Angina (chest pain) or
  • Arrhythmia (heart rhythm problem) or
  • Basilar migraine (migraine with vision and hearing problems), history of or
  • Heart attack, history of or
  • Heart or blood vessel problems or
  • Hemiplegic migraine (migraine with some paralysis), history of or
  • Hypertension (high blood pressure), uncontrolled or
  • Ischemic bowel disease (bowels have low blood supply) or
  • Liver disease, severe or
  • Peripheral vascular disease (clogged arteries) or
  • Stroke, history of or
  • Transient ischemic attack (TIA), history of or
  • Wolff-Parkinson-White Syndrome (heart rhythm problem)—Should not be used in patients with these conditions.
  • Bleeding problems or
  • Blurred vision or
  • CNS disorders or
  • Kidney disease or
  • Liver disease or
  • Seizures or epilepsy, history of or
  • Stomach or intestinal bleeding—Use with caution. May make these conditions worse.
  • Coronary artery disease, family history of or
  • Diabetes or
  • Hypercholesterolemia (high cholesterol in the blood) or
  • Hypertension (high blood pressure), controlled or
  • Obesity or
  • Raynaud's syndrome—Use with caution. May be at increased risk for certain side effects.
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