{"id":36950,"date":"2022-11-30T07:42:39","date_gmt":"2022-11-30T07:42:39","guid":{"rendered":"https:\/\/zeepedia.com\/?p=36950"},"modified":"2022-12-02T10:04:03","modified_gmt":"2022-12-02T10:04:03","slug":"zomig-nasal","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/zomig-nasal\/","title":{"rendered":"Zomig Nasal &#8211; Zolmitriptan uses, dose and side effects"},"content":{"rendered":"\n<p>2.5 mg\/dose and 5 mg\/dose&nbsp;nasal spray solution<br>zolmitriptan<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Zomig Nasal is and what it is used for<\/h2>\n\n\n\n<p>Zomig&nbsp;Nasal&nbsp;contains zolmitriptan and belongs to a group of medicines called triptans.<\/p>\n\n\n\n<p><strong>Zomig&nbsp;Nasal&nbsp;is used to treat the headache during a migraine attack in adults aged 18 and over.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Headache symptoms can be caused by a dilation of blood vessels in the head.\u00a0Zomig\u00a0Nasal\u00a0is thought to reduce the dilation of these blood vessels.\u00a0This contributes to the disappearance of the headache and other migraine symptoms such as nausea, vomiting, and sensitivity to light and sound.<\/li><li>Zomig\u00a0Nasal\u00a0only helps when a migraine attack has started.\u00a0It cannot prevent an attack.<\/li><\/ul>\n\n\n\n<p><strong>Zomig\u00a0Nasal\u00a0is not intended for the treatment of other types of headaches<\/strong>, such as tension headaches<strong>.<\/strong><br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Zomig Nasal<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Zomig Nasal<\/h2>\n\n\n\n<p>Zomig\u00a0Nasal\u00a0should only be used by those who know that you have\u00a0a migraine\u00a0diagnosed by a doctor.<\/p>\n\n\n\n<p>You probably have a&nbsp;migraine&nbsp;if you have recurring headaches such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Has a pulsating character and is one-sided<\/li><li>Has moderate to the strong\u00a0intensity\u00a0and lasts for 4-72 hours<\/li><li>Worsens with normal physical activity (eg walking or climbing stairs)<\/li><li>Affects your ability to concentrate and impairs your daily activities<\/li><\/ul>\n\n\n\n<p>Migraine&nbsp;can be accompanied by other symptoms such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Nausea, sensitivity to light and sound<\/li><li>Aura symptoms, for example, visual field loss, zigzag patterns or flashes in the\u00a0visual field, and less often numbness or speech difficulties.<\/li><\/ul>\n\n\n\n<p>Consult a doctor or pharmacist if you are unsure or need more information.<\/p>\n\n\n\n<p><strong>Do&nbsp;<\/strong><strong>not use Zomig Nasal:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to zolmitriptan or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if you have high\u00a0blood pressure<\/li><li>if you have or have had heart problems, such as a heart attack, angina (chest pain caused by exercise or exertion), Prinzmetal&#8217;s angina (chest pain at rest), or heart-related symptoms such as shortness of breath or chest tightness<\/li><li>if you have had a\u00a0stroke\u00a0or short-term\u00a0stroke-like symptoms (\u00a0TIA,\u00a0transient\u00a0ischemic attack, i.e. a temporary circulatory disturbance in the brain)<\/li><li>if you have severe kidney problems<\/li><li>if you simultaneously take certain other anti-migraine\u00a0medicines (for example medicines with\u00a0ergotamine\u00a0or substances similar to\u00a0ergotamine, such as dihydroergotamine and methysergide) or other triptan anti-migraine\u00a0medicines.\u00a0Read the section &#8220;Use of other medicines&#8221; for further information.<\/li><\/ul>\n\n\n\n<p>If you are not sure if any of the above applies to you, ask your doctor or pharmacist for advice.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and precautions<\/h2>\n\n\n\n<p>Talk to your doctor before using Zomig&nbsp;Nasal&nbsp;if:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you belong to the risk group for ischemic heart disease (poor blood flow in the coronary arteries of the heart).\u00a0The risk is higher if you smoke, have high\u00a0blood pressure, or high cholesterol levels,\u00a0have diabetes\u00a0or if someone in your family has ischemic heart disease.<\/li><li>you have been told that you have Wolff-Parkinson-White syndrome (a type of heart rhythm disorder).<\/li><li>you have or have had liver problems.<\/li><li>you have a headache that is not like a regular migraine headache or the headache caused by\u00a0Horton&#8217;s headache<\/li><li>you are taking any other medicine for depression (see \u201cUsing other medicines\u201d later in this section).<\/li><\/ul>\n\n\n\n<p>If you are admitted to the hospital, tell the healthcare staff that you are taking Zomig\u00a0Nasal.<\/p>\n\n\n\n<p>Zomig&nbsp;Nasal&nbsp;is not recommended for children and adolescents under 18 years of age or for adults over 65 years of age.<\/p>\n\n\n\n<p>Like other&nbsp;migraine&nbsp;medications, overconsumption of Zomig&nbsp;Nasal&nbsp;can cause daily headaches or worsening migraine headaches.&nbsp;Consult a doctor if you think it has affected you.&nbsp;It may be necessary to stop treatment with Zomig&nbsp;Nasal&nbsp;to correct the problem.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Zomig Nasal<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are using, have recently used, or might be using other medicines.\u00a0This includes herbal medicines and over-the-counter medicines.<\/p>\n\n\n\n<p>Do not use other medicines containing triptans (including other medicines containing sumatriptan, zolmitriptan, rizatriptan, naratriptan, eletriptan, and almotriptan) or other medicines containing\u00a0ergotamine\u00a0or ergotamine derivatives (including methysergide) together with Zomig\u00a0Nasal.<\/p>\n\n\n\n<p>Consult your doctor before using Zomig\u00a0Nasal, if you are simultaneously treated with any of the following medicines of the MAO inhibitor type:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Selegiline (for\u00a0Parkinson&#8217;s disease\u00a0)<\/li><\/ul>\n\n\n\n<p>Consult your doctor before using Zomig\u00a0Nasal, if you are simultaneously treated with any of the following anti-depressant medicines:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Moclobemide or fluvoxamine<\/li><li>SSRIs\u00a0(selective serotonin reuptake inhibitors)<\/li><li>SNRI\u00a0preparations (\u00a0serotonin-norepinephrine reuptake inhibitors), for example,\u00a0venlafaxine, duloxetine<\/li><\/ul>\n\n\n\n<p>Serotonin syndrome is a rare, life-threatening condition that has been reported in some patients who have taken Zomig at the same time as so-called serotonergic medicines (eg some medicines for the treatment of depression).\u00a0Symptoms of serotonin syndrome can e.g.\u00a0be restlessness, tremors, restlessness, fever, heavy sweating, twitching, muscle stiffness, uncoordinated arm, leg, or eye movements, and uncontrollable muscle twitching.\u00a0Your doctor can advise you on this.<\/p>\n\n\n\n<p>Consult your doctor before using Zomig\u00a0Nasal, if you are simultaneously treated with any of the following medicines:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Cimetidine (for indigestion or&nbsp;stomach ulcers&nbsp;)<\/li><li>Quinolone&nbsp;&#8211;&nbsp;antibiotics&nbsp;(such as&nbsp;ciprofloxacin&nbsp;)<\/li><li>Propranolol (used for example against high&nbsp;blood pressure&nbsp;)<\/li><\/ul>\n\n\n\n<p>If you use herbal medicines that contain St. John&#8217;s\u00a0wort\u00a0(\u00a0<em>Hypericum perforatum)<\/em>, the risk of\u00a0side effects\u00a0may increase.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Zomig Nasal with food and drink<\/h2>\n\n\n\n<p>You can take Zomig&nbsp;Nasal&nbsp;with or without food.&nbsp;It does not affect how Zomig&nbsp;Nasal&nbsp;works.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>It is not known whether using Zomig\u00a0Nasal\u00a0during pregnancy is harmful.\u00a0Before using Zomig\u00a0Nasal, tell your doctor if you are pregnant or trying to become pregnant.<\/li><li>You should not breastfeed within 24 hours after taking Zomig\u00a0Nasal.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Driving ability and use of machinery<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>During a migraine attack, you may have a longer reaction time than usual.&nbsp;Keep this in mind when driving or using tools or machinery.<\/li><li>Zomig&nbsp;Nasal&nbsp;is unlikely to affect your ability to drive or use tools or machines.&nbsp;However, you should wait and see how Zomig&nbsp;Nasal&nbsp;affects you before trying any of these activities.<\/li><\/ul>\n\n\n\n<p>You are responsible for assessing whether you can drive a motor vehicle or perform work that requires increased vigilance.\u00a0One of the factors that can affect this ability is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0A description of these effects and\u00a0side effects\u00a0can be found under other headings in the package insert.\u00a0Therefore, read all the information in this leaflet.\u00a0Discuss with a doctor or pharmacist if you are unsure.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Zomig Nasal<\/h2>\n\n\n\n<p>Zomig\u00a0Nasal\u00a0is supplied in ready-to-use\u00a0single-dose containers.\u00a0Each unit contains either 2.5 mg or 5 mg zolmitriptan.\u00a0Each unit should be used once and contains only one\u00a0dose.<\/p>\n\n\n\n<p>Always use this medicine exactly as described in this leaflet or as directed by your doctor or pharmacist.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p>You can use Zomig Nasal as soon as you feel a migraine headache coming on, but you can also use Zomig&nbsp;Nasal&nbsp;during an ongoing attack.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The usual\u00a0dose\u00a0for adults (18-65 years) is 1 spray (either 2.5 mg or 5 mg) in one nostril.\u00a0It does not matter which nostril is used.<\/li><li>You can take another\u00a0dose\u00a0if the migraine symptoms persist after 2 hours\u00a0or\u00a0if the symptoms return within 24 hours, but you may only take a maximum of 2\u00a0doses\u00a0in 24 hours.<\/li><li>If you take Zomig\u00a0Nasal\u00a02.5 mg\/dose, the maximum daily dose is 5 mg.\u00a0If you take Zomig\u00a0Nasal\u00a05 mg\/dose, the maximum daily dose is 10 mg.<\/li><\/ul>\n\n\n\n<p>You must contact a doctor if symptoms worsen or do not improve within 3 days.<\/p>\n\n\n\n<p><strong>How to use Zomig&nbsp;Nasal<\/strong><\/p>\n\n\n\n<p>Read the instructions before using Zomig\u00a0Nasal\u00a0<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>A.<\/strong><\/td><td><em>Protective sleeve: <\/em>The protective sleeve protects the nozzleRemove the protective sleeve before using the nasal spray.<\/td><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20011130000291#\" rel=\"noopener\"><\/a><\/td><\/tr><tr><td><strong>B.<\/strong><\/td><td><em>The nozzle: <\/em>The mouthpiece is the part that you will insert into the nose. The medicine is sprayed out from a small hole at the top.<\/td><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20011130000291#\" rel=\"noopener\"><\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>C.<\/strong><\/td><td><em>The finger grip: <\/em>This is where you should hold when using the nasal spray.<\/td><\/tr><tr><td><strong>D.<\/strong><\/td><td><em>The piston: <\/em>Press this part after inserting the mouthpiece into the nose, and it feels comfortable. The nasal spray contains only 1\u00a0dose\u00a0and only works once<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Do not press the plunger until you have inserted the mouthpiece into the nostril, otherwise, a\u00a0dose\u00a0will be lost.<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>1.<\/strong><\/td><td>Blow the nose gently before use. Remove the protective sleeve.<\/td><td><strong>1<\/strong><\/td><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20011130000291#\" rel=\"noopener\"><\/a><\/td><\/tr><tr><td><strong>2.<\/strong><\/td><td>Hold the nasal spray gently with your fingers and thumb, as in picture 2. Do not press the plunger yet!<br><\/td><td><strong>2<\/strong><\/td><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20011130000291#\" rel=\"noopener\"><\/a><\/td><\/tr><tr><td><strong>3.<\/strong><\/td><td>Block a nostril by pressing a finger against the side of the nose as in picture 3. (If you already have a blocked nostril as a symptom of your illness, you may not need to do this). Insert the nozzle into the other nostril as far as it feels comfortable. Tilt your head back slightly and close your mouth as in picture 3. Breathe in gently through your nose and at the same time press firmly on the piston with your thumb.\u00a0The piston may be a little sluggish and a click may be heard. Keep the head slightly tilted back and remove the nozzle from the nostril. Breathe gently through the mouth for 5-10 seconds.\u00a0You may feel fluid in your nose.\u00a0It does not mean that\u00a0dose\u00a0one has been lost or that the spraying has failed.\u00a0It is normal and will pass soon.<\/td><td><strong>3<\/strong><\/td><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20011130000291#\" rel=\"noopener\"><\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">If you have used too much Zomig Nasal<\/h2>\n\n\n\n<p>If you have ingested too much Zomig\u00a0Nasal\u00a0or if, for example, a child has ingested the medicine by mistake, contact a doctor or hospital for an assessment of the risk and advice.\u00a0Take the Zomig Nasal pack with you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.\u00a0Some of the symptoms described below may be part of the migraine attack itself.<\/p>\n\n\n\n<p><strong>Stop using Zomig&nbsp;Nasal&nbsp;and contact your doctor immediately if you experience any of the following side effects:<\/strong><\/p>\n\n\n\n<p><em>Rare&nbsp;side effects&nbsp;(may affect up to 1 in 1,000 users):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Allergic\/hypersensitivity reactions, including\u00a0urticaria\u00a0(\u00a0hives\u00a0) and swelling of the face, lips, mouth, tongue, and throat, difficulty swallowing, or difficulty breathing.<\/li><\/ul>\n\n\n\n<p><em>Very rare&nbsp;side effects&nbsp;(may affect up to 1 in 10,000 users):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Vascular spasms (pain in the chest, often brought on by exertion), heart attack, or spasms in the blood vessels of the heart.\u00a0You may have chest pains or become short of breath.<\/li><li>Spasms in the intestinal blood vessels can cause damage to the intestine.\u00a0You may experience stomach pains or bloody diarrhea.<br><strong>Other\u00a0side effects\u00a0that may occur:<\/strong><\/li><\/ul>\n\n\n\n<p><em>Very common&nbsp;side effects&nbsp;(may affect more than 1 in 10 users):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Taste disturbance<\/li><\/ul>\n\n\n\n<p><em>Common&nbsp;side effects&nbsp;(may affect up to 1 in 10 users):<\/em>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Abnormal sensory sensations, such as tingling in fingers and toes or increased skin sensitivity to touch<\/li><li>Fatigue, dizziness, or feeling hot<\/li><li>Headache<\/li><li>Irregular heartbeat<\/li><li>Nosebleed.\u00a0Irritation in the nose.\u00a0Nasal congestion and\/or runny nose (\u00a0rhinitis\u00a0).<\/li><li>Nausea, vomiting<\/li><li>Stomach pain<\/li><li>Dry mouth<\/li><li>Muscle weakness or muscle pain<\/li><li>Impotence<\/li><li>Heaviness, tightness, pain, or pressure in the throat, neck, arms, and legs, or chest<\/li><li>Difficulty swallowing<\/li><\/ul>\n\n\n\n<p><em>Uncommon&nbsp;side effects&nbsp;(may affect up to 1 in 100 users):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Very high\u00a0heart rate<\/li><li>Slight increase in blood pressure<\/li><li>The increased amount of urine or more frequent urges to urinate<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Zomig Nasal<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Keep this medicine out of the sight and reach of children.<\/li><li>Use before the expiry date stated on the carton.\u00a0The expiration date is the last day of the specified month.<\/li><li>Store at a maximum of 25\u00b0C.<\/li><li>Medicines must not be thrown into the drain or among the household waste.\u00a0Ask the pharmacist how to dispose of medicines that are no longer used.\u00a0These measures will help to protect the environment.<\/li><\/ul>\n\n\n\n<p><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Contents declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is zolmitriptan.\u00a0Zomig\u00a0Nasal\u00a0contains either 2.5 mg or 5 mg zolmitriptan in each\u00a0dose.<\/li><li>Other ingredients are citric acid, disodium phosphate, and purified water.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Appearance and package sizes of the medicine<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Zomig\u00a0Nasal\u00a02.5 mg\/dose and 5 mg\/dose nasal spray in a pre-assembled pump with nasal spray nozzle.<\/li><li>Zomig\u00a0Nasal\u00a02.5 mg\/dose is available in pack sizes of 1, 2, or 6 single-use nasal spray pumps.<\/li><li>Zomig\u00a0Nasal\u00a05 mg\/dose is available in pack sizes of 1, 2, 6, or 18 single-use nasal spray pumps.<\/li><li>Each nasal spray pump is ready to use and contains only 1\u00a0dose.<\/li><\/ul>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<p>Zomig is also available as film-coated tablets 2.5 mg and 5 mg and as\u00a0orodispersible\u00a0tablets 2.5 mg and 5 mg.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing authorization holder and manufacturer<\/h2>\n\n\n\n<p>Gr\u00fcnenthal GmbH, Zieglerstrasse 6, 52078 Aachen, Germany.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Zomig\u00a0Nasal\u00a0contains zolmitriptan and belongs to a group of medicines called triptans.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,22506],"tags":[28571,28591,28567,28588,28569,28589,28566,28568,28587,28590],"class_list":["post-36950","post","type-post","status-publish","format-standard","hentry","category-medicines","category-z","tag-benefits-of-zolmitriptan","tag-benefits-of-zomig-nasal","tag-what-is-zolmitriptan","tag-what-is-zomig-nasal","tag-what-zolmitriptan-is-used-for","tag-what-zomig-nasal-is-used-for","tag-zolmitriptan","tag-zolmitriptan-side-effects","tag-zomig-nasal","tag-zomig-nasal-side-effects"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/36950","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=36950"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/36950\/revisions"}],"predecessor-version":[{"id":37402,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/36950\/revisions\/37402"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=36950"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=36950"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=36950"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}