Indications
Zomig Nasal Spray (active ingredient: zolmitriptan) is a prescription medication indicated:
- Migraine: Zomig Nasal Spray is used for the acute treatment of migraine headaches with or without aura in adults.
Zomig Nasal Spray belongs to a class of drugs known as triptans, which work by binding to serotonin receptors in the brain and constricting blood vessels, thereby reducing inflammation and relieving migraine symptoms such as headache, nausea, and sensitivity to light and sound.
Uses and Dosage
Zomig Nasal Spray comes in 2.5 mg and 5 mg doses and is administered as a nasal spray. Use one spray into one nostril at the first sign of a migraine. Do not take multiple doses of the medication if there isn't any improvement in your migraine symptoms. You can use another dose of the medication at least two hours after the first dose if the symptoms are only partially relieved or if the headache returns.
To use Zomig Nasal Spray, gently blow your nose and avoid spraying the medication into your eyes. Remove the protective cap and press firmly on one side of your nose to block one nostril. Insert the tip of the spray device into the other nostril and inhale gently while pressing the plunger. Tilt your head slightly backwards and breathe through your mouth for 5-10 seconds after using the spray. Some wetness or a slight taste after using the medication is normal.
The recommended initial dose of Zomig Nasal Spray (Zolmitriptan) is 2.5 milligrams (mg), which is one spray into one nostril. Another spray (either 2.5mg or 5mg) may be used for a migraine that persists or a new one that occurs within 24 hours of the first dose. The maximum recommended dose of Zomig Nasal Spray in a single day is 10mg, which is four sprays. Do not use the spray for more than 10 days in a row, as it may make your headaches worse (medication overuse headache).
If you are at a higher risk of heart problems, your doctor may perform a heart exam before you start taking Zomig Nasal Spray. Your doctor may also direct you to take your first dose of the medication in the office or clinic to monitor for serious side effects such as chest pain.
Side Effects
Common Side Effects of Zomig Nasal Spray (Zolmitriptan):
- Dizziness
- Drowsiness
- Dry mouth
- Feeling warm
- Nasal discomfort
- Nausea
- Numbness and tingling sensation (arms or legs)
- Throat pain
- Unusual taste
- Weakness
Serious Side Effects of Zomig Nasal Spray (Zolmitriptan):
- Changes in behavior
- Hallucinations
- Heart attack (chest pain, shortness of breath, arm pain)
- High fever
- Rapid heart rate
- Serotonin syndrome
- Stroke (weakness, headache, facial drooping, difficulty speaking)
- Unstable blood pressure
Form and strength
Zomig Nasal Spray (Zolmitriptan) is available in the following forms and strength:
Zomig Nasal Spray: Nasal Spray
- 2.5 mg
- 5 mg
Zolmitriptan: Nasal Spray
- 5 mg
Caution
- Cardiovascular disease: Zomig can cause narrowing of blood vessels, which can increase the risk of heart attack, stroke, or transient ischemic attack (mini stroke), especially in patients with a history of cardiovascular disease.
- Uncontrolled blood pressure: Zomig should not be used in patients with uncontrolled high blood pressure.
- Hepatic impairment: Zomig is metabolized by the liver, and therefore, caution is advised when it is used in patients with hepatic impairment.
- Renal impairment: Zomig is excreted by the kidneys, and therefore, caution is advised when it is used in patients with renal impairment.
- Allergic reactions: Zomig can cause allergic reactions in some patients. Patients who experience signs of an allergic reaction such as hives, difficulty breathing, or swelling of the face, lips, tongue, or throat should seek medical attention immediately.
- Pregnancy and breastfeeding: Zomig should be used with caution during pregnancy and lactation, as there is limited information available about its safety in these populations.
- Elderly patients: Zomig should be used with caution in elderly patients, as they may be more susceptible to certain side effects.
- Drug interactions: Zomig can interact with other medications, including other triptans, ergotamines, and certain antidepressants. Inform your healthcare provider about all medications you are taking before using Zomig.
- Overuse: Overuse of Zomig can lead to medication overuse headaches, which can be difficult to treat and may require stopping the medication.
- Driving and operating machinery: Zomig can cause dizziness and drowsiness, which may impair your ability to drive or operate machinery. Avoid these activities until you know how Zomig affects you.
Frequently Asked Questions (FAQ)
How quickly does Zomig Nasal Spray work?
Zomig Nasal Spray works quickly, with relief typically beginning within 15-30 minutes after administration.
Is Zomig Nasal Spray addictive?
No, Zomig Nasal Spray is not addictive. It is not a narcotic or controlled substance.
Can I use Zomig Nasal Spray for a tension headache?
No, Zomig Nasal Spray is not approved for the treatment of tension headaches. It is specifically indicated for the treatment of migraine headaches.
How often can I use Zomig Nasal Spray?
The maximum recommended dose of Zomig Nasal Spray is 10mg (4 sprays) in a single day, and it should not be used for more than 10 days in a row.
Can Zomig Nasal Spray be used for preventive treatment of migraines?
No, Zomig Nasal Spray is not approved for preventive treatment of migraines. It is only intended for the treatment of acute migraine headaches.
Resources
- https://my.clevelandclinic.org/health/drugs/18692-zolmitriptan-nasal-spray
- https://medlineplus.gov/druginfo/meds/a605046.html
- https://www.webmd.com/drugs/2/drug-77376/zomig-nasal/details
- https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=84b51cb9-83f3-4a49-7fa3-1adc0f963658&type=display
- https://www.rxlist.com/zomig-nasal-spray-drug.htm
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