Side effects, use for migraine, dosage, etc.
Before you start taking Zomig, talk to your doctor about your treatment plan. Be sure to discuss:
- your general health and medical history
- any other medical condition you have
- any other medicines you are taking
These and other considerations are described below.
Taking medicine with certain vaccines, foods, and other things can affect how the medicine works. These effects are called interactions.
Before taking Zomig, be sure to tell your doctor about all medications you are taking, including prescription and over-the-counter medications. Also describe any vitamins, herbs or supplements you use. Your doctor or pharmacist can tell you about any interactions these may cause with Zomig.
Interactions with Medications or Supplements
Zomig may interact with several types of medications. These drugs include:
This list does not contain all types of drugs that may interact with Zomig. Your doctor or pharmacist can tell you more about these interactions and any other interactions that may occur with Zomig.
Zomig may not be right for you if you have certain medical conditions or other factors that affect your health. Talk to your doctor about your medical history before taking Zomig. Factors to consider include those listed below.
Heart attack. Because of the heart attack risk associated with Zomig, doctors generally won’t prescribe the drug to people with certain heart conditions. This includes coronary artery disease. If you have risk factors for heart disease, your doctor will check your heart health before prescribing Zomig. Examples of risk factors include high blood pressure and diabetes.
Irregular heart rate or rhythm. Zomig may affect the way your heart beats. Because of this risk, doctors will not prescribe Zomig to people with certain heart conditions. Tell your doctor about any heart problems you have. They will discuss with you if Zomig is a safe treatment for your migraine episodes.
Stroke. In rare cases, triptans such as Zomig can cause strokes that can be fatal. Because of this risk, if you have had a stroke your doctor may not prescribe Zomig for you. They will discuss with you other treatment options that you can safely take.
Blood vessel problems. Zomig can cause blood vessel spasms. This can cause blood clots to form and block blood flow to certain parts of the body. If you have a history of blood vessel spasms, taking Zomig may increase your risk of blood flow and clotting problems. If you have blood vessel disease or a history of blood vessel problems, your doctor may recommend other, safer treatments.
Phenylketonuria. Phenylketonuria is a genetic condition that causes increased blood levels of a substance called phenylalanine. Zomig-ZMT orally disintegrating tablets contain phenylalanine, which may aggravate this condition. If you suffer from phenylketonuria, talk to your doctor before taking Zomig. They will probably prescribe Zomig tablets instead.
Hepatic insufficiency. In people with moderate to severe liver impairment, Zomig can build up to high levels in the blood. Higher blood levels of Zomig may increase the risk of side effects. If you have moderate to severe liver impairment, your doctor probably won’t prescribe Zomig nasal spray for you. Talk to your doctor about other treatments for your condition that can be taken safely.
High blood pressure. Zomig can cause an increase in blood pressure. In people with high blood pressure, the drug may make this condition worse. If you manage your high blood pressure with medication, you should monitor your blood pressure more often while taking Zomig. If you have uncontrolled high blood pressure, your doctor may not prescribe Zomig for you. They will discuss with you other safer treatments to relieve your migraine symptoms.
Allergic reaction. If you’ve had an allergic reaction to Zomig or any of its ingredients, your doctor probably won’t prescribe Zomig for you. Ask them what other medications are better options for you.
Zomig and alcohol
Although some drugs interact with alcohol, Zomig is not one of them.
But alcohol can trigger migraine episodes in some people. You may want to avoid alcohol or limit your intake.
Before starting Zomig, ask your doctor or pharmacist if it is safe to drink alcohol.
Pregnancy and breastfeeding
It is not known if Zomig is safe during pregnancy. If you are pregnant or planning to become pregnant, talk to your doctor before taking Zomig.
Experts suggest that untreated migraine episodes may increase the risk of pregnancy complications. If you are pregnant and suffer from migraine, talk to your doctor to find the safest treatment for you.
It is not known if Zomig passes into breast milk and what effects it may have on nursing infants.
If you are breastfeeding or plan to breastfeed, talk to your doctor about whether it is safe to do so while taking Zomig. Your doctor will help you decide if the benefits of taking Zomig outweigh any possible risks during this time.