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Zolmitriptan, often sold under the brand name Zomig, is an acute migraine medication that delivers instant relief from migraine attack symptoms, such as headache pain, light sensitivity and nausea. It is not used to prevent migraine attacks, however. It can also be used for cluster headaches.
It is available as tablets. Alternatively, it is also available as a nasal spray or orodispersible tablets here at euroClinix for those who have difficulty swallowing tablets. You must have been diagnosed with migraine by a medical professional to be prescribed Zolmitriptan online.
Zolmitriptan belongs to a group of medicines known as selective serotonin receptor agonists (5-HT1-agonists) or more commonly as ‘triptans’. Triptans including Almotriptan, Sumatriptan (Imigran), Naratriptan, Rizatriptan, Frovatriptan and Eletriptan are the most effective and common drugs to treat migraine attacks.
These medications specifically stimulate the production of serotonin, an important chemical messenger in the brain (neurotransmitter). By doing so, it reduces inflammation and constricts blood vessels in the brain which is believed to cause migraine. This quickly reduces migraine headache and the other symptoms associated with it such as aura, light & sound sensitivity and nausea.
Research has shown that Zolmitriptan and other triptans can be used to treat neurological symptoms (e.g aura, speech disturbance and vertigo) of rarer types of migraine such as basilar migraine and vestibular migraine.
You should only take Zolmitriptan if you have been diagnosed with migraine by a medical professional. You should not taken Zolmitriptan if you have:
If you have certain pre-existing conditions, Zolmitriptan is safe for you to take but you may require some additional monitoring such as if you have:
If you are not sure whether you fall under any of these categories, you should speak to a healthcare professional.
Zolmitriptan is available as both tablets and a nasal spray, both of which work quickly to alleviate symptoms. They work best if you take them as soon as you feel a migraine coming on. Zolmitriptan cannot be used to prevent migraines, that kind of treatment will need to be prescribed and monitored by your primary doctor.
The maximum dose of Zolmitriptan tablets or the nasal spray you can take is 10mg a day. If you take more than 10mg, you should seek immediate medical advice even if you feel fine.
Comprehensive instructions on how to take the tablets and nasal spray can be found in their respective patient information leaflets.
Zolmitriptan is available in 2.5mg tablets, 5mg tablets and 5mg orodispersible tablets. You can purchase film-coated tablets or orodispersible tablets if you have difficulty swallowing tablets.
You should take one tablet as soon as you feel symptoms developing or during the migraine attack. You should swallow the tablet with a drink of water.
If you are prescribed orodispersible tablets, you must place one tablet on your tongue and wait for it to dissolve. It should dissolve quickly.
If symptoms are still present 2 hours after the first dose or return within a 24 hour-period, take another tablet. Do not take more than 10mg a day, however.
The nasal spray is available in a 5mg dose.
One 5mg dose should be sprayed into one nostril, it doesn’t matter which nostril you choose to spray it into. You can do so at the beginning of or during an attack.
If your symptoms persist after 2 hours or return after 24 hours, you can take another 5mg dose. You should not exceed 2 doses a day.
A full set of instructions with diagrams is available in the patient information leaflet, but a brief summary of how to administer the nasal spray is as follows:
Like all prescription medicines, Zolmitriptan can cause some side effects. However, the most common side effects are mild and go away quickly.
Common side effects include:
Some more severe side effects are rare but may include an allergic reaction (swelling, itchy rash) or chest pain (angina). A more comprehensive list of side effects is available in the patient information leaflet. If you experience any worrying or prolonged symptoms, please seek immediate medical advice.
You should speak to your doctor if you are pregnant or breastfeeding. It is not known if it is harmful to the baby, but it is always best to speak to your doctor first.
Whilst Zolmitriptan won’t have any effect on your ability, the migraine attack itself may affect your ability to drive or use heavy machinery. You should understand how your migraine affects you before trying any of these activities.
Taking Zolmitriptan, other triptans, ergot-type medicines, NSAIDs or other painkillers for your migraine regularly can also exacerbate your migraines. This phenomenon is known as medicine overuse headache (MOH) which occurs when people overuse these medicines. If you find yourself regularly taking Zolmitriptan or other acute migraine medicines more than 10 days each month, you may benefit from preventative migraine treatment.
Zolmitriptan can cause adverse effects from certain drug interactions, so you should always notify your prescriber of any medications you take including any prescription or over-the counter medicines; recreational drugs or herbal supplements.
In particular, you should notify the prescriber if you take any antidepressants as taking them with any migraine medication can cause serotonin syndrome, where your serotonin levels are too high.
Whilst rare, you should still take caution if you take antidepressants such as:
Zolmitriptan may react with certain other medicines, including:
If you already take medicines for migraine, you may need to adjust your dosage whilst taking Zolmitriptan such as:
If you’re not sure whether you take any of these medicines, please speak to your doctor or pharmacist before taking Zolmitriptan.
Both Zolmitriptan tablets and nasal spray are available to purchase for the treatment of migraine at euroClinix. However, you must have been previously diagnosed with migraine by a medical professional. To purchase, all you have to do is fill out a quick and confidential medical questionnaire that will be reviewed by one of our doctors. Once they have approved, your medication will be dispensed and dispatched with free next-day delivery.
Note: You must complete a short online consultation so that our doctor can ensure that the treatment is suitable for you. The above pricing should only be used as a reference. The final decision to issue this treatment lies with the prescribing doctor.
|Product name||Zolmitriptan / Zomig|
|Description||Instant pain relief from migraine attacks|
|Exemption||Subject to medical prescription|
|Administration||Oral / intranasal|
|Presentation||Tablets and spray|
|Available dosage||One 2.5mg tablet or one 5mg spray into one nostril|
|Application||Adults who experience migraine attacks|
|Posology||Consult patient leaflet|
|Drug class||Selective serotonin receptor agonists|
|Alcohol consumption||Not recommended|
|When pregnant/breastfeeding||Speak to your doctor|
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