Pays: Royaume-Uni
Langue: anglais
Source: MHRA (Medicines & Healthcare Products Regulatory Agency)
Sumatriptan
Dowelhurst Ltd
N02CC01
Sumatriptan
200mg/1ml
Spray
Nasal
No Controlled Drug Status
Valid as a prescribable product
BNF: 04070401
2 What you need to know before you use Imigran nasal spray Don’t use Imigran: • IF YOU’RE ALLERGIC to sumatriptan, or any of the other ingredients of this medicine (listed in section 6). • IF YOU HAVE A HEART PROBLEM such as narrowing of the arteries _(Ischaemic heart disease)_ or chest pains _(angina)_, or have already had a heart attack. • IF YOU HAVE CIRCULATION PROBLEMS IN YOUR LEGS that cause cramp-like pains when you walk _(peripheral _ _vascular disease)_. • IF YOU HAVE HAD A STROKE or a mini-stroke _(also called _ _a transient ischaemic attack or TIA)_. • IF YOU HAVE HIGH BLOOD PRESSURE. You may be able to use Imigran if your high blood pressure is mild and is being treated. • IF YOU HAVE SERIOUS LIVER DISEASE. • WITH OTHER MIGRAINE MEDICINES, including those which contain ergotamine, or similar medicines such as methysergide or any triptan/5-HT 1 receptor agonist (medicines which are also used for treating migraine). • WITH ANTI-DEPRESSANTS CALLED MAOIS _(monoamine _ _oxidase inhibitors),_ or if you have taken these medicines in the last 2 weeks. If any of these apply to you: ➔ TELL YOUR DOCTOR, AND DON’T USE IMIGRAN NASAL SPRAY. Take special care with Imigran Talk to your doctor or pharmacist before using Imigran. IF YOU HAVE ANY EXTRA RISK FACTORS • IF YOU ARE A HEAVY SMOKER, or are using NICOTINE REPLACEMENT THERAPY, and especially • IF YOU ARE A MAN AGED OVER 40, or • IF YOU ARE A WOMAN WHO HAS BEEN THROUGH THE MENOPAUSE. In very rare cases, people have developed serious heart conditions after using Imigran, even though they had no signs of heart disease before. If any of the points above applies to you it could mean you have a greater risk of developing heart disease - so: ➔ TELL YOUR DOCTOR SO THAT YOUR HEART FUNCTION CAN BE CHECKED before Imigran is prescribed for you. IF YOU HAVE A HISTORY OF FITS _(seizures)_ Or if you have other conditions which might make it more likely that you’ll have a fit - for example, a head injury or alcoholism. ➔ TELL YOUR DOCTOR SO Lire le document complet
SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT Imigran 20 mg Nasal Spray. 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Imigran 20 mg Nasal Spray: Unit dose spray device for intranasal administration. The device delivers 20 mg of sumatriptan in 0.1 mL of an aqueous buffered solution. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Nasal Spray, solution. Clear pale yellow to dark yellow liquid, in glass vials in a single dose nasal spray device. 4. CLINICAL PARTICULARS 4.1. THERAPEUTIC INDICATIONS Imigran Nasal Spray is indicated for the acute treatment of migraine attacks with or without aura. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Imigran Nasal Spray should not be used prophylactically. The recommended dose of Imigran should not be exceeded. Imigran is recommended as monotherapy for the acute treatment of a migraine attack and should not be given concomitantly with ergotamine or derivatives of ergotamine (including methysergide) (see section 4.3). It is advisable that Imigran be given as early as possible after the onset of a migraine headache. It is equally effective at whatever stage of the attack it is administered. Adults (18 years of age and over) The optimal dose of Imigran Nasal Spray is 20 mg for administration into one nostril. However, due to inter/intra patient variability of both the migraine attacks and the absorption of sumatriptan, 10 mg may be effective in some patients. If a patient does not respond to the first dose of Imigran, a second dose should not be taken for the same attack. In these cases the attack can be treated with paracetamol, acetylsalicylic acid or non-steroidal anti-inflammatory drugs. Imigran may be taken for subsequent attacks. If the patient has responded to the first dose but the symptoms recur, a second dose may be given in the following 24 hours, provided that there is a minimum interval of 2 hours between the two doses. No more than two doses of Imigran 20 mg Nasal Spray should be taken in any 24-hour period. Adolescents (12– Lire le document complet