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What is the most important information I should know about Imitrex?
• Do not use Imitrex without first talking to your doctor if the headache you are experiencing is not like other migraines that you have had buy imitrex.
• Do not use this medication if you have heart disease including angina (chest pain), history of a heart attack, or high blood pressure buy imitrex. Serious, even fatal, side effects involving the heart have been reported with Imitrex buy imitrex.
• If your symptoms do not improve at all after using one dose of any form of Imitrex, contact your doctor before using any more doses buy imitrex. More medication will not further treat symptoms buy imitrex.


What is Imitrex?
• Imitrex is a headache medicine buy imitrex. It is believed to work by causing vasoconstriction (narrowing) of arteries and veins that supply blood to the head buy imitrex.
• Imitrex is used to treat vascular headaches such as migraine and cluster headaches buy imitrex. Imitrex will not prevent migraines or cluster headaches or reduce the number of attacks buy imitrex. It will only treat a migraine or cluster headache that is already occurring buy imitrex.
• Imitrex may also be used for purposes other than those listed in this medication guide buy imitrex.


What should I discuss with my healthcare provider before using Imitrex?
• Do not use Imitrex if you
· have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), or phenelzine (Nardil) in the last 14 days;
· have basilar or hemiplegic migraine headaches;
· have had a heart attack, have angina (chest pain), or have another type of heart disease;
· have had a stroke or transient ischemic attacks (TIAs);
· are experiencing a headache that is not like other migraines that you have had;
· have taken an ergot-based medication within the last 24 hours --ergot-based medicines include methysergide (Sansert), ergotamine (Ergostat, Medihaler Ergotamine), dihydroergotamine mesylate (D.H.E., Migranal Nasal Spray), and ergotamine combination products (Cafergot, Ercaf, Wigraine, Cafatine, Cafatine-PB, Cafetrate); or
· have taken another migraine medicine such as almotriptan (Axert), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt, Maxalt-MLT), or zolmitriptan (Zomig, Zomig-ZMT) in the past 24 hours buy imitrex.
• Using Imitrex may be dangerous if you have any of the conditions, or have taken any of the medications, listed above buy imitrex.
• Before using Imitrex, tell your doctor if you
· have risk factors for heart disease such as high blood pressure, a family history of heart disease, high cholesterol (a type of fat), are overweight, diabetes, smoke cigarettes, are postmenopausal, are a male over 40 years of age;
· have circulation problems such as Raynaud syndrome;
· have liver disease;
· have kidney disease; or
· have seizures or epilepsy buy imitrex.
• You may not be able to use Imitrex, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above buy imitrex.
• Imitrex is in the FDA pregnancy category C buy imitrex. This means that it is not known whether Imitrex will be harmful to an unborn baby buy imitrex. Do not use this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment buy imitrex.
• Imitrex passes into breast milk and may affect a nursing infant buy imitrex. Do not use Imitrex without first talking to your doctor if you are breast-feeding a baby buy imitrex.


How should I use Imitrex?
• Use Imitrex exactly as directed by your doctor buy imitrex. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you buy imitrex.
• Take one tablet, administer an injection, or use the nasal spray as soon as you notice symptoms of a migraine, or at any time during an attack buy imitrex.
• Take each oral dose with a full glass of water buy imitrex. If your symptoms go away, but then return, you can take an additional oral dose 2 hours after the first, up to a maximum of 200 mg in 24 hours, unless otherwise directed by your doctor buy imitrex. Never take more than this amount buy imitrex.
• Administer Imitrex injectable directly beneath the skin (subcutaneously) as soon as you notice symptoms of a migraine or cluster headache buy imitrex. Ask your doctor or nurse to show you how to use the auto-injector, and read the directions that accompany the package buy imitrex. Do not inject this medication if you are unsure how buy imitrex. Never inject any Imitrex that is discolored or that has particles in it buy imitrex. If your headache is relieved, but then returns, you can use a second dose 2 hours after the first dose buy imitrex. Do not use more than 2 doses in 24 hours buy imitrex.
• For Imitrex nasal, gently blow your nose to clear any mucous buy imitrex. Insert the tip about 1 cm (one-half inch) into the nostril, pointing it straight up into the nasal canal buy imitrex. Block your other nostril and keep your head upright buy imitrex. Pump and sniff gently at the same time buy imitrex. Try not to sneeze or blow your nose just after using the spray buy imitrex. If your headache is relieved, but then returns, you can use a second dose 2 hours after the first dose buy imitrex. Do not use more than 2 doses in 24 hours buy imitrex.
• If your symptoms do not improve at all after using one dose of any form of Imitrex, contact your doctor before using any more doses buy imitrex. More medication will not further treat symptoms buy imitrex.
• Store Imitrex at room temperature away from moisture, heat, light, and the reach of children buy imitrex. Throw away any unused medicine on the expiration date buy imitrex.


What happens if I miss a dose?
• Since Imitrex is used to treat migraines or cluster headaches as they occur and not to prevent them, missing a dose is not a problem buy imitrex. Use only the doses you need, according to your doctor's instructions buy imitrex.


What happens if I overdose?
• Seek emergency medical attention if an overdose is suspected buy imitrex.
• Symptoms of a Imitrex overdose might include tremor, redness, or a warm feeling in your arms and legs, irregular breathing, large pupils; an uncoordinated feeling; and chest pain buy imitrex.


What should I avoid while using Imitrex?
• Do not use Imitrex without first talking to your doctor if the headache you are experiencing is not like other migraines that you have had buy imitrex.


What are the possible side effects of Imitrex?
• If you experience any of the following serious side effects, stop using Imitrex and seek emergency medical attention:
· an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
· severe or prolonged chest pain or an irregular heartbeat; or
· sudden and/or severe abdominal pain buy imitrex.
• Other, less serious side effects may be more likely to occur buy imitrex. Continue to use Imitrex and talk to your doctor if you experience
· nausea;
· drowsiness or dizziness;
· tingling, flushing, warmth, redness, or heaviness of a body part;
· unpleasant taste in the mouth (nasal spray);
· nasal irritation (nasal spray); or
· injection site discomfort (injection) buy imitrex.
• Side effects other than those listed here may also occur buy imitrex. Talk to your doctor about any side effect that seems unusual or that is especially bothersome buy imitrex.


What other drugs will affect Imitrex?
• Do not use Imitrex if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), or phenelzine (Nardil) within the last 14 days buy imitrex. The combination could cause seizures, nausea, vomiting, sweating, flushing, and dizziness buy imitrex.
• Do not use Imitrex without first talking to your doctor if you have taken any of the following medicines within the previous 24 hours:
· an ergot-based medication within the last 24 hours buy imitrex. Ergot-based medicines include methysergide (Sansert), ergotamine (Ergostat), dihydroergotamine (D.H.E., Migranal Nasal Spray), and ergotamine combination products (Cafergot, Ercaf, Wigraine, Cafatine, Cafatine-PB, Cafetrate); or
· another migraine medicine such as almotriptan (Axert), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt, Maxalt-MLT), or zolmitriptan (Zomig, Zomig-ZMT) buy imitrex.
• Using Imitrex within 24 hours of any of the medicines listed above may be dangerous buy imitrex.
• Before using Imitrex, tell your doctor if you are taking a selective serotonin reuptake inhibitor (SSRI) such as citalopram (Celexa), fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine (Paxil), or sertraline (Zoloft) buy imitrex. You may not be able to use Imitrex, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed buy imitrex.
• Drugs other than those listed here may also interact with Imitrex buy imitrex. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products buy imitrex.


Where can I get more information?
• Your pharmacist has more information about Imitrex written for health professionals that you may read buy imitrex.

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