Zomig Nasal Spray

Generic Name: Zolmitriptan nasal spray

  • What is Zomig Nasal Spray?

    Zomig nasal spray is used to treat migraine headaches in adults. Migraine headaches are severe and intense headaches that are often accompanied by throbbing pain on one or both sides of your head, nausea, vomiting, or sensitivity to light or sound. Zomig reduces the swelling of the blood vessels surrounding the brain, and it also blocks the actions of certain chemicals in your brain that lead to pain and sensitivity.
  • What is the most important information I should know about Zomig Nasal Spray?

    Zomig nasal spray may cause an increase in your blood pressure, so you should not use it if you have uncontrolled high blood pressure. You should not use Zomig within 24 hours of taking another 5-HT1 agonist, ergotamine, or ergotamine-derived medicines (ethysergide or dihydroergotamine). You should not use Zomig if you have a type of headache known as a hemiplegic or basilar migraine, or if you have heart conditions known as ischemic or vasospastic coronary artery disease. Do not use it if you are taking a medication called a MAO inhibitor (MAOI) or if you have taken an MAOI within the last 14 days.
  • Who should not take Zomig Nasal Spray?

    Do not use Zomig nasal spray if you have heart disease or a history of heart disease; if you have uncontrolled high blood pressure; a type of headache known as a hemiplegic or basilar migraine; a history of stroke or blood circulation problems; serious liver problems; or if you have taken any triptans, dihydroergotamine, or MAOIs within the last 24 hours. Also, do not take Zomig nasal spray if you are allergic or sensitive to any of its ingredients.
  • What should I tell my doctor before I take the first dose of Zomig Nasal Spray?

    Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Zomig nasal spray. Also talk to your doctor about your complete medical history, especially if you are taking antidepressants; have heart disease, shortness of breath, or irregular heartbeats; or you have risk factors for heart disease (such as high blood pressure, high cholesterol, obesity, diabetes, smoking, strong family history of heart disease, or you are postmenopausal or a male over the age of 40).
  • What is the usual dosage?

    The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

    Adults: The usual dose is 5 milligrams (mg) or one spray into one nostril at the onset of a migraine. The dose may be repeated once in 2 hours if no relief is felt from the first dose. (Do not use more than two Zomig nasal spray canisters or 10 mg within 24 hours.)

  • How should I take Zomig Nasal Spray?

    Before using Zomig nasal spray, gently blow your nose. Remove the canister's protective gray cap and place your middle and pointer fingers on the base of the plunger, and hold the bottom of the canister with your thumb. Do not prime the canister, otherwise you will lose your dose. Gently block one nostril with your free hand, and insert the tip of the canister into your other nostril. Press down on the plunger to release the dose into your nose and breathe in at the same time. The plunger may feel stiff and you may hear a click. Some of the Zomig medicine may drip down the back of your throat. This is normal and will subside within 10 to 15 minutes.
  • What should I avoid while taking Zomig Nasal Spray?

    You should not use more than two Zomig doses in a 24-hour period.
  • What are possible food and drug interactions associated with Zomig Nasal Spray?

    If Zomig nasal spray is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Zomig with the following: almotriptan, birth control, cimetidine, citalopram, dihydroergotamines such as methysergide, duloxetine, eletriptan, ergotamines, escitalopram, fluoxetine, fluvoxamine, frovatriptan, naratriptan, paroxetine, phenelzine sulfate, rizatriptan, sertraline, sumatriptan, tranylcypromine sulfate, and venlafaxine.
  • What are the possible side effects of Zomig Nasal Spray?

    Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

    Side effects may include: dizziness, drowsiness, dry mouth, nausea, pain, pressure/tightness of the nose/throat/chest, tingling sensation/skin sensitivity (especially around the nose), weakness

  • Can I receive Zomig Nasal Spray if I am pregnant or breastfeeding?

    The effects of Zomig nasal spray during pregnancy and breastfeeding are unknown. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.
  • What should I do if I miss a dose of Zomig Nasal Spray?

    If you miss a dose of Zomig, do not double your next dose. Use the nasal spray as soon as you remember, but do not use more than two doses in 24 hours.
  • How should I store Zomig Nasal Spray?

    Store at room temperature.