英文药名: Imitrex(Sumatriptan Nasal Spray)

中文药名: 舒马曲坦鼻喷剂

生产厂家: Glaxo Smith Kline
 
药品名称

药品名称: 舒马曲坦,舒马普坦,英明格
英文名: Sumatriptan Succinate,Imigran,Imitrex
药品规格

片剂：25mg; 50mg; 100mg；鼻喷剂: 5mg; 20mg; 针剂：6ｍｇ。
 
适应症

本品为抗偏头痛新药，是高度选择性５－羟色胺受体（５－ＨＴ）激动剂，逆转偏头痛时颅内血管扩张，减轻血浆蛋白外渗，从而改善脑血流量，缓解偏头痛的症状。用于偏头痛急性发作的治疗。口服起效快于麦角胺咖啡因，有效率达６６％，高于麦角胺咖啡因；还可用于丛集性头痛的治疗，１５～３０分钟的有效率达７４％～７７％。

用法用量

口服：每次１００ｍｇ，依病情可间隔２小时反复给药；皮注：每次６ｍｇ，用于中、重度偏头痛治疗，１０分钟起效，１小时减轻或消失７０％；静注：每次３ｍｇ。
任何疑问，请遵医嘱！

注意事项

首次剂量在医师的监视下应用。皮下注射法不宜用于缺血性心脏病、心绞痛和未控制的高血压患者；静注有引起冠状动脉痉挛的危险，故一般情况下不宜采用。

规格：
·20mg *6doses(喷) 鼻喷剂
·5mg *2doses(喷) 鼻喷剂
·20mg *20 doses(喷) 鼻喷剂

Important note
HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

Monograph title
SUMATRIPTAN SPRAY - NASAL

Common brand name(s)
Imitrex

Uses
Sumatriptan is used to treat migraines. It helps to relieve headaches, pain and other symptoms of migraines, including sensitivity to light/sound, nausea, and vomiting. Prompt treatment allows you to get back to your normal routine and may decrease your need for other pain medications. Sumatriptan does not prevent future migraines or reduce how often you may get a headache.Sumatriptan belongs to a group of drugs called triptans. It affects a certain natural chemical (serotonin) that constricts blood vessels in the brain. It may also block other pain pathways in the brain.

How to use
Read the Patient Information Leaflet available from your pharmacist before you start using sumatriptan and each time you get a refill. Learn all preparation and usage instructions in the product package. If any of the information is unclear, consult your doctor or pharmacist.The usual dose is one spray in only one nostril at the first sign of a migraine, or as directed by your doctor. If there is no improvement in your symptoms, do not take any more doses of this medication before talking to your doctor. If your symptoms are only partly relieved, or if your headache comes back, you may use a second dose after two hours, or as directed by your doctor. Do not use more than 40 milligrams in a 24-hour period. Ask your doctor or pharmacist if you have any questions.If you have never taken this medication before and you have risk factors for heart disease (see Precautions), you may need to be monitored for rare but serious side effects (e.g., chest pain) when you take the first dose. Your doctor may ask you to take the first dose in the office.Your dosage is based on your medical condition and response to therapy. Inform your doctor if your condition does not improve or worsens.

Missed dose
Take this medication only as needed when a migraine occurs, as directed by your doctor. This medication is not taken on a regular schedule. Never increase your dose of this medication or take it more often than prescribed by your doctor.

Precautions
See also How to Use section.Before using sumatriptan, tell your doctor or pharmacist if you are allergic to it; or to other triptan drugs (e.g., zolmitriptan, rizatriptan); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.This medication should not be taken if you have certain medical conditions. Before using this medication, consult your doctor or pharmacist if you have a history of: heart disease (e.g., chest pain, heart attack), decreased blood flow in the brain (e.g., stroke, transient ischemic attack), blood circulation disease (e.g., ischemic bowel disease), uncontrolled high blood pressure (hypertension), certain types of headaches (hemiplegic or basilar migraine), liver disease.Before using this medication, tell your doctor or pharmacist your medical history, especially of: certain blood circulation disorders (e.g., Raynaud's disease), seizures.Tell your doctor if you have the following risk factors for heart disease: diabetes, family history of heart disease, high blood pressure (controlled), high cholesterol, overweight, smoker, female after menopause, male over age 40.If you are at high risk for heart disease, your doctor may want to check your heart before prescribing sumatriptan.This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages.The risk of heart disease, liver disease, and high blood pressure increases with age. The manufacturer does not recommend the use of sumatriptan in the elderly since they may be more sensitive to the side effects, including an increase in blood pressure.This medication should be taken only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor.This drug passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding. Avoid breastfeeding for at least 12 hours after using sumatriptan.

Side effects
Irritation/numbness/tingling of the nose/throat or a bad taste in the mouth may occur with the nasal spray form of this drug. Flushing, sensations of tingling/numbness/prickling/heat, weakness, drowsiness, or dizziness may also occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Chest/jaw/neck tightness can commonly occur shortly after using sumatriptan. Only rarely are these signs of a serious condition. However, you may not be able to tell it apart from a serious reaction related to a lack of blood flow to the heart, brain or other parts of the body. Seek immediate medical attention if any of these unlikely but very serious (rarely fatal) side effects occur: chest pain, jaw/left arm pain, fainting, fast/irregular/pounding heartbeat, vision changes, weakness on one side of the body, confusion, slurred speech, sudden or severe stomach/abdominal pain, bloody diarrhea.Tell your doctor immediately if any of these unlikely but serious side effects occur: blue fingers/toes/nails, cold sensation of hands/feet, hearing changes, mental/mood changes, seizures.This medication may rarely cause a very serious condition called serotonin syndrome. The risk increases when this medication is taken with certain other drugs such as other "triptans" used to treat migraine headaches (e.g., rizatriptan, zolmitriptan), certain antidepressants including SSRIs (e.g., citalopram, fluoxetine, paroxetine) and NSRIs (e.g., duloxetine, venlafaxine), or a certain drug to treat obesity (sibutramine). Before taking this drug, tell your doctor if you take any of these medications. Serotonin syndrome may be more likely when you start or increase the dose of any of these medications. Seek immediate medical attention if you develop some of the following symptoms: hallucinations, unusual restlessness, loss of coordination, fast heartbeat, severe dizziness, high fever, severe nausea/vomiting/diarrhea, twitchy muscles.A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching/swelling (especially of the face/tongue/throat), dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Drug interactions
See also Side Effects section.Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it. Do not start, stop or change the dosage of any medicine before checking with them first.This drug should not be taken with the following medication because very serious interactions may occur: a certain weight loss drug (sibutramine).Do not take this medication if you are taking MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine) or have used MAO inhibitors in the past 2 weeks. In some cases a serious, possibly fatal, drug interaction may occur.If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting sumatriptan.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: certain types of antidepressants (e.g., SSRIs such as fluoxetine/paroxetine/sertraline, NSRIs such as venlafaxine).If you also take any ergotamine medication (e.g., dihydroergotamine or methysergide) or any other "triptan" drugs (e.g., zolmitriptan, rizatriptan), you will need to separate your sumatriptan dose from your dose of these other medications in order to lessen the chance of serious side effects. Ask your doctor how long you should wait between your doses of these drugs.Also report the use of drugs which might increase seizure risk (decrease seizure threshold) when combined with sumatriptan such as isoniazid (INH), phenothiazines (e.g., thioridazine), theophylline, or tricyclic antidepressants (e.g., amitriptyline) among others. Consult your doctor or pharmacist for details.This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly.

Notes
Do not share this medication with others. Certain foods/beverages or food additives (e.g., red wine, cheese, chocolate, monosodium glutamate) as well as some lifestyle patterns (e.g., irregular eating/sleeping habits, stress) may bring about a migraine headache. Avoiding these "triggers" may help decrease the frequency of migraine headaches. Consult your doctor for more details.

Storage
Store at room temperature between 36 and 86 degrees F (2-30 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.