sumatriptan (injection)

Pronunciation:	soo ma TRIP tan
Brand:	Imitrex, Imitrex Statdose

What is the most important information I should know about sumatriptan injection?

Sumatriptan can cause serious side effects on the heart, including heart attack or stroke. Although these side effects are rare, do not use this medication if you have a history of heart disease, angina (chest pain), blood circulation problems, ischemic bowel disease, severe or uncontrolled high blood pressure, or history of a heart attack or stroke.

Before using sumatriptan, tell your doctor if you have a seizure disorder, coronary artery disease, or risk factors for coronary artery disease (such as diabetes, menopause, smoking, being overweight, having high blood pressure or high cholesterol, having a family history of coronary artery disease, being older than 40 and a man, or being a woman who has had a hysterectomy).

Do not use sumatriptan within 24 hours after using almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), rizatriptan (Maxalt), naratriptan (Amerge), zolmitriptan (Zomig), or ergot medicine such as methysergide (Sansert), ergotamine (Ergomar, Ergostat, Cafergot, Ercaf, Wigraine), dihydroergotamine (D.H.E. 45, Migranal Nasal Spray), ergonovine (Ergotrate), or methylergonovine (Methergine).

Do not use sumatriptan if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or phenelzine (Nardil) in the past 14 days.

Sumatriptan injection is used to treat migraine headaches and cluster headaches. Sumatriptan will only treat a headache that has already begun. It will not prevent headaches or reduce the number of attacks.

Before using sumatriptan, tell your doctor if you are also taking an antidepressant such as citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or venlafaxine (Effexor).

After using a sumatriptan injection, you must wait one hour before using a second injection. Do not use more than two injections in 24 hours.

What is sumatriptan injection?

Sumatriptan is a headache medicine. It is believed to work by narrowing the blood vessels around the brain. Sumatriptan also reduces substances in the body that can trigger headache pain, nausea, sensitivity to light and sound, and other migraine symptoms.

Sumatriptan injection is used to treat migraine headaches and cluster headaches.

Sumatriptan will only treat a headache that has already begun. It will not prevent headaches or reduce the number of attacks.

Sumatriptan may also be used for purposes other than those listed in this medication guide.

What should I discuss with my health care provider before using sumatriptan injection?

Do not use this medication if you are allergic to sumatriptan, or if you have:

a history of heart disease, angina (chest pain), blood circulation problems, or history of a heart attack or stroke;
ischemic bowel disease;
severe or uncontrolled high blood pressure; or
severe liver disease.

Do not use sumatriptan within 24 hours after taking any of the following medicines:

almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt, Maxalt-MLT), or zolmitriptan (Zomig); or
ergot medicine such as methysergide (Sansert), ergotamine (Ergomar, Ergostat, Cafergot, Ercaf, Wigraine), dihydroergotamine (D.H.E. 45, Migranal Nasal Spray), ergonovine (Ergotrate), methylergonovine (Methergine).

Before using sumatriptan, tell your doctor if you have:

epilepsy or other seizure disorder;
high blood pressure;
liver or kidney disease; or
coronary artery disease (or risk factors that include diabetes, menopause, smoking, being overweight, having high blood pressure or high cholesterol, having a family history of coronary artery disease, being older than 40 and a man, or being a woman who has had a hysterectomy).

If you have any of these conditions, you may not be able to use sumatriptan, or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

Your name may need to be listed on a sumatriptan pregnancy registry when you start using this medication.

Sumatriptan can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

This medicine should not be given to anyone under 18 or over 65 years of age.

How should I use sumatriptan injection?

Use this medication exactly as it was prescribed for you. Do not use the medication in larger or smaller amounts, or use it for longer than recommended by your doctor. Follow the instructions on your prescription label.

Use sumatriptan as soon as you notice headache symptoms, or after an attack has already begun.

Your doctor may want to give your first dose of this medicine in a hospital or clinic setting to see if you have any serious side effects.

Sumatriptan injection comes in a prefilled cartridge to be loaded into an autoinjector syringe. Each cartridge contains only one dose that you will inject into your skin. This medicine comes with patient instructions for injecting it. Do not give yourself an injection if you do not understand these instructions. Ask your doctor or pharmacist if you have questions.

After using an injection: If your headache does not completely go away after the injection, call your doctor before using a second sumatriptan injection. If your headache goes away and then comes back, you may use a second injection if it has been at least one hour since your first injection. Do not use more than two injections in 24 hours. If your symptoms do not improve, contact your doctor before using any more injections.

Contact your doctor if you have more than four headaches in one month (30 days).

Store this medicine at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

Since sumatriptan is used as needed, it does not have a daily dosing schedule. After using a sumatriptan injection, you must wait one hour before using a second injection. Do not use more than two injections in 24 hours.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine, or if anyone else has accidentally injected it.

Symptoms of a sumatriptan overdose may include seizure (convulsions), tremors or shaking, skin redness, breathing problems, blue-colored lips or fingernails, vision problems, watery eyes or mouth, and weakness or lack of coordination.

What should I avoid while using sumatriptan injection?

Sumatriptan can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

What are the possible side effects of sumatriptan injection?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using sumatriptan and call your doctor at once if you have any of these serious side effects:

chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
sudden numbness or weakness, especially on one side of the body;
sudden headache, confusion, problems with vision, speech, or balance;
fast heart rate, agitation, muscle stiffness, hallucinations, lack of coordination, with nausea, vomiting, or diarrhea;
sudden and severe stomach pain and bloody diarrhea;
seizure (convulsions); or
numbness or tingling and a pale or blue-colored appearance in your fingers or toes.

Continue using sumatriptan and talk with your doctor if you have any of these less serious side effects:

nausea, vomiting, diarrhea;
muscle pain;
warmth or redness under your skin;
pressure or heavy feeling in any part of your body;
sneezing, runny nose, congestion, cough;
pain or redness where you injected the medicine;
feeling dizzy or sleepy; or
drooling or sweating.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect sumatriptan injection?

Before using sumatriptan, tell your doctor if you are using any of the following drugs:

an antidepressant such as citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or venlafaxine (Effexor); or
another migraine medicine such as almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig).

If you are using any of these drugs, you may not be able to use sumatriptan, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect sumatriptan. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your pharmacist has information about sumatriptan written for health professionals that you may read.

What does my medication look like?

Sumatriptan is available with a prescription under the brand name Imitrex and Imitrex Statdose. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

Imitrex Injectable Syringes and Vials 12 mg/mL--clear, colorless to pale yellow solution

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed

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