Imigran 20mg nasal spray

Imigran nasal spray constricts blood vessels and is used to treat migraine attacks. During migraine attacks certain blood vessels in the brain become enlarged and this causes pain. Imigran nasal spray constricts these blood vessels and helps to stop the pain of migraine attacks. Imigran nasal spray should not be taken to prevent migraine attacks from occurring but it should be taken as soon as a migraine attack starts.

If you take a dose of Imigran nasal spray for a migraine attack and it does not work you should not take another dose. If you take a dose of Imigran nasal spray for a migraine attack and it works at first but then the pain comes back you can take another dose of Imigran nasal spray. You must wait for at least two hours before taking this second dose. For more information about when to take Imigran nasal spray and how much to take speak to your prescriber or pharmacist.

It is important that you try not to overuse Imigran nasal spray. Frequent use of Imigran nasal spray can make your migraines worse or make them occur more frequently.

Do not share your medicine with other people. It may not be suitable for them and may harm them.

The pharmacy label on your medicine tells you how much medicine you should use. It also tells you how often you should use your medicine. This is the dose that you and your prescriber have agreed you should use. You should not change the dose of your medicine unless you are told to do so by your prescriber.

If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber.

Some medicines work best if they are taken at a specific time of day. Getting the most from your medicine can also be affected by what you eat, when you eat and the times at which you take other medicines. Make sure you follow any specific instructions given to you by your prescriber or that are in the Patient Information Leaflet that comes with this medicine.

In the case of Imigran nasal spray:

Some medicines have specific instructions about how to take them. This is because they work better when taken correctly. These instructions can include getting the right dose and special instructions for preparing the medicine.

In the case of Imigran nasal spray:

If you are having problems taking this form of Imigran nasal spray, you should talk to your prescriber or pharmacist. They may be able to give you advice on other ways to take your medicine or other preparations that are easier for you to take.

Taking extra doses of some medicines can be harmful. In some cases even one extra dose can cause you problems. If you take extra doses of your medicine, you must get medical advice immediately. You may need a test to assess the effect of taking extra doses. This is because the effects of taking too much medicine are very complex so it is very important that you seek medical advice.

Contact your prescriber, pharmacist, specialist clinic or NHS Direct on 0845 46 47 for advice.

Make sure you take all of your medicine containers with you if you are advised to go to hospital.

Only stop taking this medicine on the advice of your prescriber or if the medicine has had its intended effect and you no longer need relief from your symptoms.

If you are in any doubt, contact your prescriber, pharmacist, specialist clinic or NHS Direct on 0845 46 47.

The instructions on how you should keep your medicine are on the pharmacy label. It is a good idea to keep your medicine in the original container. This will help to keep your medicine in the best condition and also allow you to check the instructions. Do not take the medicine if the packaging appears to have been tampered with or if the medicine shows any signs of damage. Make sure that the medicine is out of the sight and reach of children.

In the case of Imigran nasal spray:

You must not take the medicine after the expiry date shown on the packaging. If you have any unused medicine, return it to your pharmacist who will dispose of it safely.

Imigran nasal spray is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.

Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:

Furthermore the prescriber may only prescribe this medicine with special care or may not prescribe it at all for someone who is under the age of 12 years.

As part of the process of assessing suitability to take this medicine a prescriber may also arrange tests:

Over time it is possible that Imigran nasal spray can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Imigran nasal spray has become unsuitable, it is important that the prescriber is contacted immediately.

A medicine is only made available to the public if the clinical trials have shown that the benefits of taking the medicine outweigh the risks.

Once a medicine has been licensed, information on the medicine's effects, both intended and unintended, is continuously recorded and updated.

Some side-effects may be serious while others may only be a mild inconvenience.

Everyone's reaction to a medicine is different. It is difficult to predict which side-effects you will have from taking a particular medicine, or whether you will have any side-effects at all. The important thing is to tell your prescriber or pharmacist if you are having problems with your medicine.

Very common: More than 1 in 10 people who use Imigran nasal spray:

• bad taste in the mouth

Common: More than 1 in 100 people who use Imigran nasal spray:

• breathing difficulties
• feeling dizzy
• feeling drowsy
• feelings of heaviness, sensations of heat or cold, pressure or tightness in any part of the body - seek medical advice if you get any of these symptoms
• flushing
• irritation or burning in the nose or throat
• muscle pain or tenderness
• nausea
• nose bleed
• pain
• raised blood pressure
• sensory problems such as paraesthesia and hypoaesthesia
• tiredness
• vomiting
• weakness

The frequency of these side-effects is unknown:

• abnormal laboratory test results
• abnormal muscle movement
• chest pain or tightness - seek medical advice if you develop chest pain or tightness
• diarrhoea
• double vision
• ECG changes
• eye or eyesight problems - some of these problems may be permanent
• faster heart rate
• feeling anxious
• gastrointestinal problems
• heart attack
• heart problems
• hypersensitivity reactions such as skin problems or anaphylaxis
• joint pain
• lowered blood pressure
• neck stiffness
• palpitations
• Raynaud's phenomenon
• seizures
• serotonin syndrome such as mental health problems, autonomic dysfunction or muscle problems
• slower heart rate
• sweating
• tremors

If you feel unwell or if you have concerns about a side-effect, you will need to seek advice. If you feel very ill, get medical help straight away. Contact your prescriber, pharmacist, nurse or call NHS Direct on 0845 46 47.

If you are taking more than one medicine they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.

The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.

Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.

The following medicines may interact with Imigran nasal spray:

The following types of medicine may interact with Imigran nasal spray:

If you are taking Imigran nasal spray and one of the above medicines or types of medicines, make sure your prescriber knows about it.

Medicines can interact with complementary preparations and vitamins.

Make sure you tell your prescriber the names of all the complementary preparations and vitamins that you are taking or are planning to take.

Your prescriber can then decide whether it is appropriate for you to take combinations that are known to interact.

In the case of Imigran nasal spray:

If you have been prescribed Imigran nasal spray you should only take something on the above list on the specific advice of your prescriber or pharmacist.

When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.

In the case of Imigran nasal spray:

You should see how this medicine affects you before you judge whether you are safe to drive or operate machinery. If you are in any doubt about whether you should drive or operate machinery, talk to your prescriber.

Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.

In the case of Imigran nasal spray:

Alcohol can interact with certain medicines.

In the case of Imigran nasal spray:

Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.

In the case of Imigran nasal spray:

You need to discuss your specific circumstances with your doctor to weigh up the overall risks and benefits of taking this medicine. You and your doctor can make a decision about whether you are going to take this medicine during pregnancy.

If the decision is that you should not have Imigran nasal spray, then you should discuss whether there is an alternative medicine that you could take during pregnancy.

Certain medicines can pass into breast milk and may reach your baby through breast-feeding.

In the case of Imigran nasal spray:

Before you have your baby you should discuss breast-feeding with your doctor or midwife. They will help you decide what is best for you and your baby based on the benefits and risks associated with this medicine. You should only breast-feed your baby while taking this medicine on the advice of your doctor or midwife.

Medicines contain active ingredients. They may also contain other, additional ingredients that help ensure the stability, safety and effectiveness of the medicine. They are also added to improve the medicine's taste and appearance and to make it easier to take. Some may be used to prolong the life of the medicine.

You should check that you are able to take the ingredients in your medicine, especially if you have any allergies.

Imigran nasal spray contains:

If you are not able to take any of the ingredients in your medicine, talk to your prescriber or pharmacist to see if they can suggest an alternative medicine. If you have reacted badly to Imigran nasal spray before, do not take Imigran nasal spray. Talk to your prescriber, pharmacist or nurse as soon as possible.