Axert

Do not use Axert within 24 hours of taking another serotonin agonist drug such as naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), or zolmitriptan (Zomig).

Also avoid Axert within 24 hours of taking an ergot-based drug such as ergotamine (Cafergot, Ergomar, Wigraine), dihydroergotamine (D.H.E. 45, Migranal), or methylsergide (Sansert).

Ask your doctor what kind of migraine headache you have. If it is categorized as hemiplegic or basilar migraine, you should not take Axert.

If Axert gives you an allergic reaction, you will not be able to use this drug.

Special warnings about Axert

Some patients taking serotonin agonists have suffered strokes, though it's unclear whether the drug was at fault. If you've ever had a stroke or mini-stroke, make sure the doctor is aware of it.

Symptoms such as tightness, pain, pressure, or a heavy feeling in the chest, throat, neck, or jaw may occur after taking Axert. If you develop any of these symptoms, or develop circulatory problems such as pale or blue fingers, notify your doctor. You will probably need to have a complete cardiac exam.

Let your doctor know if you have liver or kidney problems. Axert should be used with caution.

Axert is not for children under 18 years of age.

Possible food and drug interactions when taking Axert

Remember that Axert must never be used within 24 hours of taking another drug in its class, including Amerge, Maxalt, Imitrex, and Zomig. You should also avoid taking Axert within 24 hours of an ergot-based migraine remedy such as Cafergot, D.H.E. 45, Ergomar, Migranal, Sansert, or Wigraine

If Axert 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 Axert with any of the following:

Antidepressants that boost serotonin levels, including Luvox, Paxil, Prozac, and Zoloft.
Erythromycin (E.E.S, E-Mycin, Ery-Tab, PCE)
Itraconazole (Sporanox)
Ketoconazole (Nizoral)
Ritonavir (Norvir)