Migranal

• Side effects may include:
  Altered sense of taste, dizziness, drowsiness, nasal inflammation, nausea, sore throat, vomiting

Why should Migranal not be prescribed?

Do not take Migranal if you have ever had an allergic reaction to an ergotamine-based drug such as the migraine remedies ergotamine and dihydroergotamine or the senility drug ergoloid.

You should avoid Migranal if you have certain types of heart or blood vessel disease, including angina (crushing chest pain) or a history of heart attack, or if you suffer from uncontrolled high blood pressure, severe kidney or liver disease, or a severe blood infection. Avoid it, too, if you have recently had blood vessel surgery.

Do not use Migranal within 24 hours of taking another ergotamine-based drug, another migraine remedy such as naratriptan, rizatriptan, sumatriptan, or zolmitriptan, or the migraine-preventing drug methylsergide. Also avoid combining Migranal with other drugs that constrict the blood vessels, such as the decongestants pseudoephedrine and phenylpropanolamine found in many over-the-counter cold products.

Do not use Migranal Nasal Spray while pregnant or nursing.

Special warnings about Migranal

If you have heart disease, Migranal could trigger a serious problem. Risk factors for this disorder include high blood pressure, high cholesterol, diabetes, a family history of heart disease, smoking, and passing menopause. Your doctor will probably want to observe your reaction to the first dose of Migranal if any of these factors apply.

Because Migranal constricts blood vessels, you should use it with caution if you have circulation problems in your arms, legs, fingers, or toes. Use it cautiously, too, if you are being treated for high blood pressure; it occasionally aggravates the problem.

Alert your doctor immediately if you have any of the following side effects: pain in the arms and legs, numbness or tingling in your fingers or toes, coldness, pallor, weakness in the legs, chest pain, temporary speeding or slowing of the heart rate, swelling, itching, or a bluish color in your fingers and toes.