Zomig

If you experience pain or tightness in your chest or throat when using Zomig, tell your doctor. If the chest pain is severe or does not go away, seek medical attention immediately. These pains could be symptoms of a previously undetected heart condition.

If you develop shortness of breath, wheezing, a throbbing heartbeat, swelling of the eyelids, face, or lips, or a skin rash, skin lumps, or hives after taking Zomig, call your doctor immediately, and do not take any more of the drug without your doctor's approval.

If a headache feels different from your usual migraine, check with your doctor before using Zomig.

If you must avoid phenylalanine, do not use the orally disintegrating Zomig ZMT tablets, which contain this substance.

Possible food and drug interactions when taking Zomig

Remember that Zomig should never be combined with the following drugs (see "Why should this drug not be prescribed?"):

If Zomig is taken with certain other drugs, the effects of either may be increased, decreased, or altered. It is especially important to check with your doctor before combining Zomig with the following:

• Acetaminophen
• Cimetidine
• Fluoxetine
• Fluvoxamine
• Oral contraceptives
• Paroxetine
• Propranolol
• Sertraline

Special information if you are pregnant or breastfeeding

The effects of Zomig during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, inform your doctor immediately. Although researchers have not confirmed it, Zomig may appear in breast milk and could affect a nursing infant. Check with your doctor before using Zomig while breastfeeding.

Recommended dosage for Zomig

ADULTS

The recommended starting dose is no more than 2.5 milligrams. Higher doses have little additional effect, but tend to cause more side effects. If the headache returns, the dose may be repeated after 2 hours. Do not exceed 10 milligrams in a day.

If you have liver disease, your doctor will prescribe a lower dose and closely monitor your blood pressure.

CHILDREN AND OLDER ADULTS

The safety and effectiveness of Zomig have not been established in children and adults over 65.

Overdosage

The only known symptom of Zomig overdose is drowsiness. However, any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.