ZOMIG 2.5 MG TABLETS

Active substance: ZOLMITRIPTAN

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P034611

PACKAGE LEAFLET: INFORMATION FOR THE USER

Zomig 2.5 mg
tablets
zolmitriptan

Read all of this leaflet carefully
before you start taking this
medicine.
• Keep this leaflet. You may need
to read it again.
• If you have any further questions,
ask your doctor or pharmacist.
• This medicine has been
prescribed for you. Do not pass
it on to others. It may harm them,
even if their symptoms are the
same as yours.
• If any of the side effects get
serious, or if you notice any
side effects not listed in this
leaflet, please tell your doctor
or pharmacist.
In this leaflet:
1. What Zomig is and what it is
used for
2. Before you take Zomig
3. How to take Zomig
4. Possible side effects
5. How to store Zomig
6. Further information

1. What Zomig is and what
it is used for
Zomig contains zolmitriptan and
belongs to a group of medicines
called triptans.
Zomig is used to treat migraine
headache.
• Migraine symptoms may be
caused by swollen blood vessels
in the head. Zomig is thought
to reduce the widening of these
blood vessels. This helps to take
away the headache and other
symptoms of a migraine attack,
such as feeling or being sick
(nausea or vomiting) and being
sensitive to light and sound.
• Zomig works only when a
migraine attack has started. It
will not stop you from getting an
attack.

2. Before you take Zomig
Do not take Zomig if:
• You are allergic (hypersensitive)
to zolmitriptan or any of the other
ingredients of this medicine (see
Section 6: Further information).
• You have high blood pressure.
• You have ever had heart
problems, including a heart
attack, angina (chest pain caused
by exercise or effort), Prinzmetal’s
angina (chest pain which happens
at rest) or have experienced
heart related symptoms such as
shortness of breath or pressure
over the chest.
• You have had a stroke or
short-lasting symptoms similar
to stroke (transient ischaemic
attack or TIA).
• You are at the same time
taking some other medicines
for migraine (e.g. ergotamine
or ergot-type medicines
like dihydroergotamine and
methysergide) or other triptan
medicines for migraine. See
section below: ‘Taking other
medicines’ for further information.
Do not take Zomig if any of the
above apply to you. If you are
not sure, talk to your doctor or
pharmacist before taking Zomig.
Take special care with Zomig
Before you take Zomig, tell your
doctor if:
• You are at risk of getting
ischaemic heart disease (poor
blood flow in the arteries of
the heart). Your risk is greater
if you smoke, have high
blood pressure, high levels of
cholesterol, diabetes or if anyone
in your family has ischaemic
heart disease.
• You have been told that you have
Wolff-Parkinson-White Syndrome
(a type of abnormal heart beat).
• You have ever had liver problems.

• You have headaches which are
not like your usual migraine
headache.
• You are taking any medicine for
treatment of depression (see
section below: ‘Taking other
medicines’ for further information).
If you go into hospital tell the
medical staff you are taking Zomig.
Zomig is not recommended for
people aged under 18 years or
over 65.
As with other migraine treatments,
using too much Zomig can cause
daily headaches or can make your
migraine headaches worse. Ask
your doctor if you think that this is the
case for you. You may need to stop
taking Zomig to correct the problem.
Taking other medicines
Please tell your doctor or
pharmacist if you are taking or
have recently taken any other
medicines. This includes herbal
medicines and medicines you
buy without prescription.
In particular, tell your doctor if you
are taking any of the following
medicines:
Medicines for migraine
• If you take a triptan other than
Zomig (such as sumatriptan
or naratriptan) leave 24 hours
before taking Zomig.
• After taking Zomig leave 24 hours
before taking another triptan.
• If you take medicines
containing ergotamine or
ergot-type medicines (such
as dihydroergotamine or
methysergide), leave 24 hours
before taking Zomig.
• After taking Zomig leave 6 hours
before taking ergotamine or
ergot-type medicines.
Medicines for depression
• Mono-Amine Oxidase Inhibitors,
also known as MAOIs (such as
moclobemide).
• SSRIs (selective serotonin
reuptake inhibitors) such
as fluoxetine, paroxetine,
fluvoxamine or sertraline.
• SNRIs (serotonin norepinephrine
reuptake inhibitors) such as
venlafaxine or duloxetine.
Other medicines
• Cimetidine (for indigestion or
stomach ulcers).
• A quinolone antibiotic (such as
ciprofloxacin).
You should not take the herbal
remedy St. John’s wort (Hypericum
perforatum) at the same time as this
medicine. If you already take a
St. John’s wort preparation, stop
taking it and mention this to your
doctor at your next visit.
Taking Zomig with food and drink
You can take Zomig with or without
food. It does not affect the way that
Zomig works.

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Pregnancy and breast-feeding
• It is not known if taking Zomig
during pregnancy is harmful.
Before taking Zomig, tell your
doctor if you are pregnant or
trying to become pregnant.
• Before taking Zomig tell your
doctor if you are breast-feeding.
Driving and using machines
• During a migraine attack your
reactions may be slower than
usual. Bear this in mind when
you drive or use any tools or
machines.
• Zomig is unlikely to affect driving or
using tools or machines. However,
it may make you feel sleepy. Wait
to see how Zomig affects you
before you try these activities.
Important information about
some of the ingredients of Zomig
Zomig 2.5 mg tablets contain
lactose which is a type of sugar. If
you have been told by your doctor
that you cannot tolerate or digest
some sugars (have an intolerance
to some sugars), talk to your doctor
before taking this medicine.

Area for text

3. How to take Zomig
Always take Zomig exactly as
your doctor has told you. You
should check with your doctor or
pharmacist if you are not sure.
You can take Zomig as soon as
a migraine headache starts. You
can also take it once an attack is
underway.
• The usual dose is one tablet
(2.5 mg).
• Swallow your tablet with a drink
of water.
• You can take another tablet if
the migraine is still present after
two hours or if it returns within
24 hours.
If the tablets did not give you
enough help with your migraine,
tell your doctor. Your doctor may
change your treatment.
Do not use more than the dose
prescribed for you.
• Do not use more than two doses
in one day unless prescribed to
by your doctor.
• The maximum daily dose is 10 mg.
If you take more Zomig than you
should
If you have taken more Zomig than
prescribed by your doctor, tell your
doctor or go to the nearest hospital
straight away. Take the Zomig
medicine with you.

4. Possible side effects
Like all medicines, Zomig can cause
side effects, although not everybody
gets them. Some of the symptoms
below could be part of the migraine
attack itself.
Stop taking Zomig and contact
your doctor straight away if you
notice any of the following:
Rare (affects less than 1 in
1,000 people)
• Allergic reactions including itchy
rash (urticaria) and swelling of
the face, lips, mouth, tongue and
throat.
Very rare (affects less than
1 in 10,000 people)
• Angina (pain in the chest, often
brought on by exercise), heart
attack or spasm of the blood
vessels of the heart. The signs
include chest pain and shortness
of breath.
• Spasm of the blood vessels of
the gut, which can cause damage
to your gut. The signs include
stomach pain or bloody diarrhoea.
• Bleeding in the brain (cerebral
bleeding) or stroke.
Other possible side effects:
Common (affects less than
1 in 10 people):
These side effects are usually mild
and go away after a short time.
• Abnormal sensations such as
tingling in your fingers and toes
or skin that is sensitive to touch.
• Feeling sleepy, dizzy or warm.
• Headache.
• Uneven heart beat.
• Feeling sick (nausea) or being
sick (vomiting).
• Stomach pain.
• Dry mouth.
• Muscle weakness or muscle pain.
• Feeling weak.
• Heaviness, tightness, pain or
pressure in the throat, neck,
arms and legs, or chest.
• Problems swallowing.
Uncommon (affects less than
1 in 100 people):
• Very fast heart beat.
• Slightly higher blood pressure.
• Increase in the amount of water
you pass (urine) or in how often
you need to pass water.
Do not be concerned by this list of
possible side effects. You may not get
any of them. If any of the side effects
get serious, or if you notice any side
effects not listed in this leaflet, please
tell your doctor or pharmacist.

5. How to store Zomig
• Keep out of the reach and sight
of children.
• Keep your medicine in the
container it came in.
• Do not use Zomig after the expiry
date stated on the carton. The
expiry date refers to the last day
of that month.
• Do not store above 30°C.
• Medicines should not be
disposed of via wastewater
or household waste. Ask your
pharmacist how to dispose of
medicines no longer required.
These measures will help to
protect the environment.

6. Further information
What Zomig 2.5 mg tablets
contain
The active ingredient is zolmitriptan.
Zomig 2.5 mg tablets contain
2.5 mg of zolmitriptan.
The other ingredients are:
hydroxypropyl methylcellulose,
lactose, magnesium stearate,
microcrystalline cellulose,
polyethylene glycol 400 and 8000,
sodium starch glycollate, titanium
dioxide and yellow iron oxide.
What Zomig 2.5 mg tablets look
like and contents of the pack
• Zomig 2.5 mg tablets are yellow,
round and marked with the letter
‘Z’ on one side.
• Zomig 2.5 mg tablets come
in blister packs containing
6 or 12 tablets.
Zomig may also be available
as orodispersible 2.5 mg and
5 mg tablets, nasal spray 5 mg/dose
and 5 mg film-coated tablets.
Marketing Authorisation Holder
and Manufacturer
The Marketing Authorisation
for Zomig 2.5 mg tablets is held
by AstraZeneca UK Limited,
600 Capability Green, Luton,
LU1 3LU, UK.
Zomig 2.5 mg tablets are
manufactured by AstraZeneca UK
Limited, Silk Road Business Park,
Macclesfield, Cheshire, SK10 2NA,
UK.

To listen to or
request a copy
of this leaflet in
Braille, large print
or audio please
call, free of charge:
0800 198 5000
(UK only)
Please be ready to
give the following
information:
Product name
Zomig 2.5 mg
tablets
Reference number
17901/0066
This is a service
provided by the
Royal National
Institute of Blind
People.
Leaflet updated: June 2012
© AstraZeneca 2012
Zomig is a trade mark of the
AstraZeneca group of companies.
You can also get support and
information about migraine from
the Migraine Action Association
(UK), Unit 6, Oakley Hay Lodge
Business Park, Great Folds
Road, Great Oakley, Northants
NN18 9AS.
CNS 12 0035

P034611

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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