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ALMOTRIPTAN 12.5 MG FILM-COATED TABLETS

Active substance(s): ALMOTRIPTAN / ALMOTRIPTAN MALATE / ALMOTRIPTAN / ALMOTRIPTAN MALATE

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Package leaflet: Information for the patient

Almotriptan 12.5mg Film-coated tablets.
Almotriptan
Read all of this leaflet carefully before you start taking this medicine because it contains
important information for you.

- 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 only. Do not pass it on to others. It may harm them,
even if their signs of illness are the same as yours.
- If you get any side effects, talk to your doctor or pharmacist. This includes any possible side
effects not listed in this leaflet. See section 4
What is in this leaflet

1. What Almotriptan 12.5 mg Film-coated tablets is and what it is used for
2. What you need to know before you take Almotriptan 12.5 mg Film-coated tablets
3. How to take Almotriptan 12.5 mg Film-coated tablets
4. Possible side effects
5. How to store Almotriptan 12.5 mg Film-coated tablets
6. Contents of the pack and other information
1. What Almotriptan 12.5 mg Film-coated tablets is and what it is used for

Almotriptan 12.5 mg Film-coated tablets is an antimigraine agent which belongs to a class of
compounds known as selective serotonin receptor agonists. Almotriptan 12.5 mg Film-coated
tablets is believed to reduce the inflammatory response associated with migraines by binding to the
serotonin receptors in the brain (cranial) blood vessels and causing them to narrow. Almotriptan
12.5 mg Film-coated tablets is used to relieve headaches associated with migraine attacks with or
without aura.
2. What you need to know before you take Almotriptan 12.5 mg Film-coated tablets
Do not take Almotriptan 12.5 mg Film-coated tablets
-

if you are allergic to almotriptan or any of the ingredients of this medicine (listed in section 6)
if you have or have ever suffered from diseases that restrict the blood supply to the heart such

as:
• heart attack.
• chest pain or discomfort that normally occurs with activity or stress.
• heart problems without pain.
• chest pain that occurs when you are resting.
• severe hypertension (severe high blood pressure).
• uncontrolled mild or moderate high blood pressure.
- if you have had a stroke or experienced a reduction in the blood flow to the brain.
- if you have had obstruction of the large arteries in the arms or legs (peripheral vascular disease).
- if you are taking other medicines used to treat migraines including ergotamine, dihydro
ergotamine and methysergide or other serotonin agonists (e.g. sumatriptan).
- if you suffer from severe liver disease.
Warnings and precautions:

Talk to your doctor or pharmacist before taking Almotriptan 12.5 mg Film-coated tablets:
• If your type of migraine has not been diagnosed.
• if you are allergic (hypersensitive) to antibacterial medicines mainly used for treatment of urinary
tract infections (sulphonamides).
• if your headache symptoms are different from your usual attacks i.e. you have a noise in your
ears or vertigo, you have short lived paralysis of one side of the body or paralysis of the muscles that
control eye movement or if you have any new symptoms.
• if you are at risk of heart disease, this includes uncontrolled high blood pressure, high cholesterol, obesity,
diabetes, smoking, clear family history of heart disease, postmenopausal females or males over the age of 40.
• if you have mild to moderate liver disease.
• if you suffer from severe kidney disease.
• if you are over 65 years of age (as you are more likely to experience blood pressure increases).
• you are taking anti-depressants SSRIs (selective serotonin reuptake inhibitors) or SNRIs (serotonin
noradrenaline reuptake inhibitors). Also see other medicines and Almotriptan 12.5 mg Film-coated tablets
below.
It has been suggested that excessive use of an anti-migraine medicinal product can lead to daily chronic
headache.
Children and adolescents
Children under the age of 18 should not take Almotriptan 12.5 mg Film-coated tablets.
Elderly (over 65 years of age)
If you are over 65 years of age you should speak to your doctor before using this medicinal product.
Other medicines and Almotriptan 12.5 mg Film-coated tablets
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
Please tell your doctor:
• if you are taking medicines used to treat depression such as monoamine oxidase inhibitors (e.g.
moclobemide), selective serotonin reuptake inhibitors (e.g. fluoxetine) or serotonin noradrenaline reuptake
inhibitors (e.g. venlafaxine) as these may cause serotonin syndrome, a potentially life-threatening drug
reaction. The symptoms of serotonin syndrome include; confusion, restlessness, fever, sweating,
uncoordinated movements of the limbs or eyes, uncontrollable muscle twitches or diarrhoea.
• if you are taking herbal St John’s Wort (Hypericum perforatum) as this may increase the likelihood of side effects.
Almotriptan should not be taken at the same time as ergotamine-containing medicines, which are also used to
treat migraine. However, the medicines may be taken after one another: provided a suitable amount of time is
left between taking each medicine.
• following use of almotriptan, it is advised to wait at least 6 hours before taking ergotamine.
• following use of ergotamine, it is advised to wait at least 24 hours before taking almotriptan.
Pregnancy and breast-feeding
If you are pregnant or breast feeding, think you may be pregnant or are planning to have a baby, ask
your doctor or pharmacist for advice before taking this medicine.
Only very limited data is available for almotriptan in pregnant patients. Almotriptan 12.5 mg Film-coated tablets
should only be used during pregnancy if instructed by your doctor and only after they have carefully considered
the benefits and risks.
Caution should be taken when using this medicine whilst breast-feeding. You should avoid breast-feeding for
24hours after taking this medicine.
Driving and using machines
Almotriptan 12.5 mg Film-coated tablets may cause drowsiness. If you are affected, you should not drive or use
any tools or machines.

3. How to take Almotriptan 12.5 mg Film-coated tablets.
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your
doctor or pharmacist if you are not sure.
Almotriptan 12.5 mg Film-coated tablets should only be used to treat an actual migraine attack and not to
prevent migraine attacks or headaches.
Adults (18-65 years old)
The usual dose is one 12.5 mg tablet which should be taken as early as possible after the onset of the migraine
attack. If your migraine attack does not subside, do not take more than one tablet for the same attack.
If you experience a second migraine attack within 24 hours, a second 12.5 mg tablet can be taken but you
must leave at least two hours between your first and second tablet.
The maximum daily dose is two (12.5 mg) tablets within 24 hours.
Tablet(s) should be swallowed with liquid (e.g. water) and can be taken with or without food.
You should take Almotriptan 12.5 mg Film-coated tablets as soon as possible after the onset of the migraine,
although it is still effective if taken at a later stage.
Severe kidney disease
If you have severe kidney disease do not take more than one 12.5 mg tablet every 24 hours.

If you take more Almotriptan 12.5 mg Film-coated tablets than you should
If you accidentally take too many tablets, or if someone else or a child takes this medicine, talk to a doctor or
pharmacist immediately.
If you forget to take Almotriptan 12.5 mg Film-coated tablets.
Try to take Almotriptan 12.5 mg Film-coated tablets as you have been prescribed. Do not take a double dose to
make up for a forgotten tablet.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, Almotriptan 12.5 mg Film-coated tablets can cause side effects, although not everybody gets
them.
Common: (may affect up to1 in 10 people)
• dizziness
• sleepiness (somnolence)
• nausea
• vomiting
• tiredness
Uncommon: (may affect up to 1 in 100 people)
• sensation of tingling, pricking or numbness of the skin (paraesthesia)
• headache
• ringing, roaring or clicking noise in the ears (tinnitus)
• heart pounding (palpitations)
• tightening of the throat
• diarrhoea
• discomfort when digesting food (dyspepsia)
• dry mouth
• muscle pain (myalgia)
• bone pain
• chest pain
• feeling weak (asthenia)
Very rare :( may affect up to 1 in 10,000 people)
• spasm of the heart blood vessels (coronary vasospasm)
• heart attack (myocardial infarction)
• increased heart rate (tachycardia)
Not known: (frequency cannot be estimated from the available data)
• convulsion (seizure)
• allergic reactions (hypersensitivity reactions), including mouth, throat and hand edema (angioedema)
• severe allergic reactions (anaphylactic reactions)
• visual impairment, vision blurred (visual disorders may occur also during the migraine attack itself)
During treatment with Almotriptan 12.5 mg Film-coated tablets, tell your doctor straight away:
• if you have chest pain, tightness in your chest or throat, or any other symptoms that resembles a heart
attack. Please tell your doctor straight away and do not take any more Almotriptan 12.5 mg Film-coated
tablets.
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes or if you notice any side effects
not listed in this leaflet.
You can also report side effects directly via the UK Yellow Card Scheme, Website:
www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more information on the safety of
this medicine.

5. How to store Almotriptan 12.5 mg Film-coated tablets.
Keep this medicine out of the sight and reach of children.
Do not use Almotriptan 12.5 mg Film-coated tablets after the expiry date which is stated on the blister and
carton after “EXP”. The expiry date refers to the last day of that month.
This medicinal product does not require any special storage conditions.
Do not throw away any medicines via wastewater or house hold waste. Ask your pharmacist how to throw
away medicines you no longer use. These measures will help protect the environment.

6. Contents of the pack and other information
What Almotriptan 12.5 mg Film-coated tablets contains
The active substance is Almotriptan. Each film-coated tablet contains 12.5 mg Almotriptan as Almotriptan
malate.
The other ingredients are:
Tablet core: Mannitol (E421), microcrystalline cellulose, povidone, sodium starch glycolate Type A, sodium
stearyl fumarate.
Coating material: Hypromellose (E464), titanium dioxide (E171), Macrogol 400, carnauba wax.
What Almotriptan 12.5 mg Film-coated tablets looks like and contents of the pack
Almotriptan 12.5 mg Film-coated tablets is available as a white to off white coloured, round, biconvex
film-coated tablet.
Almotriptan 12.5 mg Film-coated tablets are available in blister packs containing 2, 3, 4, 6, 9, 12 and 14 tablets.
Not all pack sizes may be marketed.
Marketing Authorisation Holder Chanelle Medical, Loughrea, Co. Galway, Ireland.
Manufacturer Chanelle Medical, Loughrea, Co. Galway, Ireland.
JSC Grindeks, 53 Krustpils street, Riga, LV-1057, Latvia.
Bluefish Pharmaceutical AB Torsgatan 11, Stockholm, 11123 Sweden.
Distributor : Chanelle Medical (UK) Limited, The Lodge, Stanford Bridge Farm, Station Road, Pluckley, Ashford,
United Kingdom, TN27 0RU.
This leaflet was last revised in 05/2016

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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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