SANOMIGRAN ELIXIR 0.25MG/5ML
Active substance(s): PIZOTIFEN MALATE / PIZOTIFEN MALATE / PIZOTIFEN MALATE
Patient Information Leaflet
What you need to know about Sanomigran Elixir
Your doctor has decided that you need this medicine to help treat your condition.
Please read this leaflet carefully before you start to take your medicine. It contains
important information. Keep the leaflet in a safe place because you may want to read it again.
If you have any other questions, or if there is something you don’t understand, please ask your
doctor or pharmacist.
This medicine has been prescribed for you. Never give it to someone else. It may not be the right
medicine for them even if their symptoms seem to be the same as yours.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell
your doctor or pharmacist.
In this leaflet:
What Sanomigran Elixir is and what it’s used for
Things to consider before you start to take Sanomigran Elixir
How to take Sanomigran Elixir
Possible side effects
How to store Sanomigran Elixir
1. What Sanomigran Elixir is and what it’s used for
Sanomigran Elixir is a syrup containing 0.25 mg of the active ingredient, pizotifen, in each 5 ml.
Sanomigran Elixir is a migraine treatment. It may help to stop the effects of certain naturally
occurring substances in your body called “serotonin”, “histamine” and “tryptamine” which are
involved in causing some kinds of headache, including migraine.
Sanomigran Elixir has been prescribed for you by your doctor to help your migraine type headaches.
If it is taken regularly it can help to prevent headaches or reduce the pain of cluster headaches,
common and classical migraine. Sanomigran Elixir can stop some migraine attacks starting and help
make other attacks less severe. It will not stop migraine attacks once they have started.
2. Things to consider before you start to take Sanomigran Elixir
Some people MUST NOT take Sanomigran Elixir. Talk to your doctor if:
• you think you may be allergic to pizotifen or to any of the other ingredients of the elixir.
(These are listed at the end of the leaflet.)
• you are breast-feeding.
Sanomigran Elixir should not be given to children aged under 2.
You should also ask yourself these questions before taking Sanomigran Elixir:
• Do you have glaucoma (raised pressure in your eyes)?
• Do you ever have problems passing urine?
• Do you have kidney problems, especially kidney failure? (The medical term for this is renal
• Do you have liver problems? Sanomigran has been associated with abnormal results of liver
function tests and possibly liver problems in a few patients. You may not notice any
symptoms but if you notice yellowing of your skin or the whites of your eyes, abnormal
darkening of the urine or unexplained nausea, vomiting and tiredness, tell your doctor
straightaway. Your doctor may request blood tests to check and to monitor your liver
function and may request that you stop the treatment if your liver problem is serious.
• Do you have epilepsy?
• Are you pregnant?
• Do you have an intolerance to some sugars such as fructose? (The elixir contains maltitol
(hydrogenated glucose syrup).)
• Are you an alcoholic?
If the answer to any of these questions is YES, tell your doctor or pharmacist because Sanomigran
Elixir might not be the right medicine for you.
Are you taking other medicines?
• Remind your doctor if you are taking drugs called alpha- or beta-blockers because
Sanomigran Elixir may affect the way they work.
• Anything that makes you sleepy may make you even sleepier if you are taking Sanomigran
Elixir as well. This includes sleeping pills, sedatives and antihistamines such as cold and
hayfever medicines. It also includes alcohol. It is best not to drink alcohol while you are
taking Sanomigran Elixir.
Always tell your doctor about all the medicines you are taking. This means medicines you have
bought yourself as well as medicines on prescription from your doctor.
Will there be any problems with driving or using machinery?
Some people may feel drowsy and/or dizzy while they are taking Sanomigran Elixir. If this happens,
you should not drive or do anything that requires you to be alert (such as operate tools or machinery)
until such problems clear.
Sanomigran Elixir contains ethanol (alcohol). 5 ml of the elixir contains nearly 0.1 g of ethanol. The
usual daily dose of 30 ml (1.5 mg pizotifen), will contain nearly 0.6 g of ethanol. This is less than a
glass of wine or a pint of beer, but will affect your blood alcohol levels so you should take care not to
go over the limit if you are driving.
Other special warnings
• Sanomigran Elixir contains small amounts of the preservatives methyl and propyl
hydroxybenzoate. These can sometimes cause allergic reactions which might appear some
time after first taking the elixir.
3. How to take Sanomigran Elixir
The doctor will decide what dose of Sanomigran Elixir you should take. Always take the medicine
exactly as your doctor has told you to. The dose will be on the pharmacist’s label. Check the label
carefully. It should tell you how much to take, and how often. If you are not sure, ask your doctor or
pharmacist. Keep taking Sanomigran Elixir for as long as you have been told unless you have any
problems. In that case, check with your doctor.
With Sanomigran Elixir, you do not wait for a migraine and then treat the pain. You take it regularly
to stop your migraines even beginning or to make them less severe.
• The usual dose for adults is 1.5 mg of pizotifen each day. This is six 5ml spoonfuls.
• You may have been told to take your medicine once a day, or you may have it split into three
• Do not take more than 3 mg (twelve 5ml spoonfuls) in a single dose. Do not take more than
4.5 mg (eighteen 5ml spoonfuls) in a day.
Children (aged over 2 years)
• Children can take up to 1.5 mg of pizotifen each day. This is six 5ml spoonfuls.
• This is usually best given in two or three smaller doses.
• Do not give them more than 1 mg in a single dose. This is four 5ml spoonfuls.
Sanomigran Elixir should not be given to children under 2 years of age.
Taking Sanomigran Elixir
• Have a drink with your elixir if this helps you to swallow.
• If you take Sanomigran Elixir once a day, take it in the evening a few hours before you go to bed
as any drowsiness will help you to sleep.
• If you take your elixir in two or three doses, spread them evenly through the day.
Carry on taking your Sanomigran Elixir even when you feel well. Your headaches may come back if
you stop taking it. Do not stop taking it suddenly, or you may experience withdrawal symptoms,
such as feeling anxious, shaking, insomnia, feeling sick and blackouts. Talk to your doctor if you want
to stop taking the medicine.
What if you forget to take a dose?
If you forget to take your medicine, do not worry. If you normally take Sanomigran Elixir several
times a day you should take the last dose you missed as soon as you remember. Do not take it if
there is less than 4 hours before your next dose, but go back to your regular dosing schedule. Do not
double doses or take more than your maximum daily dose.
If you normally take Sanomigran Elixir once a day take the dose as soon as you remember. Take your
next dose as usual. Do not take more than your maximum daily dose.
Tell your doctor if you keep forgetting to take your medicine.
What if you take too much?
All medicines can be risky if you take too much. If you take too much Sanomigran Elixir at one go,
tell your doctor or hospital casualty department as soon as possible. Take your medicine pack with
you so that people can see what you have taken.
If you stop taking Sanomigran
Do not change or stop the treatment without first asking your doctor. Your doctor may want you to
reduce the dosage gradually before stopping completely. This is to prevent any worsening of your
condition and reduce the risk of withdrawal symptoms such as depression, trembling, nausea,
anxiety, generally feeling unwell, dizziness, sleep disorder and weight loss.
4. Possible side effects
Sanomigran Elixir is suitable for most people, but, like all medicines, it can sometimes cause side
Some side effects can be serious
Stop taking the medicine and tell your doctor immediately if you notice any of the following
• Symptoms of allergy such as a rash, itching or hives on the skin or swelling of the face.
The side effects listed below have also been reported:
More than 1 in 10 people have experienced:
Increase in appetite and weight gain. An increase in appetite may lead to an increase in bodyweight.
If you feel hungrier than usual, try to fill up on fresh low calorie foods. These are much healthier
than processed high calorie foods. Your doctor can give you advice about diet as some kinds of foods
are known to trigger migraine.
Up to 1 in 10 people have experienced:
Drowsiness, tiredness, dizziness, dry mouth, nausea. Feeling drowsy is not usually a problem as you
can take the medicine in the evening. The effect of making you drowsy will help you to sleep. You
are less likely to feel drowsy after a few weeks, as you get used to the medicine.
Up to 1 in 100 people have experienced:
Up to 1 in 1,000 people have experienced:
Depression, excitability or restlessness, hallucinations (seeing, hearing or feeling things that are not
there), sleep disturbances, insomnia, anxiety, tingling or numbness of the hands or feet, muscle or
Very rarely (less than 1 in 10,000) people have experienced:
Convulsions (fits). Tell your doctor immediately if you have a fit.
Frequency: not known:
If you have signs of yellowing of your skin or the whites of your eyes, abnormal darkening of the
urine or unexplained nausea, vomiting and tiredness (signs of jaundice or hepatitis).
If any of the symptoms become troublesome, or if you notice anything else not mentioned
here, please go and see your doctor. He/she may want to give you a different medicine.
Reporting of side effects If you get any side effects, talk to your doctor or pharmacist. This includes
any possible side effects not listed in this leaflet. You can also report side effects directly (see details
below). By reporting side effects you can help provide more information on the safety of this
medicine. United Kingdom: Yellow Card Scheme Website: www.mhra.gov.uk/yellowcard
5. How to store Sanomigran Elixir
Keep all medicines out of the reach and sight of children.
Do not take the elixir after the expiry date which is printed on the outside of the pack.
If your doctor tells you to stop taking Sanomigran Elixir, please take any which is left back to your
pharmacist to be destroyed. Only keep it if the doctor tells you to. Do not throw it away with your
normal household water or waste. This will help to protect the environment.
6. Further information
Sanomigran Elixir is a clear, colourless liquid with a pleasant fruity flavour containing 0.25 mg of the
active ingredient pizotifen (as 0.365 mg of pizotifen hydrogen malate) in each 5 ml of syrup. It comes
in a bottle containing 300 ml.
The syrup also contains the inactive ingredients citric acid anhydrous, methyl and propyl
hydroxybenzoate, raspberry flavour, maraschino flavour, disodium phosphate anhydrous, ethanol
96% w/v, maltitol liquid and purified water. It does not contain tartrazine.
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder:
Phoenix Labs, Suite 12, Bunkilla Plaza, Bracetown Business Park, Clonee, County Meath, Ireland.
Novartis Pharmaceuticals UK Ltd, Wimblehurst Road, Horsham, West Sussex, RH12 5AB, England,
United Kingdom and Frimley Business Park, Frimley, Camberley, Surrey, GU16 7SR, England, United
This leaflet was revised in May 2015.
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.