Know the 4 stages of a migraine attack
While everyone experiences migraine in different ways, there are 4 general symptom stages of a migraine attack. Learning to recognize these stages can help you understand what to expect.
Stage 1: preheadache (also called prodrome)
Preheadache symptoms often begin hours or days before migraine headache pain. These symptoms may include the following.
•Fatigue or other changes in behavior
•Mood changes
•Food cravings
•Gastrointestinal problems
•Sensitivity to light or sound
What you can do
•Reduce stress
•Prepare a plan of action
Stage 2: migraine aura
Aura typically begins 20 to 60 minutes before the headache phase (stage 3) and usually fades before the headache begins. Sufferers may experience visual symptoms, such as seeing
•Flashing lights
•Zigzag lines
•Blank spots before their eyes
What you can do
•Implement your plan of action and inform family, friends, and coworkers of that plan
•Find a quiet, dark room in which to relax
Stage 3: migraine headache
This stage involves intense head pain that may be accompanied by nausea and vomiting, sensitivity to light (also called photophobia), and sensitivity to sound (also called phonophobia).
•The pain can last anywhere from several hours to as long as several days
•The pain may be on one or both sides of the head
What you can do
•Keep your medication handy
•Avoid unnecessary activity
•Find a quiet, dark room in which to relax
Stage 4: postheadache (also called postdrome)
The period following the headache. Some sufferers may experience 1 or more of the following symptoms.
•Tiredness
•Head pain
•Cognitive (mental) difficulties
•Hungover/hangover feeling
•Gastrointestinal symptoms
What you can do
•Make notes about your migraine attack and possible triggers in Migraine Tracker (PDF — 239KB)
•Review your migraine plan of action and make any necessary adjustments
•Thank the people who helped you while your migraine headache was at its worst
•Keep your migraine medication handy in case the migraine headache returns
3 Forms of Zomig
Learn more about Zomig
Important Safety Information for Zomig
Do not take Zomig if you
Have heart disease or a history of heart disease
Have uncontrolled high blood pressure
Have hemiplegic or basilar migraine
Have or have had a stroke or symptoms of a stroke
Have or have had circulation (blood flow) problems
Have serious liver problems
Have taken other migraine medications in the last 24 hours, including other triptans, ergots, or ergot-type medications
Are taking monoamine oxidase (MAO) inhibitors, or if it has been less than 2 weeks since you stopped taking an MAO inhibitor
Are allergic to Zomig or any of its ingredients
Have symptomatic Wolff-Parkinson-White syndrome or other heart rhythm problems
If you are not sure about any of the above, ask your doctor.
Tell your doctor about all the medicines you take or plan to take, including prescription and nonprescription medicines, supplements, and herbal remedies. Your doctor will decide if you can take Zomig with your other medicines
In very rare cases, patients taking Zomig may experience serious side effects such as heart attacks, increases in blood pressure, stroke, life-threatening disturbances of heart rhythm, constriction of blood vessels in the abdomen or other parts of the body, or serious allergic reactions. In extremely rare cases, patients have died from these side effects. Call your doctor right away if you have any of the following problems after taking Zomig: severe tightness, pain, pressure, or heaviness in your chest, throat, neck, or jaw that is severe or does not go away; shortness of breath or wheezing; sudden or severe stomach pain; bloody diarrhea; hives; tongue, mouth, lip, or throat swelling; problems seeing; slurring of speech; or unusual weakness or numbness
Tell your doctor if you have any risk factors for heart disease such as high blood pressure, high cholesterol, diabetes, smoking, being overweight, menopause, male over age 40, or a family history of heart disease or stroke. If you have risk factors and your evaluation for heart disease is satisfactory, your doctor may ask you to take the first dose of Zomig in the doctor's office
Some people who take Zomig may have a reaction called serotonin syndrome which can be life-threatening. In particular this reaction may occur when Zomig is used together with certain types of antidepressants known as SSRIs or SNRIs. Symptoms may include mental changes (confusion, hallucinations, agitation, coma), fast heartbeat, changes in blood pressure, feeling faint, fever, sweating, muscle spasm, trouble walking, nausea, vomiting, and/or diarrhea. Call your doctor immediately if you have any of these symptoms after taking Zomig
Phenylketonurics: Zomig-ZMT® (zolmitriptan) Orally Disintegrating Tablets contain phenylalanine, a component of the artificial sweetener aspartame
Tell your doctor if you are pregnant, planning to become pregnant, could be pregnant, are not using effective birth control, are breast feeding, or planning to breast feed because Zomig may not be right for you
The safety and effectiveness of Zomig have not been established in patients under 18 years of age or patients over 65 years of age
The most common side effects reported by patients in clinical trials for Zomig Tablets and Zomig-ZMT Orally Disintegrating Tablets include tingling sensation; weakness; nausea; dizziness; pain, tightness, pressure or heaviness such as in the chest, throat, neck, or jaw; drowsiness; and warm sensation. The most common side effects reported by patients in clinical studies for Zomig Nasal Spray include unusual taste; tingling sensation; skin sensitivity; dizziness; nausea; pain, pressure, and tightness sensations such as in the nose, throat, or chest; drowsiness; weakness; disorder/discomfort of the nasal cavity; and dry mouth
Approved Use for Zomig
Zomig is a prescription medicine approved to treat migraine headaches in adults. Only your doctor can determine if Zomig is right for you.
Zomig should only be used where a clear diagnosis of migraine has been established. For a given migraine attack, if you do not respond to the first dose of Zomig, then your doctor will need to determine if you really have a migraine headache before you take a second dose. Zomig is not for the prevention of migraines or for the treatment of hemiplegic or basilar migraines (if you are not sure about this, ask your doctor). Zomig is not for other types of headaches, including cluster headache.
This is not a complete summary of safety information. Please discuss the full Prescribing Information with your doctor.
ไม่มีความคิดเห็น:
แสดงความคิดเห็น