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How to Use
.Imitrex comes as a tablet to take by mouth and a nasal spray. It should be used at the first sign of a migraine headache. If you are at risk for heart disease and you have never taken .Imitrex before , you may need to take the first dose in your doctor's office. Usually only one dose is needed. If pain is not relieved with the first dose, your doctor may prescribe a second dose to be taken after a t least 2 hours. Do not take more than 200mg of the tablets or 40 mg of the nasal spray in any 24-hour period. Follow the directions on your prescription label carefully, and ask your doctor or pharma cist to explain any part you do not understand. Take .Imitrex exactly as directed.

Side Effects of This Medicine
If you develop severe chest pain, call the doctor immediately. Also seek immediate attention if you suffer sudden, severe abdominal pain after a dose of Imitrex. It could signal a blood vessel problem .

Be careful not to inject Imitrex into a vein. This can cause a serious heart irregularity.

If your fingers turn pale, then blue, after a dose of Imitrex, you may have a circulato ry problem such as hardening of the arteries. Be sure to let your doctor know.

This medication should not be used for other types of migraine headache. If the first dose does not relieve you r symptoms, your doctor will re-evaluate you; you may not have migraine or cluster headache.

Precautions while Using this Medicine
Before taking .Imitrex,

- tell your doctor and pharmacist if you are allergic to .Imitrex or any other drugs.
- tell your doctor if you are pregnant, plan to become pregnant, or are brea st-feeding. If you become pregnant while taking .Imitrex, call your doctor.
- you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this d rug affects you.
- remember that alcohol can add to the drowsiness caused by this drug.

How to Use
If you feel much better after a dose of sumatriptan, but your headache comes back or gets worse after a while, you may use more sumatriptan. However, use this medicine only as directed by your doctor. Do not use more of it, and do not use it more often, than directed. Using too much sumatriptan may increase the chance of side effects.

Overdosage
Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.

Symptoms of Imitrex overdose may include:
- Bluish tinge to the skin, convulsions, dilated pupils, inactivity, lack of coordination, paralysis, redness in the arms and legs, skin changes at the site of injection, slow breathing, sluggishness, tremor

Other medical problems
The effects of Imitrex during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, inform your doctor immediately. Imitrex does appear in breast milk and could a ffect a nursing infant. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment with Imitrex is finished.

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