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What side effects can this medication cause?
Less common or rare side effects may include:
- incoordination, increased urination, intolerance of noise or light, itching, jaw discomfort, joint problems, muscle cramps, muscle pain or tendern ess, painful menstruation, pressure in chest, rapid and throbbing heartbeat, rash, ringing in the ears, rise or fall in blood pressure (temporary), sensation of lightness, sensitivity to noise or heat , shivering, shortness of breath, sinus inflammation, sinus or nasal discomfort, skin eruptions, skin redness or tenderness, sleep disturbances, smell disturbances, stomach problems, sweating, swellin g, tearing, thirst, tight feeling in head, tightness in chest, tremors, vision changes or loss

How to Use
Your doctor may direct you to take another medicine to help prevent headaches. It is important that you follow your doctor's directions, even if your headaches continue to occur. Headache-preventing m edicines may take several weeks to start working. Even after they do start working, your headaches may not go away completely. However, your headaches should occur less often, and they should be less severe and easier to relieve. This can reduce the amount of sumatriptan or pain relievers that you need. If you do not notice any improvement after several weeks of headache-preventing treatment, chec k with your doctor.

Overdose
Seek emergency medical attention. Symptoms of a Imitrex ( Sumatriptan ) overdose might include tremor, redness, or a warm feeling in your arms and legs, irregular breathing, large pupils; an uncoordin ated feeling; and chest pain.

Precautions while Using this Medicine
tell your doctor if you smoke, if you have a strong family history of heart disease, if you are postmenopausal, or if you are a man over 40. Also tell your doctor if you have or have ever had high blo od pressure; angina (recurring chest pain); a heart attack; diabetes; high cholesterol; obesity; stroke; transient ischemic attack (mini-stroke); ischemic bowel disease; coronary artery disease; seizu res; or blood vessel, kidney, or liver disease.

How should this medicine be used?
Imitrex tablets should be swallowed whole, with liquid. If you have had no relief 2 hours after taking Imitrex Tablets, you may take a second dose of up to 100 milligrams, if your doctor advises it. I f the headache returns, you may take additional doses at intervals of at least 2 hours. You should not take more than 300 milligrams in one day. If your headache returns after you have had an Imitrex Injection, you may take single Imitrex Tablets, at intervals of at least 2 hours, up to a maximum of 200 milligrams in a day.

Imitrex nasal spray is packaged in single-dose bottles containin g either 5 or 20 milligrams of the drug. The usual dosage is a single spray in one nostril.

Drug Interactions
If Imitrex is taken with certain other drugs, the effects of either may be increased, decreased, or altered. It is important to check with your doctor before combining Imitrex with the following:

- Drugs classified as MAO inhibitors, including the antidepressants Nardil and Parnate
- Ergot-containing drugs such as Cafergot and Ergostat
- Fluoxetine (Prozac)
- Fluvoxamine ( Luvox)
- Paroxetine (Paxil)
- Sertraline (Zoloft)


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