Almotriptan
Why this is used
Almotriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes are accompanied by nausea and sensitivity to sound and light). Almotriptan is in a class of medications called selective serotonin receptor agonists. It works by narrowing blood vessels in the brain, stopping pain signals from being sent to the brain, and stopping the release of certain natural substances that cause pain, nausea, and other symptoms of migraine. Almotriptan does not prevent migraine attacks.
How to take it
Almotriptan comes as a tablet to take by mouth. It is usually taken at the first sign of a migraine attack. If your symptoms improve after you take almotriptan but return after 2 hours or longer, you may take a second tablet. However, if your symptoms do not improve after you take almotriptan, do not take a second tablet before calling your doctor. Do not take more than two almotriptan tablets in any 24-hour period. Call your doctor if you need to take almotriptan more than four times a month. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take almotriptan exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. You may take your first dose of almotriptan in a doctor's office or other medical facility where you can be monitored for serious reactions.
Side effects
<p></p> <p></p> <p></p> <p>Almotriptan may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
<ul>
<li>
upset stomach</li>
<li>
drowsiness</li>
<li>
headache</li>
<li>
dry mouth</li></ul></p> <p></p> <p>Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately:
<ul>
<li>
rash or itching</li>
<li>
tightness, pain, pressure, or heaviness in the chest, throat, neck, and/or jaw</li>
<li>
slow or difficult speech</li>
<li>
dizziness or faintness</li>
<li>
weakness or numbness of an arm or leg</li>
<li>
severe stomach pain</li>
<li>
bloody diarrhea</li>
<li>
rapid, pounding, or irregular heartbeat</li>
<li>
difficulty breathing</li>
<li>
paleness or blue color of the fingers and toes</li>
<li>
pain, burning, or tingling in the hands or feet</li></ul>Almotriptan may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at <a href='http://www.fda.gov/Safety/MedWatch'>http://www.fda.gov/Safety/MedWatch</a>] or by phone [1-800-332-1088].</p>
<ul>
<li>
upset stomach</li>
<li>
drowsiness</li>
<li>
headache</li>
<li>
dry mouth</li></ul></p> <p></p> <p>Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately:
<ul>
<li>
rash or itching</li>
<li>
tightness, pain, pressure, or heaviness in the chest, throat, neck, and/or jaw</li>
<li>
slow or difficult speech</li>
<li>
dizziness or faintness</li>
<li>
weakness or numbness of an arm or leg</li>
<li>
severe stomach pain</li>
<li>
bloody diarrhea</li>
<li>
rapid, pounding, or irregular heartbeat</li>
<li>
difficulty breathing</li>
<li>
paleness or blue color of the fingers and toes</li>
<li>
pain, burning, or tingling in the hands or feet</li></ul>Almotriptan may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at <a href='http://www.fda.gov/Safety/MedWatch'>http://www.fda.gov/Safety/MedWatch</a>] or by phone [1-800-332-1088].</p>
Precautions
Before taking almotriptan, tell your doctor and pharmacist if you are allergic to almotriptan or any other medications. do not take almotriptan within 24 hours of another selective serotonin receptor agonist such as eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), or zolmitriptan (Zomig); or ergot-type medications such as bromocriptine (Parlodel), cabergoline (Dostinex), dihydroergotamine (D.H.E. 45, Migranal), ergoloid mesylates (Germinal, Hydergine), ergonovine (Ergotrate), ergotamine (Bellergal-S, Cafergot, Ergomar, Wigraine), methylergonovine (Methergine), methysergide (Sansert), and pergolide (Permax). tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking, have recently stopped taking, or plan to take. Be sure to mention any of the following: antifungals such as fluconazole (Diflucan), itraconazole (Sporanox), and ketoconazole (Nizoral); cimetidine (Tagamet); clarithromycin (Biaxin); cyclosporine (Neoral, Sandimmune); danazol (Danocrine); delavirdine (Rescriptor); diltiazem (Cardizem, Dilacor, Tiazac); erythromycin (E.E.S., E-Mycin, Erythrocin); HIV protease inhibitors such as indinavir (Crixivan) and ritonavir (Norvir); isoniazid (INH, Nydrazid); metronidazole (Flagyl); nefazodone (Serzone); selective serotonin reuptake inhibitors (SSRIs) such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine, paroxetine (Paxil), and sertraline (Zoloft); selective serotonin/norepinephrine reuptake inhibitors (SNRIs) such as duloxetine (Cymbalta), sibutramine (Meridia), and venlafaxine (Effexor); troleandomycin (TAO); and zafirlukast (Accolate). Also tell your doctor or pharmacist if you are taking the following medications or if you have stopped taking them within the past 2 weeks: monoamine oxidase (MAO) inhibitors, including isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), and tranylcypromine (Parnate). Your doctor may need to change the doses of your medications or monitor you carefully for side effects. tell your doctor if you smoke, if you or any family members have or have ever had heart disease, if you have gone through menopause (change of life), and if you have or have ever had a heart attack; angina (chest pain); high blood pressure; high cholesterol; diabetes; circulation problems; or kidney or liver disease. you should know that almotriptan may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you. talk to your doctor about your headache symptoms to make sure they are caused by migraine. Almotriptan should not be used to treat hemiplegic or basilar migraine or headaches caused by other conditions (such as cluster headaches).
Overdose
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911. Symptoms of overdose may include:
<ul>
<li>
tightness, pain, pressure, or heaviness in the chest, throat, neck, and/or jaw</li>
<li>
slow or difficult speech</li>
<li>
dizziness or faintness</li>
<li>
weakness or numbness of an arm or leg</li>
<li>
rapid, pounding, or irregular heart beat</li>
<li>
difficulty breathing</li>
<li>
headache</li></ul>
<ul>
<li>
tightness, pain, pressure, or heaviness in the chest, throat, neck, and/or jaw</li>
<li>
slow or difficult speech</li>
<li>
dizziness or faintness</li>
<li>
weakness or numbness of an arm or leg</li>
<li>
rapid, pounding, or irregular heart beat</li>
<li>
difficulty breathing</li>
<li>
headache</li></ul>
Educational reference only — talk to a pharmacist or prescriber about Almotriptan.