Zolmist Nasal Spray

Please note: a valid prescription is required for all prescription medication.

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Uses of Zolmist Nasal Spray

Zolmist Nasal Spray is used to treat acute migraine attacks. It works by narrowing the blood vessels, thereby relieving migraine headaches and preventing the attack from becoming worse.

Precautions and Warnings

Before using zolmitriptan, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: blood circulation problems (for example, in your legs, arms/hands, or stomach), certain types of headaches (hemiplegic or basilar migraine), heart problems (such as chest pain, irregular heartbeat, previous heart attack), liver disease, seizure, stroke or “mini-stroke” (transient ischemic attack).

Certain conditions can increase your risk for heart problems. Tell your doctor if you have any of these conditions, including: high blood pressure, high cholesterol, diabetes, family history of heart disease, overweight, smoker, postmenopausal (women), age more than 40 years (men).

This drug may make you dizzy or drowsy. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

The risk of heart disease, liver disease, and high blood pressure increases with age. Older adults may be more sensitive to the side effects of this drug, especially increased blood pressure and heart problems.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is unknown if this drug passes into breast milk. Consult your doctor before breastfeeding.

Dosage

The recommended  dose for adults and children ,12 years and older, is at first – 2.5 milligrams (mg) (1 spray into one nostril).

Another spray (2.5 mg or 5 mg) may be used for a migraine that occurs at a later time as long as it has been at least 2 hours since the last spray.

The maximum single dose is 5 mg. Do not use more than 10 mg in a 24-hour period (one day).

Side Effects

Common side effects:

  • Dizziness
  • Taste change
  • Dryness in mouth
  • Nausea
  • Vomiting
  • Weakness
  • Sleepiness
  • Paresthesia (tingling or pricking sensation)
  • Headache
  • Hyperesthesia (increased sensitivity)
  • Warm sensation
  • Abdominal pain
  • Difficulty in swallowing
  • Palpitations
  • Muscle weakness

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