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Chemmart Sumatriptan Sumatriptan succinate

Consumer Medicine Information

For a copy of a large print leaflet, Ph: 1800 195 055

What is in this leaflet prevent migraine attacks from • heart disease or heart attack occurring. • shortness of breath, pain or This leaflet answers some common tightness in the chest, jaw or questions about sumatriptan. It does Ask your doctor if you have any questions about why this medicine upper arm not contain all the available has been prescribed for you. • peripheral vascular disease (pain information. It does not take the Your doctor may have prescribed this in the back of the legs) or you are place of talking to your doctor or medicine for another reason. prone to cold, tingling or numb pharmacist. hands and feet This medicine is available only with All medicines have risks and a doctor's prescription. • Prinzmetal's angina (an benefits. Your doctor has weighed uncommon form of angina where This medicine is not addictive. the risks of you using this medicine pain is experienced at rest rather against the benefits they expect it The effectiveness of this medicine than during activity) will have for you. has not been established in • angina adolescents between 12 and 17; and If you have any concerns about • high blood pressure which is not taking this medicine, ask your the safety and effectiveness of this controlled by medication doctor or pharmacist. medicine in children under the age of • stroke or "mini-stroke" Keep this leaflet with the medicine. 12 years has not been established. • severe disease You may want to read it again. Sumatriptan is not recommended for • types of migraine called use in people aged over 65 years. hemiplegic, basilar or ophthalmoplegic migraine What this medicine is Do not take this medicine if you used for Before you take this are taking or have taken any of medicine these medicines in the last 24 Sumatriptan is used to relieve a hours: migraine attack. This medicine may When you must not take it • ergotamine (e.g. Cafergot) be used for migraine with • dihydroergotamine (e.g. or without what is known as 'aura'. Do not take this medicine if you Dihydergot) have an allergy to: Sumatriptan belongs to a group of • methysergide (e.g. Deseril) • sumatriptan succinate drugs called . Do not take this medicine if you • any of the ingredients listed at the are taking or have taken How it works end of this leaflet. Inhibitors Some of the symptoms of an allergic (MAOIs) in the last two weeks, It is thought that a migraine reaction may include: such as: is due to widening of certain blood vessels in the head. Sumatriptan • shortness of breath • phenelzine, and works by narrowing the affected • wheezing or difficulty breathing , used to treat depression vessels, to ease the symptoms of • swelling of the face, lips, tongue, migraine. throat or other parts of the body • , used to treat Parkinson's disease This medicine does not work in other • rash, itching or hives on the skin • , used to treat certain types of headache which are not a Do not take this medicine if you infections migraine. It should not be used to have or have had any of the following medical conditions:

Chemmart Sumatriptan Published by MIMS December 2018 1 • , used to diagnose If you have not told your doctor How to take this certain medical conditions. about any of the above, tell them medicine Do not use this medicine after the before you start taking this medicine. expiry date printed on the pack or Follow all directions given to you the packaging is torn or shows by your doctor or pharmacist signs of tampering. Taking other medicines carefully. If it has expired or is damaged, return Tell your doctor or pharmacist if They may differ to the information it to your pharmacist for disposal. you are taking any other contained in this leaflet. If you are not sure whether you medicines, or you have taken any If you do not understand the should start taking this medicine, medicine in the last 2 weeks, instructions on the box, ask your talk to your doctor. including any that you get without doctor or pharmacist for help. a prescription from your Before you start to take it pharmacy, supermarket or health How much to take food shop. Tell your doctor if you have Some medicines and sumatriptan Your doctor or pharmacist will tell allergies to any other medicines, may interfere with each other. These you how much of this medicine you foods, preservatives or dyes. include: should take. This will depend on Tell your doctor if you are allergic your condition and whether you are to any medicines that contain • MAO inhibitors, such as taking any other medicines. If you sulphur, such as sulphonamide phenelzine, tranylcypromine, have liver problems you may be antibiotics, certain diuretics moclobemide, selegiline, prescribed a lower dose. ('water' tablets), certain epilepsy linezolid, and methylene blue. Do medicines, or celecoxib, darunavir, not take this medicine with The recommended starting dose for probenecid, or sulfasalazine. MAOIs or for two weeks after adults is 50 mg, however your dose may be increased to 100 mg if Tell your doctor if you are lactose- stopping taking a MAOI. needed. intolerant or unable to consume • other triptans (similar to lactose, as these tablets contain sumatriptan) such as naratriptan If the first tablet helps your migraine, lactose. and zolmitriptan. Do not take but the migraine comes back again Tell your doctor if you are sumatriptan for 24 hours before later, you may take another tablet. pregnant or plan to become or after taking another triptan. If the first dose has not provided any pregnant or are breastfeeding. • other medicines for treating relief from your symptoms, do not Do not take this medicine until you migraine such as ergotamine, take any more sumatriptan for this and your doctor have discussed the dihydroergotamine or attack. Your doctor should review risks and benefits involved. methysergide. Do not take your treatment to check if this Tell your doctor if you have or sumatriptan for 6 hours before or medicine is still appropriate for you. have had any of the following 24 hours after taking Do not take more than 300 mg of medical conditions: ergotaminetype medicines. this medicine in any 24 hours. • liver or kidney problems • medicines for treating depression Six pink (50 mg strength) or three • heart problems or you have such as SSRIs and SNRIs (e.g. white (100 mg strength) tablets conditions which may make you , , contain 300 mg of sumatriptan. prone to heart problems such as: , , You may take your usual headache - high blood pressure, even if it is , , relief medication provided it does not under control , ) contain ergotamine, methysergide, - high blood cholesterol levels • St John's wort, a herbal medicine. naratriptan or zolmitriptan. If you are - a family history of heart These medicines may be affected by not sure what to do, ask your doctor problems this medicine or may affect how well or pharmacist. - obesity it works. You may need different - diabetes amounts of your medicines, or you How to take it - you are male and over 40 years may need to take different medicines. of age Swallow the tablets whole with a - you are female and have Your doctor and pharmacist have glass of water. Do not crush or undergone menopause more information on medicines to be chew this medicine as it has a - smoking careful with or avoid while taking bitter taste. this medicine. • epilepsy, seizures, or fits, or been When to take it told that you are prone to this Other medicines not listed above problem may also interact with sumatriptan. It is best to take this medicine: • stroke or 'mini-stroke'

Chemmart Sumatriptan Published by MIMS December 2018 2 • when the migraine headache If you become pregnant while Tell your doctor or pharmacist if begins, or taking this medicine, tell your you notice any of the following and • when other symptoms of the doctor immediately. they worry you: migraine begin, such as Tell your doctor if you are going to • pain, tingling, burning, prickling, (feeling sick), or your have surgery or are going into cold or flushing in any part of the eyes becoming sensitive to light. hospital. body If you take this medicine later during • loss of touch sensitivity Things you must not do the migraine attack, it will still work • feeling of sleepiness, for you. Do not take this medicine Do not give this medicine to anyone weakness or tiredness before the above symptoms occur. else, even if they have the same • nausea (feeling sick) or vomiting condition as you. It does not matter if you take it with • a change in blood pressure Do not take your medicine to treat or without food. • feeling of faintness any other complaint unless your doctor tells you to. • problems with your eye sight or How long to take it for jittery eye movements Do not change the dosage without This medicine is not to be used on a first checking with your doctor. • shaking or , uncontrolled regular basis. Use it only when you movements have migraine symptoms, and if the Things to be careful of • mild rash or itching tablets do not relieve your migraine The above list includes the more then do not take any more for that Be careful when driving or operating machinery until you common side effects of your migraine. know how this medicine affects medicine. Mostly, these are mild and you. short-lived. If you take too much This medicine may cause drowsiness Tell your doctor as soon as possible (overdose) in some people. If you have any of if you notice any of the following: these symptoms, do not drive, Immediately telephone your doctor • pain in the lower tummy and or the Poisons Information Centre operate machinery or do anything bloody diarrhoea (signs of (telephone 13 11 26) for advice, or else that could be dangerous. ischemic colitis) go to Accident and Emergency at If you use this medicine too often, your nearest hospital, if you think • breathing problems it may make your headache worse. that you or anyone else may have • persistent purple or white If this happens, your doctor may tell taken too much of this medicine. discolouration and/or pain in the you to stop taking this medicine. Do this even if there are no signs of fingers, toes, ears, nose or jaw, discomfort or poisoning. sometimes in response to cold You may need urgent medical • feeling faint due to a drop in attention. Side effects blood pressure The above list includes serious side Tell your doctor or pharmacist as effects that may need medical soon as possible if you do not feel attention. While you are taking well while you are taking If any of the following happen, stop this medicine sumatriptan. taking your medicine and contact This medicine helps most people your doctor immediately or go to Things you must do with migraine headaches, but it may Accident and Emergency at your Tell any other doctors, dentists and have unwanted side effects in a few nearest hospital: pharmacists who are treating you people. All medicines can have side • shortness of breath, wheezing or that you take this medicine. effects. Sometimes they are serious, difficulty breathing; swelling of If you are about to be started on most of the time they are not. You the face, lips, tongue, throat or any new medicine, remind your may need medical attention if you get other parts of the body; rash, doctor and pharmacist that you some of the side effects. itching or hives on the skin; are taking this medicine. Do not be alarmed by the following fainting; hayfever-like symptoms Tell your doctor if, for any reason, lists of side effects. You may not (signs of an allergic reaction) you have not taken this medicine experience any of them. • neck pain or stiffness, feeling of exactly as directed. Ask your doctor or pharmacist to heaviness, pressure or tightness in Otherwise your doctor may think that answer any questions you may any part of the body including the it is not working and change your have. head, chest or throat treatment unnecessarily. • chest pain or angina; or symptoms of a heart attack such

Chemmart Sumatriptan Published by MIMS December 2018 3 as chest pain, shortness of breath Product description nausea, vomiting, palpitations, sweating, anxiety What it looks like • fast, slow, thumping or irregular heartbeats 50 mg tablets: pink coloured, capsule shaped, biconvex film coated tablets, • seizures (fits) debossed with '50' on one side and • problems with speech, and/or lack plain on the other side. of muscle movement on one side of your body (signs of a stroke) Available in blister packs containing 2 or 4 tablets.. AUST R 160190. The above list includes very serious side effects. You may need medical 100 mg tablets: white, capsule attention. Most of these side effects shaped, biconvex film coated tablets are rare. debossed with '100' on one side and Tell your doctor or pharmacist if plain on the other side. you notice anything that is making Available in blister packs containing you feel unwell. 2 tablets. AUST R 160198. Other side effects not listed above *Not all strengths and/or pack sizes may occur in some patients. may be available.

Ingredients Storage and disposal Each tablet contains 50 mg or 100 mg of sumatriptan succinate as the active ingredient. Storage It also contains the following: Keep your medicine in the pack until it is time to take it. • lactose monohydrate If you take your medicine out of the • croscarmellose sodium pack it may not keep well. • microcrystalline cellulose Keep your medicine in a cool dry • crospovidone place where the temperature stays • colloidal silica anhydrous below 30°C. • magnesium stearate Do not store your medicine or any • Opadry Pink (50 mg only) which other medicine in the bathroom or contains hypromellose, near a sink. Do not leave it on a polyethylene glycol, titanium window sill or in the car. dioxide, iron oxide red and iron Heat and dampness can destroy some oxide black medicines. • Opadry White (100 mg only) Keep this medicine where children which contains hypromellose, cannot reach it. polyethylene glycol, titanium A locked cupboard at least one-and- dioxide a-half metres above the ground is a good place to store medicines. This medicine does not contain gluten, sucrose, tartrazine or any Disposal other azo dyes.

If your doctor tells you to stop taking Sponsor this medicine or the expiry date has passed, ask your pharmacist what to Apotex Pty Ltd do with any medicine left over. 16 Giffnock Avenue Macquarie Park NSW 2113 Chemmart is a registered trademark of Symbion Pty Ltd. This leaflet was prepared in October 2018.

Chemmart Sumatriptan Published by MIMS December 2018 4