ALMOTRIPTAN Heumann for migraines 12.5 mg film-coated tablets 2 pc

• 17.50 mg almotriptan malate

• Cellulose, microcrystalline
• Mannitol
• Carboxymethyl starch, sodium type A
• Povidone K29-32
• Sodium stearyl fumarate
• Hypromellose
• Titanium dioxide
• Macrogol 400
• Carnauba wax

ALMOTRIPTAN Heumann for migraines Indication / application

• The drug is a migraine drug that belongs to a group of substances known as selective serotonin receptor agonists. It is believed that the preparation reduces the inflammatory response in migraines by attaching to the serotonin receptors in the blood vessels in the brain (cranial blood vessels) and thereby causing them to narrow.
• It is used to relieve headache from migraine attacks, with or without aura.

dosage

• Only take the product to treat an actual migraine attack and not to prevent migraines or headaches.
• Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
• Adults (18-65 years)
  • The recommended dose is one 12.5 mg tablet to be taken as soon as possible after the onset of the migraine attack. If your migraine attack does not go away, do not take more than one tablet for the same attack.
  • If a second migraine attack occurs within 24 hours, a second 12.5 mg tablet can be taken, but at least 2 hours must have elapsed between your first and your second tablet.
  • The maximum daily dose is two (12.5 mg) tablets within 24 hours.
  • The medicine should be taken as soon as possible after the onset of the migraine headache. However, it is also effective when taken later in the migraine attack.
• Severe kidney disease
  • If you have severe kidney disease, do not take more than one 12.5 mg tablet in a 24 hour period.

• If you take more than you should
  • If you accidentally take too many tablets, or if someone else or a child has taken this medicine, talk to a doctor or pharmacist straight away.

• If you forget to take a dose
  • If possible, take the medicine as directed. Do not take a double dose to make up for a forgotten tablet.

• If you have any further questions on the use of the medicinal product, ask your doctor, pharmacist or nurse.

ALMOTRIPTAN Heumann for migraines way

• Swallow the tablets with liquid (e.g. water). The tablets can be taken with or without food.

ALMOTRIPTAN Heumann for migraines Side effects

• Like all medicines, this medicine can have side effects, although not everybody gets them.
• Common side effects (affects 1 to 10 users in 100):
  • dizziness
  • Drowsiness (somnolence)
  • nausea
  • Vomit
  • fatigue
• Uncommon side effects (affects 1 to 10 users in 1,000):
  • tingling, tingling, or numb feeling of the skin (paraesthesia)
  • headache
  • Ringing in the ears or ringing in the ears (tinnitus)
  • Palpitations
  • Tightness in the throat
  • diarrhea
  • Indigestion (dyspepsia)
  • Dry mouth
  • Muscle pain (myalgia)
  • Bone pain
  • Chest pain
  • Feeling weak (asthenia)
• Very rare side effects (affects less than 1 in 10,000 people):
  • Spasms of the coronary arteries (coronary vasospasm)
  • Heart attack (myocardial infarction)
  • increased heart rate (tachycardia)
• Frequency not known (cannot be estimated from the available data):
  • allergic reactions (hypersensitivity reactions), including edema of the mouth, throat or hand (angioedema)
  • severe allergic reactions (anaphylactic reactions)
  • Convulsion (epileptic fit)
  • Visual impairment, blurred vision (visual disturbances can also occur during a migraine attack)
  • Vascular spasm in the bowel, which can damage the bowel (intestinal ischemia). Abdominal pain and bloody diarrhea can occur.
• During treatment, tell your doctor immediately:
  • if you have chest or throat pain or tightness, or any other symptoms reminiscent of a heart attack. Tell your doctor straight away and do not take any more tablets.
• If you get any side effects, talk to your doctor or pharmacist. This also applies to side effects that are not specified.

ALMOTRIPTAN Heumann for migraines Interactions

• Taking with other medicines
  • Tell your doctor or pharmacist if you are taking / using, have recently taken / used or intend to take / use any other medicines.
  • Please inform your doctor:
    • if you are taking medicines to treat depression such as E.g. monoamine oxidase inhibitors (e.g. moclobemide), selective serotonin reuptake inhibitors (e.g. fluoxetine) or serotonin norepinephrine reuptake inhibitors (e.g. venlafaxine), as these form serotonin syndrome, a potentially life-threatening drug reaction, can trigger. The symptoms of serotonin syndrome include confusion, restlessness, fever, sweating, uncoordinated movements of limbs or eyes, uncontrollable muscle twitching, and diarrhea.
    • if you are taking the herbal medicine St. John's wort (Hypericum perforatum) at the same time, as this may increase the chance of side effects.
  • Almotriptan must not be taken at the same time as medicines containing ergotamine, which are also used to treat migraines. However, these medicines can be taken one after the other with the following time differences:
    • After taking almotriptan, wait at least 6 hours before taking ergotamine.
    • After taking ergotamine, Almotriptan should be taken after 24 hours at the earliest.

ALMOTRIPTAN Heumann for migraines Contraindications

• Do not take the medicine
  • if you are allergic to almotriptan or any of the other ingredients of this medicine.
  • if you have or have suffered from diseases that restrict the blood supply to the heart, such as B .:
    • Heart attack
    • Chest pain or discomfort usually associated with activity or stress
    • Heart problems without pain
    • Chest pain at rest
    • severe hypertension (severe high blood pressure)
    • uncontrolled mild or moderate high blood pressure.
  • if you have had a stroke or decreased blood flow to the brain
  • if you have had an occlusion of the large arteries of the legs or arms (peripheral vascular disease)
  • if you are taking other medicines for migraines, including ergotamine, dihydroergotamine and methysergide or other serotonin agonists (e.g. sumatriptan)
  • if you have severe liver disease

ALMOTRIPTAN Heumann for migraines pregnancy and breast feeding period

• Ask your doctor or pharmacist for advice before taking this medicine if you are pregnant or breast-feeding, if you suspect you may be pregnant or planning to become pregnant.
• pregnancy
  • There are very limited data on pregnant patients for almotriptan. Almotriptan should only be used during pregnancy if your doctor tells you to and only after carefully weighing the benefits and risks.
• Breastfeeding
  • Caution should be exercised when taking this drug while breastfeeding. You should not breastfeed for 24 hours after taking this medicine.

ALMOTRIPTAN Heumann for migraines Patient information

• Warnings and Precautions
  • Please talk to your doctor, pharmacist or nurse before taking the product
    • if your type of migraine has not been diagnosed
    • if you are allergic (hypersensitive) to antibacterial medicines mainly used to treat urinary tract infections (sulphonamides)
    • if your headache symptoms are different from your usual attacks, eg if you have B. have ringing in the ears or dizziness, if you have brief paralysis of one side of your body or muscles that control eye movement, or if you have any new symptoms
    • if you have risk factors for heart disease such as: B. uncontrolled high blood pressure, high cholesterol level, obesity, diabetes, smoking, significant family history of heart disease; in women past menopause or men over 40 years of age
    • if you have mild to moderate liver disease
    • if you have severe kidney disease
    • if you are over 65 years of age (as you are more likely to have high blood pressure)
    • if you are taking antidepressants such as SSRIs (selective serotonin reuptake inhibitors) or SNRIs (serotonin-norepinephrine reuptake inhibitors).
  • Headache from drug overuse (MÜKS)
    • Long-term use of pain relievers for headaches can make them worse. If such a case occurs or is suspected, you should seek medical advice and discontinue treatment. The diagnosis of headache drug overuse (COD) should be considered if you have frequent or daily headaches despite (or because) you are taking regular headache medication.
  • Children and adolescents
    • Children under the age of 18 should not take the medicine.
  • Elderly patients (over 65 years of age)
    • If you are over 65 years of age you should talk to your doctor before taking this medicine.

• Driving and using machines
  • Almotriptan can cause drowsiness. If this happens to you, do not drive or use any tools or machines.