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Other medical problems
PregnancyˇX.Imitrex has not been studied in pregnant women. However, in some animal studies, .Imitrex caused harmful effects to the fetus. These unwanted effects usually occurred when .Imitrex was giv n in amounts that were large enough to cause harmful effects in the mother.

Overdose
Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.

Symptoms of Imitrex overdose may include:
- Bluish tinge to the skin, convulsions, dilated pupils, inactivity, lack of coordination, paralysis, redness in the arms and legs, skin changes at the site of injection, slow breathing, sluggishness, tremor

Cautions
Before taking .Imitrex,

- tell your doctor and pharmacist if you are allergic to .Imitrex or any other drugs.
- tell your doctor if you are pregnant, plan to become pregnant, or are brea st-feeding. If you become pregnant while taking .Imitrex, call your doctor.
- you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this d rug affects you.
- remember that alcohol can add to the drowsiness caused by this drug.

Side Effects
Although side effects from .Imitrex are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:

- flushing
- tingling feeling
- feeling of warmth or heaviness
- drowsiness
- dizziness
- upset stomach
- diarrhea
- vomiting
- irritation of the nose
- muscle cramps

If you experience any of the following symptoms, call your doctor immediately:

- pain or tightness in chest or throat
- sudden or severe stomach pain
- fast heartbeat
- difficulty breathing
- wheezi ng
- redness, swelling, or itching of the eyelids, face, or lips
- skin rash, lumps, or hives
- change in vision

Proper Use of This Medicine
.Imitrex comes as a tablet to take by mouth and a nasal spray. It should be used at the first sign of a migraine headache. If you are at risk for heart disease and you have never taken .Imitrex before , you may need to take the first dose in your doctor's office. Usually only one dose is needed. If pain is not relieved with the first dose, your doctor may prescribe a second dose to be taken after a t least 2 hours. Do not take more than 200mg of the tablets or 40 mg of the nasal spray in any 24-hour period. Follow the directions on your prescription label carefully, and ask your doctor or pharma cist to explain any part you do not understand. Take .Imitrex exactly as directed.

How should this medicine be used?
If you are not much better in 1 or 2 hours after an injection of sumatriptan, or in 2 to 4 hours after a tablet is taken, do not use any more of this medicine for the same migraine. A migraine that is not relieved by the first dose of sumatriptan probably will not be relieved by a second dose, either. Ask your doctor ahead of time about other medicine to be taken if sumatriptan does not work. Afte r taking the other medicine, check with your doctor as soon as possible. Headaches that are not relieved by sumatriptan are sometimes caused by conditions that need other treatment. However, even if s umatriptan does not relieve one migraine, it may still relieve the next one.


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