Do not use Zomig Nasal Spray (zolmitriptan)
Do not use this medication if you have uncontrolled high blood pressure, angina, Wolff-Parkinson-White syndrome, heart problems, certain heart rhythm disorders, a history of heart attack or stroke, or circulation problems that cause a lack of blood supply within the body.
You should not use Zomig Nasal Spray if you have used an MAO inhibitor in the past 2 weeks or if you plan on using one in the next 2 weeks. Examples of MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, and tranylcypromine.
Also avoid this medication if you have taken another migraine headache medicine within the last 24 hours. Examples of migraine headache medicines include zolmitriptan nasal spray, almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt, Maxalt-MLT), sumatriptan (Imitrex, Treximet), or ergot medicine such as ergotamine (Ergomar, Cafergot, Migergot), dihydroergotamine (D.H.E. 45, Migranal), or methylergonovine (Methergine).
This medication is not approved for those under the age of 18 years old.
Dose adjustment or special precautions may be required
Tell your doctor before treatment if you also take an antidepressant such as citalopram (Celexa), desvenlafaxine (Pristiq), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or venlafaxine (Effexor).
To ensure this medication is safe for you, tell your doctor if you have heart disease, high blood pressure, heart rhythm disorder, epilepsy, seizures, liver or kidney disease, a condition for which you take cimetidine, or coronary heart disease (or risks factors such as diabetes, menopause, smoking, or more).
Risks and other information
Zomig Nasal Spray will not prevent migraines or reduce the number of attacks; it will only help treat a migraine that has already begun.
After taking 1 dose, you must wait at least 2 hours before taking a second, or as directed by your doctor.
It is not know if this medication will harm an unborn baby. Tell your doctor if you are pregnant or plan on becoming pregnant before starting this medication.
It is not known whether this medication passes into breast milk or if it will harm a nursing infant. It is recommended you consult your doctor if you are breast feeding.
Do not use this medication to treat a common tension headache.