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Each Sumarex™ film coated tablet contains a single dose of sumatriptan, which belongs to a group of medicines called triptans (also known as 5-HT1 receptor agonists). Sumarex™ is used to treat migraine headache. Migraine symptoms may be caused by the temporary widening of blood vessels in the head. Sumarex™ is believed to reduce the widening of these blood vessels. This in turn helps to take away the headache and relieve other symptoms of a migraine attack, such as feeling or being sick (nausea or vomiting) and sensitivity to light and sound. How to use When to take Sumarex™ It’s best to take Sumarex™ as soon as you feel a migraine coming on, although - you can take it at any time during an attack Don’t use Sumarex™ to try to prevent an attack - only use it after your migraine symptoms start. How much to take Adults aged 18 to 65 The usual dose for adults aged 18 to 65 is one Sumarex™ 50 mg tablet, swallowed whole with water. Some patients may need a 100 mg dose - you should follow your doctor’s advice. Children under 18 Sumarex™ is not recommended for children under 18 years old. Elderly (aged over 65) Sumarex™ is not recommended for people aged over 65. If your symptoms start to come back You can take a second Sumarex™ tablet if at least 2 hours have passed since the first tablet. Don’t take more than 300 mg in total in 24 hours. Warnings and precautions Don’t use Sumarex™: If you’re allergic to sumatriptan, or any of the other ingredients of this medicine If you have a heart problem such as narrowing of the arteries (Ischaemic heart disease) or chest pains (angina), or have already had a heart attack If you have circulation problems in your legs that cause cramp like pains when you walk (peripheral vascular disease) If you have had a stroke or a mini-stroke (also called a transient ischaemic attack or TIA) If you have high blood pressure. You may be able to use Sumarex™ if your high blood pressure is mild and is being treated If you have serious liver disease With other migraine medicines, including those which contain ergotamine, or similar medicines such as methysergide maleate; or any triptan or 5HT1 agonist (such as naratriptan or zolmitriptan) With any of the following anti-depressants: - MAOIs (monoamine oxidase inhibitors) or if you have taken an MAOI in the last 2 weeks - SSRIs (selective serotonin reuptake inhibitors) including citalopram, fluoxetine, fluvoxamine, paroxetine and sertaline - SNRIs (serotonin noradrenaline reuptake inhibitors) including venlafaxine and duloxetine For children under 18 years of age. If any of these apply to you: Tell your doctor, and don’t use Sumarex™ tablets. Take special care with Sumarex™ Talk to your doctor or pharmacist before using Sumarex™. If you have any extra risk factors If you are a heavy smoker, or using nicotine replacement therapy, and especially If you are a man aged over 40, or If you are a woman who has been through the menopause. Side Effects Like all medicines, this medicine can cause side effects, but not everybody gets them. Some symptoms may be caused by the migraine itself. Allergic reaction: get doctor’s help straight away The following side effects have occurred but their exact frequency is not known. The signs of allergy include rash, hives (itchy rash); wheezing; swollen eyelids, face or lips; complete collapse. If you get any of these symptoms soon after using Sumarex™: Don’t use any more. Contact a doctor straight away. Common side effects (affect up to 1 in 10 people) Pain, heaviness, pressure or tightness in the chest, throat or other parts of the body, or unusual sensations, including numbness, tingling and warmth or cold. These effects may be intense but generally pass quickly. If these effects continue or become severe (especially the chest pain): Get medical help urgently. In a very small number of people these symptoms can be caused by a heart attack. Storage Information Do not store above 30 °C. Drug Interactions You must tell your doctor if you are taking: Ergotamine also used to treat migraine, or similar medicines such as methysergide (see section 2 Don’t use Sumarex™). Don’t use Sumarex™ at the same time as these medicines. Stop taking these medicines at least 24 hours before using Sumarex™. Don’t take any medicines which contain ergotamine or compounds similar to ergotamine again for at least 6 hours after using Sumarex™. Other triptans/5-HT1 receptor agonists (such as naratriptan, rizatriptan, zolmitriptan), also used to treat migraine, (see section 2 Don’t use Sumarex™). Ingredients The active substance is: Sumarex™ 100mg: Each Film Coated Tablet contains 100 mg of Sumatriptan eq.to 140 mg of Sumatriptan Succinate.
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