Migranal - Dihydroergotamine - Nasal Brand Drug

General Information

• Below is miscellaneous information regarding Migranal.
• Migranal
• dye-HI-dro-er-GOT-uh-meen

Migranal Storage Instructions

• Once the spray applicator has been prepared for use, it must be discarded within 8 hours, even if some drug remains.
• Store at room temperature between 46 and 77 degrees F (8-25 degrees C) away from light and moisture.
• This drug cannot be refrigerated or frozen.

Read Before Using Migranal (precautions)

• Tell your doctor your medical history, especially of.

Drug Compatibility Recommendations

• Tell your doctor of all nonprescription and prescription medication you may use, especially.

Overdose

• If overdose is suspected, contact your local poison control center or emergency room immediately.
• Symptoms of overdose may include numbness, tingling, or pain in fingers or toes; nausea; vomiting; slowed breathing; lightheadedness; fainting; headache; fast heartbeat; flushing; confusion; seizures; and coma.

Usage Instructions

• Use exactly as directed and do not use more often than prescribed.
• Learn the proper technique for assembly and use of the nasal spray device.
• Spray applicator must be primed (pumped 4 times) before use.
• Consult your pharmacist.
• This drug is meant to be absorbed through the nostril.
• Do not inhale deeply through the nose while spraying.
• Use at the first sign of headache.
• The usual dose is one spray into each nostril.
• Repeat one spray into each nostril 15 minutes later.
• Full relief usually begins in 30 minutes.
• Four sprays total (2 sprays into each nostril) are advised for a single attack.
• In the U.
• S.
• , 6 sprays per day (3 sprays in each nostril) and 8 sprays per week (4 sprays in each nostril) are the maximum doses that should be used.
• Do not use daily on a regular basis.
• Consult your doctor or pharmacist regarding how and when to treat additional migraine attacks.
• Avoid eating grapefruit or drinking grapefruit juice at any time while using this medication unless your doctor instructs you otherwise.
• Other "ergot" drugs (for example, ergotamine), methysergide or "triptan-type" drugs (for example, sumatriptan) should not be used within 24 hours of this drug.

Possible Side Effects

• Stuffy or runny nose, sore throat, stomach upset, diarrhea, drowsiness, change in taste sensation and irritation in the nostrils may occur.
• If these effects persist or worsen, notify your doctor.
• Unlikely but report promptly.

Warning

• Infrequently, a very serious, life-threatening decrease in the amount of blood supply to the hands and feet (peripheral ischemia) and rarely to the brain can occur when this medication is taken with drugs that affect liver metabolism (for example, potent CYP 3A4 enzyme inhibitors).
• Do not take this medication with macrolide antibiotics (for example, erythromycin, clarithromycin, troleandomycin), protease inhibitors (for example, ritonavir, nelfinavir, indinavir, amprenavir, saquinavir), azole antifungals (for example, ketoconazole, itraconazole).

What To Do In Case Of Missed Dose

• This medication is not used on a regularly scheduled basis.
• It is used on an "as needed" basis and is to be used only as directed by your doctor.

Medicinal Applications

• This medication is used to treat migraine headache attacks.
• It is not used to prevent migraines from occurring.

Migranal Miscellaneous Notes

• Do not share this medication with others.