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Imigran Nasal Spray 20mg

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Imigran Nasal Spray is a quick-acting treatment for migraines, providing effective relief from severe headache pain and related symptoms. Each dose contains sumatriptan, a powerful triptan medication that helps ease migraine attacks by constricting the blood vessels in the brain. This single-use nasal spray offers a practical solution for those who struggle with swallowing tablets. Available in 10mg and 20mg strengths, it works best when used at the first sign of a migraine and typically provides relief within 30 minutes. If you’re looking for rapid and effective migraine relief, Imigran Nasal Spray is a great choice for managing intense migraine episodes.

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Imigran Nasal Spray 20mg
SKU: IMISPR20 Category: Tags: ,

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1 x 2 sprays, 2 x 2 sprays, 3 x 3 sprays

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Overview

Active ingredients

What is it for?

How does it work?

How do you use it?

Warnings and precautions

Side effects

Drug interactions

FAQs

Download patent leaflet

Written By
Shazlee Ahsan
BSc Pharmacy, Independent Prescriber, PgDip Endocrinology, MSc Endocrinology, PgDip Infectious Diseases

Superintendant Pharmacist, Independent Prescriber


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What is Imigran Nasal Spray 20mg?

Imigran Nasal Spray is a fast-acting treatment for acute migraines. It contains sumatriptan, a triptan medication that helps relieve migraine symptoms by targeting serotonin receptors in the brain. The nasal spray form allows for quick absorption, providing relief from headache, nausea, and light or sound sensitivity.

Administered as a single spray into one nostril, it can be used up to twice in 24 hours if needed. This treatment is ideal for individuals who have trouble swallowing tablets during a migraine. However, it should be used with caution in people with certain health conditions, so it’s important to consult a healthcare provider before use to ensure it’s the right choice for you.

You can purchase Imigran Nasal Spray online from courierpharmacy.co.uk after completing the online consultation form.

What is the Active Ingredient in Imigran Nasal Spray 20mg?

The active ingredient in Imigran Nasal Spray is sumatriptan. This medication works by targeting serotonin receptors in the brain to help relieve migraine symptoms.

You can purchase Imigran Nasal Spray online from courierpharmacy.co.uk after completing the online consultation form.

What is Imigran Nasal Spray 20mg Used For?

Imigran Nasal Spray 20mg is designed for the fast treatment of migraine attacks. It contains sumatriptan, a triptan medication that works by targeting serotonin receptors in the brain. This helps to relieve common migraine symptoms such as intense headaches, nausea, and sensitivity to light and sound. The nasal spray allows for quick absorption through the nasal passages, offering rapid relief. It is most effective when used at the start of a migraine and can be taken up to twice within 24 hours if necessary.

How Does Imigran Nasal Spray 20mg Work?

Imigran Nasal Spray 20mg works by delivering sumatriptan directly to the nasal passages. Sumatriptan is a selective serotonin receptor agonist that helps reduce migraine pain. Although the exact cause of migraines is not fully understood, they are thought to occur when blood vessels in the brain expand, causing throbbing pain. Sumatriptan helps by mimicking serotonin, a chemical that narrows these blood vessels, easing the pain.

For the best results, use Imigran Nasal Spray at the beginning of a migraine attack. It usually begins to work in about 30 minutes and provides relief from symptoms like severe headaches. While it doesn't prevent migraines, it can be used alongside other preventive treatments, such as propranolol.

 

How to Use Imigran Nasal Spray 20mg

When Should You Use Imigran Nasal Spray?

Imigran Nasal Spray should be used once a migraine headache has started. It is not for preventing migraines. For the best results, use it as soon as you feel the symptoms of a migraine beginning, although it can still be effective if used later in the attack.

How Much Imigran Nasal Spray Should You Use?

  • Adults (18-65 years): The usual dose is one 20 mg spray in one nostril. If necessary, a 10 mg spray may also be effective. Do not exceed two sprays in a 24-hour period.
  • Adolescents (12-17 years): The typical dose is one 10 mg spray in one nostril.
  • Children under 12: Imigran Nasal Spray is not recommended for children under 12.
  • Older Adults (over 65 years): Imigran Nasal Spray is not recommended for those over 65 years.

What to Do if Symptoms Return

If your migraine symptoms come back after using Imigran Nasal Spray, you can use a second spray after 2 hours. Do not exceed two sprays in a 24-hour period.

What if the First Spray Doesn’t Work?

If the first spray doesn't relieve your migraine, do not use a second spray or any other Imigran product for the same migraine attack. Consult a healthcare professional for further advice.

What if You Use Too Much Imigran Nasal Spray?

Do not use more than two sprays within a 24-hour period. Overuse may lead to side effects. If you have used more than the recommended dose, contact your doctor immediately.

How to Use Imigran Nasal Spray

  • Remove the spray from the packaging just before use and ensure it is sealed.
  • Find a comfortable position, preferably sitting.
  • Blow your nose if it's blocked.
  • Hold the spray with your thumb and fingers, without pressing the blue plunger.
  • Block one nostril by pressing a finger against the side of your nose. The nostril you choose is up to you.
  • Insert the nozzle into the other nostril, about 1 cm (½ inch) deep, and breathe out gently through your mouth.
  • Keep your head upright and mouth closed. Gently inhale through your nose while pressing the blue plunger firmly. You may hear a click.
  • Remove the nozzle and your finger from your nose, then breathe in gently through your nose and out through your mouth for 10-20 seconds to keep the medicine in your nose.
  • Dispose of the used spray safely.

For further guidance or questions on using Imigran Nasal Spray, contact your doctor or pharmacist.

You can purchase Imigran Nasal Spray online from courierpharmacy.co.uk after completing the online consultation form.

Who Should Not Use Imigran Nasal Spray 20mg?

Do not use Imigran Nasal Spray if you:

  • Are allergic to sumatriptan or any other ingredients in the product (refer to the patient information leaflet).
  • Have a heart condition, such as ischemic heart disease (narrowing of arteries), angina (chest pain), or a history of heart attack.
  • Suffer from peripheral vascular disease (circulation problems causing pain in the legs while walking).
  • Have had a stroke or a transient ischemic attack (TIA, also known as a mini-stroke).
  • Have high blood pressure (Imigran can be used if it’s mild and well-controlled).
  • Have severe liver disease.
  • Are taking other migraine medications like ergotamine, methysergide, or other triptans/5-HT1 receptor agonists.
  • Are on monoamine oxidase inhibitors (MAOIs) or have used them in the past two weeks.

If any of these apply to you, do not use Imigran Nasal Spray. Contact your doctor for advice.

Take Special Care With Imigran if:

  • You smoke heavily or are using nicotine replacement therapy, especially if you're over 40 or postmenopausal. There have been rare cases of serious heart problems after using Imigran in those without previous heart disease. Your doctor may monitor your heart function before prescribing Imigran.
  • You have a history of seizures or other conditions that might increase seizure risk, such as head injury or alcoholism. Inform your doctor for extra monitoring.
  • You have liver or kidney disease. Let your doctor know for closer monitoring.
  • You are allergic to sulphonamide antibiotics. If you're unsure about this allergy, consult your doctor or pharmacist before using Imigran.
  • You are on selective serotonin reuptake inhibitors (SSRIs) or serotonin-noradrenaline reuptake inhibitors (SNRIs). Notify your doctor or pharmacist before using Imigran to check for potential interactions.
  • You frequently use Imigran. Overuse can worsen headaches. Let your doctor know if this is the case, as they may recommend stopping Imigran.

What to Do if You Experience Chest Pain or Tightness

If you experience chest pain or tightness after using Imigran, these symptoms may be intense but usually resolve quickly. If they persist or become severe, seek medical help immediately.

Pregnancy and Breastfeeding

  • If you are pregnant, suspect you may be pregnant, or plan to become pregnant, consult your doctor before using Imigran. While there is limited information on its safety during pregnancy, no evidence suggests an increased risk of birth defects. Your doctor will help decide if Imigran is suitable for you.
  • Avoid breastfeeding for 12 hours after using Imigran. If you pump breast milk during this time, discard it and do not feed it to your baby.

Driving and Using Machinery

Migraine symptoms or the effects of the medication may cause drowsiness. If you feel drowsy, avoid driving or operating machinery.

You can purchase Imigran Nasal Spray online from courierpharmacy.co.uk after completing the online consultation form.

What Are the Side Effects of Imigran Nasal Spray 20mg?

Like all medicines, Imigran Nasal Spray can cause side effects, although not everyone will experience them. Some side effects may be linked to the migraine itself.

Allergic Reactions

If you have an allergic reaction, such as:

  • Rash, hives (itchy rash), wheezing, swelling of the eyelids, face, or lips, or sudden collapse
  • Seek medical help immediately. If these symptoms occur after using Imigran, stop using it and contact your doctor straight away.

Very Common Side Effects (affect more than 1 in 10 people)

  • Unpleasant taste.

Common Side Effects (affect up to 1 in 10 people)

  • Chest, throat, or body pressure, tightness, or pain, along with unusual sensations like numbness, tingling, or warmth/cold. These effects are intense but usually go away quickly. Seek urgent medical help if they persist or worsen, as they can sometimes indicate a heart attack.
  • Nasal or throat irritation or burning sensation; nosebleeds.
  • Nausea or vomiting, which may be related to the migraine.
  • Tiredness or drowsiness.
  • Dizziness, weakness, or hot flushes.
  • Temporary increase in blood pressure.
  • Shortness of breath.
  • Muscle aches.

Very Rare Side Effects (affect up to 1 in 10,000 people)

  • Changes in liver function. If you have a liver function test, inform your doctor that you are using Imigran.

Rarely Reported Side Effects (frequency unknown)

  • Seizures, tremors, temporary muscle spasms affecting the jaw, and neck stiffness.
  • Visual disturbances such as flickering, reduced vision, double vision, loss of vision, or permanent defects (these may also be related to the migraine).
  • Heart issues, including changes in heart rate or rhythm, chest pain, or heart attack.
  • Raynaud’s phenomenon, which causes pale or blue-tinged skin and pain in extremities in response to cold or stress.
  • Fainting due to low blood pressure.
  • Abdominal pain on the lower left side and bloody diarrhea (ischemic colitis).
  • Diarrhea.
  • Increased pain at sites of recent injury or inflammation, or joint pain.
  • Anxiety, difficulty swallowing, excessive sweating.

Reporting Side Effects

If you experience any side effects, even those not listed above, consult your doctor, pharmacist, or nurse. You can also report side effects directly through the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or by downloading the MHRA Yellow Card app on the Google Play or Apple App Store. Reporting side effects helps gather more information on the safety of this medication.

You can purchase Imigran Nasal Spray online from courierpharmacy.co.uk after completing the online consultation form.

Does Imigran Nasal Spray 20mg Interact with Other Medicines?

Inform Your Doctor or Pharmacist

It is important to tell your doctor or pharmacist if you are currently taking, have recently taken, or plan to take any other medications, including herbal products or over-the-counter medicines. Some medications should not be used with Imigran, while others may cause unwanted effects when taken together. Be sure to inform your doctor if you are taking any of the following:

Ergotamine or Similar Medicines

  • Medications like methysergide, which are used to treat migraines, should not be used with Imigran. Stop using these medicines at least 24 hours before taking Imigran, and wait at least 6 hours after using Imigran before taking any ergotamine-containing medicines again.

Other Triptans or 5-HT1 Receptor Agonists

  • Medicines like naratriptan, rizatriptan, and zolmitriptan, also used to treat migraines, should not be used together with Imigran. Discontinue these medications at least 24 hours before using Imigran, and wait at least 24 hours before using another triptan or 5-HT1 receptor agonist.

SSRIs or SNRIs

  • Medications like selective serotonin reuptake inhibitors (SSRIs) or serotonin-noradrenaline reuptake inhibitors (SNRIs), used for treating depression, may cause serotonin syndrome if combined with Imigran. This condition can cause symptoms like confusion, sweating, hallucinations, rapid heartbeat, muscle spasms, and shivering. If you experience any of these symptoms, seek medical help immediately.

MAOIs

  • Do not use Imigran if you have taken monoamine oxidase inhibitors (MAOIs) within the last 2 weeks, as this can cause serious interactions.

St John’s Wort

  • Herbal remedies containing St John’s Wort can increase the risk of side effects when used with Imigran.

Make sure to discuss any medications you are using with your healthcare provider before using Imigran Nasal Spray. You can also purchase Imigran Nasal Spray from courierpharmacy.co.uk after completing the online consultation form.

Imigran Nasal Spray 20mg FAQs

What is Imigran and what is it used for?

Imigran Nasal Spray is a medication used to relieve the symptoms of migraines. It contains sumatriptan, a type of 'triptan' that is commonly prescribed for migraine treatment. This nasal spray is especially useful for individuals who have difficulty swallowing tablets and is available in single-use doses of 10mg or 20mg.

How does Imigran work?

Migraines are thought to occur when blood vessels in the brain expand, causing throbbing pain. Imigran works by stimulating serotonin receptors in the brain, which causes these blood vessels to narrow and helps alleviate the pain. For the best results, use the spray at the beginning of a migraine attack, but it can still be effective if used later.

What is a migraine?

A migraine is a severe type of headache that affects around 25% of women and 8% of men in the UK. Various factors can trigger migraines, including genetics, alcohol, stress, sleep disturbances, and hormonal changes in women. Common symptoms include intense, pulsing pain, nausea, and sensitivity to light, sound, and smells. Migraines can last from a few hours to several days, often followed by fatigue.

What are the alternatives to Imigran?

Other treatments for migraines include over-the-counter options like paracetamol, ibuprofen, aspirin, or Migraleve. For more advanced options, Vydura is a newer treatment available through The Independent Pharmacy.

What are the warnings for Imigran?

Imigran Nasal Spray should not be used if you have had a heart attack, stroke, circulation issues, high blood pressure, liver disease, or are using MAOIs or other triptans. If you are at high risk of heart disease or have a history of epilepsy, or if you experience chest tightness after using Imigran, consult your doctor before use.

How should Imigran be used?

To get the best results, use Imigran Nasal Spray as soon as you notice the start of a migraine. Spray 10-20mg into one nostril. If needed, you can take another dose after at least two hours. Follow these steps:

  • Blow your nose if necessary.
  • Hold the spray and insert the nozzle into one nostril.
  • Block the other nostril with a finger.
  • Press the blue plunger while gently inhaling.
  • After use, breathe in gently through your nose for 10 seconds, then dispose of the used spray.

What are the ingredients in Imigran?

Imigran Nasal Spray contains sumatriptan as the active ingredient. The inactive ingredients include potassium dihydrogen phosphate, dibasic sodium phosphate anhydrous, sulfuric acid, sodium hydroxide, and purified water.

What are the side effects of Imigran?

Common side effects may include chest or throat tightness, tingling sensations, nasal or throat irritation, nosebleeds, nausea, tiredness, dizziness, hot flushes, aches, and shortness of breath. If any of these effects concern you, stop using the spray and contact your doctor or pharmacist.

You can purchase Imigran Nasal Spray online from courierpharmacy.co.uk after completing an online consultation form.

Download patient leaflet

https://www.medicines.org.uk/emc/files/pil.2214.pdf

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Checked By
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Written By
Shazlee Ahsan
BSc Pharmacy, Independent Prescriber, PgDip Endocrinology, MSc Endocrinology, PgDip Infectious Diseases

Superintendant Pharmacist, Independent Prescriber


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