Zolmist 5Mg Bottle Of 0.7Ml Nasal Spray

• You have ischaemic heart disease - angina, a previous heart attack, or silent ischaemia found on testing.
• You have symptoms or test findings suggesting ischaemic heart disease, coronary artery spasm including Prinzmetal angina, or any other significant heart or circulatory disease.
• You have had a stroke of any type, or a transient ischaemic attack.
• Your migraine is the hemiplegic or basilar type.
• Your blood pressure is high and not controlled.
• You have used an ergotamine-type medicine, or another triptan, within the past day.
• You take a monoamine oxidase-A inhibitor, or stopped one recently.
• You are allergic to zolmitriptan or to any other ingredient of this spray.

• An unusual or bitter taste
• Tingling or altered sensation
• Discomfort in the nose or throat
• Throat pain
• Nausea
• Drowsiness
• Dizziness
• A feeling of weakness
• Dry mouth
• Chest pain, chest tightness, or pain spreading to the jaw, neck or arm - seek medical help straight away
• Tightness or pressure in the throat - seek medical help straight away
• A sudden severe headache unlike your usual migraine, weakness on one side, difficulty speaking, or loss of vision - seek medical help straight away
• Cold, numb or painful hands or feet, or a bluish colour in the fingers or toes - seek medical help straight away
• Agitation, confusion, fever, sweating, shivering, muscle twitching or a racing heart - these together can mean too much serotonin activity - seek medical help straight away
• Severe stomach pain or bloody diarrhoea - seek medical help straight away
• A rash, itching, or swelling of the face, lips or throat - seek medical help straight away

Other General Warnings

• Tell your doctor if you have any heart condition, chest pain, high blood pressure, high cholesterol, diabetes, or a strong family history of heart disease, and if you smoke. Your doctor will assess your heart before prescribing this spray, and may want the first dose taken in a medical setting.
• Tell your doctor about every medicine you take, including antidepressants, other migraine medicines, and anything bought without a prescription.
• Stop and seek help if the headache changes in character, becomes the worst you have had, or comes with weakness, slurred speech or visual loss. Treating a headache that is not migraine can delay the right diagnosis.
• Tell your doctor if you need this spray on more days than not, or if your headaches are becoming more frequent. Frequent use of any acute migraine medicine can itself drive headaches.
• This spray has not been studied in people using it for a large number of attacks in a month, so your doctor will set a limit and review how often you need it.

• Use this spray exactly as your doctor has told you.
• Use it as soon as the migraine headache begins. Treating early works better than waiting for the pain to build.
• Blow your nose gently first.
• Take off the protective cap. Hold the bottle with your forefinger and middle finger either side of the nozzle and your thumb underneath.
• Prime the pump before the first use, and again if the spray has not been used for more than two days, so that a full dose is delivered. Point the nozzle away from you and press down to prime.
• Close one nostril with a finger. Put the nozzle into the other nostril, tilt your head back slightly, breathe in gently through that nostril and press down firmly to release the spray.
• Breathe gently in through the nose and out through the mouth for a few seconds afterwards. Do not sniff hard, as that carries the spray down the throat and wastes it.
• Wipe the nozzle with a clean tissue and put the cap back on.
• An unusual or bitter taste afterwards is common and does not mean the spray has gone wrong.
• Lie down somewhere quiet and dark if that helps you.
• Do not use more than your doctor has advised, and do not use it to prevent an attack.

• Keep the bottle in its carton, with the cap on, out of the sight and reach of children.
• Do not freeze it.
• Do not use it after the expiry date printed on the pack.
• Do not flush it down the toilet or put it in household rubbish. Return unused or expired spray to a pharmacy for disposal.

• Use it as soon as the headache starts. Early treatment works better than waiting to see whether the attack builds.
• Prime the pump before the first use and after a gap of more than two days, or the spray may not deliver a full dose.
• Breathe gently through the nose after spraying. Sniffing hard sends the medicine down the throat instead of onto the nasal lining.
• Expect a bitter or odd taste for a short while. It is harmless and is not a sign the spray has failed.
• Stop and seek urgent help for chest pain or tightness, or pain spreading to the jaw, neck or arm.
• Do not use any other triptan or any ergotamine-type migraine medicine within a day of this spray, in either order.
• Tell your doctor if you are using it on more days than not, or if attacks are getting more frequent - acute migraine medicines can themselves drive headaches when used often.
• Keep a simple record of your attacks and what you used. It helps your doctor judge whether you need preventive treatment.
• Tell any doctor who prescribes for you, including a dentist, that you use a triptan.
• Do not share this spray. A severe headache in someone else may not be migraine.

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