contains the active ingredient sumatriptan succinate
Consumer Medicine Information
What is in this leaflet
Please read this leaflet carefully before you start taking SUMAGRAN tablets.
This leaflet answers some common questions about SUMAGRAN tablets. It does not contain all of the available information.
It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the expected benefits of you taking SUMAGRAN against the risks this medicine could have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine. You may need to read it again.
What SUMAGRAN is used for
SUMAGRAN contain the active ingredient sumatriptan succinate. This medicine belongs to a group of drugs called serotonin agonists.
SUMAGRAN are used to relieve a migraine attack. They should not be used to prevent migraine attacks from occurring. SUMAGRAN may be used for migraine headaches with or without what is known as 'aura'.
It is thought that migraine headache is due to widening of certain blood vessels in the head.
SUMAGRAN works by making those vessels normal again and eases the symptoms of migraine.
SUMAGRAN does not work in other types of headache that are not a migraine.
Your doctor may have prescribed SUMAGRAN for another reason. Ask your doctor if you have any questions about why SUMAGRAN has been prescribed for you.
SUMAGRAN are not addictive.
SUMAGRAN is available only with a doctor's prescription.
Use in children and adolescents SUMAGRAN is not recommended for use in children and adolescents under 12 years of age, as the safety and efficacy in this age group has not been established.
Use in elderly SUMAGRAN is not recommended for use in elderly patients aged over 65, as experience of its use in this age group is limited.
Before you take SUMAGRAN
When you must not take it
Do not take SUMAGRAN if you are allergic to sumatriptan succinate or any of the ingredients listed at the end of this leaflet. Some of the symptoms of an allergic reaction may include shortness of breath, wheezing or difficulty breathing; swelling of the face, lips, tongue or other parts of the body; rash, itching or hives on the skin.
Do not take SUMAGRAN if you have or have had:
heart disease or heart attack
shortness of breath, pain or tightness in the chest, jaw or upper arm
peripheral vascular disease (pain in the back of the legs) or are prone to cold, tingling or numb hands and feet
Prinzmetal's angina (uncommon form of angina where pain is experienced at rest rather than during activity)
high blood pressure
severe liver disease.
Do not take SUMAGRAN if you have taken any of these medicines in the last 24 hours:
ergotamine (eg Cafergot)
dihydroergotamine (eg Dihydergot)
methysergide (eg Deseril)
naratriptan (eg Naramig)
zolmitriptan (eg Zomig).
Do not take SUMAGRAN if you have taken monoamine oxidase inhibitors (MAOIs), a type of medicine used for depression, in the last two weeks.
Do not take SUMAGRAN if the expiry date (EXP) printed on the pack has passed.
Do not take SUMAGRAN if the packaging is torn or shows signs of tampering.
Before you start to take it
Tell your doctor if you are allergic to foods, dyes, preservatives or any other medicines including those containing sulphur (eg sulphonamide antibiotics) or lactose (SUMAGRAN tablets contain lactose).
Tell your doctor if you are taking or have taken any other medicines in the last two weeks, including those you buy without a prescription, particularly herbal preparations containing St John's wort.
Tell your doctor if you are breastfeeding, pregnant or trying to become pregnant.
Tell your doctor if you have or have had medical conditions like:
liver or kidney problems
heart problems; risk factors including high blood pressure (even it is under control), high blood cholesterol levels, a family history of heart problem, obesity, diabetes, smoking, male and over 40 years of age, female and have undergone menopause
epilepsy, seizures or fits or been told that you are prone to this problem
Tell your doctor if you:
have not had your headache diagnosed as migraine by a doctor
think that this headache is different and worse than your usual migraine
have difficulty moving one side of your body when you have the "migraine" headache
have not responded to your first dose of SUMAGRAN.
If you have not told your doctor about any of the above, tell them before you start taking SUMAGRAN.
Taking other medicines
Tell your doctor if you are taking any other medicines, including those you buy without a prescription from a pharmacy, supermarket or health food shop.
Some medicines may be affected by SUMAGRAN, or may affect how well it works. These include:
triptans such as naratriptan, zolmitriptan
monoamine oxidase inhibitors
St John's wort
other medicines for depression.
Your doctor can tell you what to do if you are taking any of these medicines.
If you are not sure whether you are taking any of these medicines, check with your doctor or pharmacist. Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking SUMAGRAN.
How to take SUMAGRAN
Follow all directions given to you by your doctor and pharmacist carefully. They may differ from the information contained in this leaflet.
If you do not understand what you should do, ask your doctor or pharmacist.
How much to take
The recommended starting dose for adults is 50 mg. However, you may need to have your dose increased to 100 mg. Your doctor will tell you which dose is right for you.
If the first SUMAGRAN tablet helps your migraine, but the migraine comes back later, you may take another SUMAGRAN tablet. Do not take more than 300 mg of SUMAGRAN tablets in any 24-hour period. Six 50 mg or three 100 mg tablets contain 300 mg.
Do not take more SUMAGRAN tablets, or any other form of medications containing sumatriptan, if the first dose has not provided any relief from your symptoms. You may take your usual headache relief medication provided it does not contain ergotamine, dihydroergotamine or methysergide. If you are not sure what to do, ask your doctor or pharmacist.
If your migraine is not relieved by SUMAGRAN, you may use it on another occasion to treat another migraine attack.
Provided there are no side effects, you can use SUMAGRAN to treat at least three separate migraine attacks before you and your doctor decide this medicine is ineffective for you.
How to take SUMAGRAN
Swallow the tablets with a drink of water. Do not crush or chew the tablet as it has a bitter taste.
When to take SUMAGRAN
It is best to take your SUMAGRAN:
when the migraine headache begins, or
when other symptoms of the migraine begin, such as nausea (feeling sick), vomiting or your eyes becoming sensitive to light.
If you take your tablet later during the migraine attack, it will still work for you.
Do not take SUMAGRAN before the above symptoms occur.
If you take too much SUMAGRAN (overdose)
Immediately telephone your doctor, or the Poisons Information Centre (telephone 13 11 26), or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else may have taken too much SUMAGRAN.
Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
While you are taking SUMAGRAN
Things you must do
Tell any other doctors, dentists and pharmacists who treat you that you are taking SUMAGRAN.
If you are about to be started on any new medicine, tell your doctor, dentist or pharmacist that you are taking SUMAGRAN.
Tell your doctor if you become pregnant or are trying to become pregnant while taking SUMAGRAN.
Tell your doctor if, for any reason, you have not taken your medicine exactly as directed. Otherwise, your doctor may think that it is not working and change your treatment unnecessarily.
Things you must not do
Do not give your medicine to anyone else, even if they have the same condition as you.
Do not use SUMAGRAN to treat any other medical complaints unless your doctor tells you to.
Do not change the dosage, without checking with your doctor.
Things to be careful of
Be careful driving or operating machinery until you know how SUMAGRAN affect you. As with many other medicines, SUMAGRAN may cause drowsiness in some people.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking SUMAGRAN. Like all other medicines, SUMAGRAN may have unwanted side effects in some people. Sometimes they are serious, most of the time they are not. You may need medical attention if you get some of the side effects.
Do not be alarmed by this list of possible side effects. You may not experience any of them.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor if you experience any of the following after taking SUMAGRAN:
pain, tingling, heat or flushing in any part of the body
feeling of sleepiness, dizziness or tiredness
nausea (feeling sick) or vomiting
a change in blood pressure
feeling of faintness
problems with your eyesight
pain in the lower tummy and bloody diarrhoea (ischaemic colitis)
shaking or tremors
If you notice any of the following while taking SUMAGRAN, stop taking it and tell your doctor immediately or go to Accident and Emergency at your nearest hospital:
feel heaviness, pressure or tightness in any part of the body including the chest or throat
feel irregular heartbeat
have a fit or convulsion
have persistent purple discolouration and/or pain in the fingers, toes, ears, nose or jaw in response to cold
have wheezing, swelling of the lips or mouth, difficulty in breathing, hay fever, lumpy rash ("hives") or fainting. These could be a symptom of an allergic reaction.
These side effects are likely to be serious. You may need urgent medical attention or hospitalisation.
Other side effects not listed above may also occur in some patients. Tell your doctor if you notice anything that is making you feel unwell.
After using SUMAGRAN
Keep SUMAGRAN where children cannot reach it. A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
Keep the tablets in a cool, dry place where the temperature stays below 25°C.
Keep the tablets in their pack until time to take. If you take it out of the pack, it may not keep well.
Do not store SUMAGRAN in the bathroom or near a sink.
Do not leave SUMAGRAN in the car or on window sills. Heat and dampness can destroy some medicines.
If your doctor tells you to stop taking SUMAGRAN, or the tablets have passed their expiry date, ask your pharmacist what to do with any that are left over.
What it looks like
SUMAGRAN tablets come in two strengths:
SUMAGRAN 50 - white to off-white, round biconvex tablet, embossed with 'SA' over '50' on one side and '>' on the other side. Each pack contains 2 or 4 tablets.
SUMAGRAN 100 - white to off-white, round, biconvex tablet, embossed with 'SA' over '100' on one side and '>' on the other side. Each pack contains 2 tablets.
The active ingredient in SUMAGRAN is sumatriptan (as succinate).
each SUMAGRAN 50 contains 50 mg of sumatriptan
each SUMAGRAN 100 contains 100 mg of sumatriptan.
The tablets also contain:
The tablets do not contain gluten, sucrose, tartrazine or any other azo dyes.
Arrow Pharmaceuticals Pty Ltd
(a member of the Sigma group of companies)
96 Merrindale Drive
Croydon Vic 3136
Tel: 03 - 9839 2800 03 - 9839 2800
Australian registration numbers:
SUMAGRAN 50- AUST R 117670
SUMAGRAN 100- AUST R 117727
Date of preparation:
Published by MIMS/myDr May 2008
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