Imitrex Treatment Report

Category: Prescription Drugs

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Generic Name: Sumatriptan

What is Imitrex?

An example of Imitrex

Imitrex is a brand name for the drug Sumatriptan, a drug which acts on the serotonin system and is used in the treatment of migraine headaches or trigeminal neuralgia.

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
227 49 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
141 23 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
13 1 Efficacy_cant_tell
12 2 Efficacy_moderate Efficacy_slight
11 2 Efficacy_none
5 1 Efficacy_major

See all 295 patients currently taking Imitrex

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Reported Dosages

Frequently reported dosages based on patients currently taking Imitrex. See all 27 dosages

  25 mg as needed 0mg as needed 100mg as needed 50mg as needed 6mg/0.5mL as needed 25mg as needed mg as needed 25 mg daily 50 mg daily 100 mg daily
  2 Number of Patients: 2 2 Number of Patients: 2 124 Number of Patients: 124 63 Number of Patients: 63 38 Number of Patients: 38 29 Number of Patients: 29 8 Number of Patients: 8 4 Number of Patients: 4 3 Number of Patients: 3 7 Number of Patients: 7  

Reported Stop Reasons

Why Patients Stopped Taking Imitrex (multiple reasons could be selected)
Reason # Patients Percentage of patients
Did not seem to work 45   Did not seem to work: 34%
Other 30   Other: 22%
Side effects too severe 27   Side effects too severe: 20%
Doctor's advice 24   Doctor's advice: 18%
Expense 11   Expense: 8%
Not indicated 7   Not indicated: 5%
Course of treatment ended 6   Course of treatment ended: 4%
Change in health plan coverage 4   Change in health plan coverage: 3%
Personal research 2   Personal research: 1%

See all 128 patients who’ve stopped taking Imitrex

Currently Taking Imitrex

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0
0

Stopped Taking Imitrex

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Imitrex

Always
51 62%
Usually
16 20%
Sometimes
10 12%
Never
5 6%

Burden

Difficulty being on treatment

Burden of Imitrex

Very
8 10%
Somewhat
6 7%
A little
13 16%
Not at all
55 67%

Cost

Paid out of pocket

Cost of Imitrex

$200+
4 9%
$100-199
1 2%
$50-99
6 13%
$25-49
8 18%
< $25
26 58%

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15 patient evaluations for Imitrex

Purpose: Migraine (Started Jul 15, 1998)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
May 28, 2012   Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Date
May 28, 2012
Advice & Tips
I was first given this medication with a disabling migraine which had lasted for nearly a month, possibly related to my epilepsy. It was in a clinical trial with another drug as an IV injection. I'm not even sure if that type of treatment is still available, but it was extraordinarily painful has the IV site had to be moved with every injection due to degradation of the veins. However, it got rid of the headache. At that point, I didn't particularly care about anything else. Imitrex by itself is a wonderful medication with which I experienced tremendous relief with absolutely no side effects.
  • Icon_thumb_off 0 helpful marks
  • msnic27
    Sex: F
    Data Quality: 1 star
    MS: 6 yrs
    Type: Relapsing-Remitting
    Sensation: Severe
    Overall: Moderate
    Cognition: moderate
    Vision: moderate
    Speech: moderate
    Swallowing: none
    Upper limb: mild
    Walking: moderate
  • 6089-thumb
  • See msnic27's full Imitrex history
Purpose: Migraine headaches (Started Oct 23, 2006)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Jul 01, 2011 As needed Led_efficacy_2Led_efficacy_2Led_defaultLed_defaultSlight NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Date
Jul 01, 2011
Advice & Tips
Very temporary relief
  • Icon_thumb_off 0 helpful marks
Purpose: Migraine headaches (Started Jan 15, 1985)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Mar 01, 2011 As needed Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major ModerateModerateModerateModerateModerate AlwaysAlwaysAlwaysAlwaysAlways VeryVeryVeryVeryVery
Side effects:
Sleepiness
Date
Mar 01, 2011
Advice & Tips
Works to eliminate the pain in 30 minutes. It seems to help extend the time between migraines. I am a small person, with sensitives to some meds. With Imitrex, I have to buy the single dose vials which I inject myself and don't use the auto injector. A full dose makes my heart race badly, so I use 1/2 the regular dose. (For those who won't self-inject, your doc or walk-in clinic can do it.). I've it's critical to rest or sleep afterward for a while, or the migraine will return within 24 hours.
  • Icon_thumb_off 0 helpful marks
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What is sumatriptan?

Sumatriptan is a headache medicine. It is believed to work by narrowing the blood vessels around the brain. Sumatriptan also reduces substances in the body that can trigger headache pain, nausea, sensitivity to light and sound, and other migraine symptoms.

Sumatriptan tablets and nasal spray are used to treat migraine headaches.

Sumatriptan will only treat a headache that has already begun. It will not prevent headaches or reduce the number of attacks.

Sumatriptan may also be used for other purposes not listed in this medication guide.


Precautions

You should not use this medication if you are allergic to sumatriptan, or if you have:

  • a history of heart disease, angina (chest pain), blood circulation problems, or history of a heart attack or stroke;
  • ischemic bowel disease;
  • severe or uncontrolled high blood pressure; or
  • severe liver disease.

Do not use sumatriptan if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or phenelzine (Nardil) in the past 14 days.

Sumatriptan can cause rare but serious side effects on the heart, including heart attack or stroke. If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication. Before using sumatriptan, tell your doctor if you have:

  • epilepsy or other seizure disorder;
  • high blood pressure;
  • liver disease;
  • kidney disease; or
  • coronary artery disease (or risk factors that include diabetes, menopause, smoking, being overweight, having high blood pressure or high cholesterol, having a family history of coronary artery disease, being older than 40 and a man, or being a woman who has had a hysterectomy).

FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before using sumatriptan, tell your doctor if you are pregnant or plan to become pregnant during treatment.

Your name may need to be listed on a sumatriptan pregnancy registry when you start using this medication.

Sumatriptan can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

This medicine should not be given to anyone under 18 or over 65 years of age.

Do not use sumatriptan within 24 hours before or after taking any of the following medicines:

  • almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt, Maxalt-MLT), or zolmitriptan (Zomig); or
  • ergot medicine such as methysergide (Sansert), ergotamine (Ergomar, Ergostat, Cafergot, Ercaf, Wigraine), dihydroergotamine (D.H.E. 45, Migranal Nasal Spray), ergonovine (Ergotrate), methylergonovine (Methergine).

Sumatriptan can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

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Instructions

Seek emergency medical attention if you think you have used too much of this medicine, or if anyone else has accidentally swallowed it.

Overdose symptoms may include tremors or shaking, skin redness, breathing problems, blue-colored lips or fingernails, vision problems, watery eyes or mouth, weakness, lack of coordination, or seizure (convulsions).

Since sumatriptan is used as needed, it does not have a daily dosing schedule. Call your doctor promptly if your symptoms do not improve after using sumatriptan.

After taking a sumatriptan tablet, you must wait two (2) hours before taking a second tablet. Do not take more than 200 mg of sumatriptan tablets in 24 hours.

After using sumatriptan nasal spray, you must wait two (2) hours before using a second spray. Do not use more than 40 mg of sumatriptan nasal spray in 24 hours.

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Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using sumatriptan and call your doctor if you have a serious side effect such as:

  • chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
  • sudden numbness or weakness, especially on one side of the body;
  • sudden headache, confusion, problems with vision, speech, or balance;
  • fast heart rate, agitation, muscle stiffness, hallucinations, lack of coordination, with nausea, vomiting, or diarrhea;
  • sudden and severe stomach pain and bloody diarrhea;
  • seizure (convulsions); or
  • numbness or tingling and a pale or blue-colored appearance in your fingers or toes.

Less serious side effects may include:

  • nausea, vomiting, diarrhea;
  • muscle pain;
  • warmth or redness under your skin;
  • pressure or heavy feeling in any part of your body;
  • sneezing, runny nose, congestion, cough;
  • burning, numbness, pain or other irritation in your nose or throat after using the nasal spray;
  • unusual taste in your mouth after using the nasal spray;
  • dizziness, sleepiness; or
  • drooling or sweating.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may report side effects to FDA at 1-800-FDA-1088.

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Interactions

Before using sumatriptan, tell your doctor if you are using any of the following drugs:

  • an antidepressant such as citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or venlafaxine (Effexor).

This list is not complete and there may be other drugs that can affect sumatriptan. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Other Names

Imitrex, Imitrex Nasal, Imitrex Statdose, Imitrex Statdose Refill, and sumatriptan

Available Strengths & Dosages


Route Form Strength
oral tablet 25 mg
subcutaneous solution 6 mg/0.5 mL
subcutaneous kit 6 mg/0.5 mL
oral tablet 50 mg
oral tablet 100 mg

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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