Imitrex is used to treat migraine headaches. Imitrex targets the blood vessels and the nerves which cause the migraine headaches. Information presented here is general, should you have any further questions please contact your personal healthcare practitioner.
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Often, serotonin levels in the brain become extremely low before
the onset of a migraine. Sumatriptan is administered to aid in leveling
the serotonin levels in the brain. Sumatriptan is structurally similar
to serotonin, and is a 5-HT (types 5-HT1D and 5-HT1B) agonist, which
is one of the receptors to which serotonin binds. The specific receptor
subtype it activates is present in the cranial and basilar arteries.
Activation of these receptors causes vasoconstriction of those dilated
arteries. Sumatriptan is also shown to decrease the activity of
the trigeminal nerve, which probably accounts for sumatriptan's
efficacy in treating cluster headaches. The injectable form of the
drug has been shown to abort a cluster headache within fifteen minutes
in 96% of cases.This type of headache is extremely painful and debilitating.
Imitrex is used to treat migraine headache attacks once they occur. It is not effective in preventing migraines. Imitrex is not to be used for other types of headaches.One dose is taken by mouth at the first signs of a migraine attack. If you must take a second dose, do so exactly as instructed by your doctor. Do not take more than 200mg in a 24 hour period. Tablets are to be swallowed whole with a glass of water. Do not crush or chew them.
Large doses of sumatriptan (200 mg/day) can cause sulfhemoglobinemia,
a rare condition in which the blood changes from red to greenish-black,
due to the integration of sulfur into the hemoglobin molecule. If
sumatripan is discontinued, the condition reverses within a few
weeks.
In reproductive toxicity studies in rats and rabbits, oral treatment with sumatriptan was associated with embryolethality, fetal abnormalities, and pup mortality When administered by the intravenous route to rabbits, sumatriptan has been shown to be embryolethal. There are no adequate and well-controlled studies in pregnant women. Therefore, IMITREX should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. In assessing this information, the following findings should be considered.
Patients (N = 670) have received single oral doses of 140 to 300
mg without significant adverse effects. Volunteers (N = 174) have
received single oral doses of 140 to 400 mg without serious adverse
events. Overdose in animals has been fatal and has been heralded
by convulsions, tremor, paralysis, inactivity, ptosis, erythema
of the extremities, abnormal respiration, cyanosis, ataxia, mydriasis,
salivation, and lacrimation. The elimination half-life of sumatriptan
is approximately 2.5 hours , and therefore monitoring of patients
after overdose with IMITREX Tablets should continue for at least
12 hours or while symptoms or signs persist.