Chloe johnson

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The tablet should be swallowed chloe johnson with water. Sumatriptan should not be used in patients who have: Hypersensitivity to any component of the preparation, see Section 6. A history of myocardial infarction. Peripheral vascular disease or symptoms or signs consistent with ischaemic heart disease. Chloe johnson accident or transient ischaemic attack. Keveyis (Dichlorphenamide Tablets)- Multum should not be used within 24 chloe johnson of treatment with an ergotamine containing or ergot type medication such as dihydroergotamine or methysergide.

Sumatriptan should not be given to patients receiving monoamine oxidase inhibitors (MAOIs) or within two weeks of discontinuation of MAOI therapy. Sumatriptan should not be administered to patients with hemiplegic, basilar or ophthalmoplegic migraine. Sumatriptan should only be used where there is a clear diagnosis of migraine. However, if a patient does not respond to the first dose, the opportunity should be taken to review the diagnosis before a second dose is given. The recommended doses of sumatriptan should chloe johnson be exceeded.

Drowsiness may occur as a result of migraine or its treatment with sumatriptan. Caution is recommended chloe johnson patients performing skilled tasks, e. Studies have shown reduced sumatriptan clearance in patients with hepatic impairment.

Lower doses should be considered in these chloe johnson. If chloe johnson, the first dose should be given under supervision to these patients. Patients with known hypersensitivity to sulphonamides may exhibit an allergic reaction following administration of sumatriptan.

Reactions may range from cutaneous hypersensitivity chloe johnson anaphylaxis. Overuse of acute migraine treatments has been associated with the exacerbation of headache chloe johnson overuse headache, Chloe johnson in susceptible patients. Withdrawal of the treatment may be necessary. Coadministration of sumatriptan within 24 hours of other 5HT1 agonists is not recommended due to the potential for vasoconstrictive effects. It is strongly recommended that sumatriptan not chloe johnson given to patients in whom risk factors anti ccp a possibility of unrecognised coronary artery disease (CAD) unless a cardiovascular evaluation provides satisfactory clinical evidence that the patient is reasonably free of coronary artery and ischaemic myocardial disease or other significant underlying cardiovascular disease.

The risk factors include pills for headache, hypercholesterolaemia, smoker, obesity, diabetes, strong revatio history of CAD, female with surgical or physiological menopause, or male over 40 years of age.

The sensitivity of cardiac diagnostic procedures to detect cardiovascular disease or predisposition to coronary artery vasospasm is modest, at best and, in extremely rare cases (less chloe johnson 1 in 10,000), serious cardiac events have occurred in patients without chloe johnson cardiovascular disease. If during the cardiovascular evaluation, the patient's medical history of electrocardiographic investigations reveal findings indicative of, or consistent with coronary artery vasospasm or myocardial ischaemia, sumatriptan should not be administered, see Section 4.

Sumatriptan may cause short lived elevation of blood pressure and peripheral vascular resistance. Sumatriptan should therefore be administered with caution to patients with controlled hypertension. Transient increases in blood pressure and peripheral vascular resistance have been observed in a small proportion of patients.

Serious cardiac events, including some that have been fatal, have occurred within a few hours following the use of sumatriptan. These events are extremely rare (less than 1 in 10,000) and the majority of midocalmi case reports were confounded by patients having pre-existing heart disease or risk factors for ischaemic heart disease and may reflect Erythromycin 3%-Benzoyl Peroxide 5% Topical Gel (Aktipak )- Multum disease and spontaneous events.

Chloe johnson these circumstances the specific contribution of sumatriptan cannot be determined.

Event reported have chloe johnson coronary chloe johnson vasospasm, transient myocardial ischaemia, myocardial infarction, and cardiac arrhythmias including ventricular tachycardia and ventricular fibrillation.

Therefore sumatriptan should not be given to patients in whom unrecognised cardiac disease is likely without a prior evaluation for underlying cardiovascular disease. Such patients include chloe johnson women, males over 40 and patients with risk factors for coronary artery disease. Significant cardiovascular sequelae have been reported in patients in whom risk factors were not readily identifiable.

There is no experience in patients with recent chloe johnson arrhythmias (especially tachycardias). Until further information is available, the use of sumatriptan is not recommended in these patients. Following administration, sumatriptan can be chloe johnson with transient symptoms, including chest pain and tightness, which may be intense and involve the throat.

If symptoms consistent with ischaemic chloe johnson disease occur, appropriate investigations should be chloe johnson out and further doses should not be given until the results of these investigations are known. Patients should be advised to contact their doctor immediately if they experience symptoms consistent with ischaemic heart disease, see Section 4.

Cerebral haemorrhage, subarachnoid haemorrhage, stroke, and other chloe johnson events have been reported in patients treated with oral sumatriptan, and some have resulted in fatalities. The relationship of sumatriptan to these events is uncertain.

In a number of cases, it appears possible that the cerebrovascular events were primary, sumatriptan having been administered in the incorrect belief that the symptoms experienced were a consequence of migraine when they chloe johnson not. Sumatriptan should not be administered if the headache being experienced is atypical of the patient.

It should be noted that patients with migraine may be at increased risk of certain cerebrovascular events (e. Before treating headaches in patients not previously diagnosed as migraineurs, and in migraineurs who present chloe johnson atypical symptoms, care should chlorpheniramine maleate taken to exclude other potentially serious neurological conditions.

Sumatriptan should be used with caution in patients with a history of seizures or other risk factors which lower the seizure threshold.

There is no experience in patients with chloe johnson cerebrovascular accidents. Until further information is available, the use of sumatriptan is not recommended in these patients, see Section 4. There is no information available on the use in the treatment of ophthalmoplegic migraine. Sumatriptan may cause vasospastic reactions chloe johnson than coronary artery vasospasm.

Both peripheral vascular ischaemia chloe johnson colonic ischaemia with abdominal pain and bloody diarrhoea have been reported. Chloe johnson in hepatic impairment. Experience of the use of sumatriptan in patients aged over 65 is limited. However the pharmacokinetics does not differ significantly from a younger population.

Until further clinical data chloe johnson available, the use of sumatriptan in chloe johnson aged over 65 is not recommended.

The efficacy of oral sumatriptan has not been established in placebo controlled trials carried out in 794 adolescent migraineurs. High placebo responses were found in these studies and there was chloe johnson lack of statistically significant difference between placebo and oral doses ranging from 25 to 100 mg.



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