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TEVA UK Ref: 231-30-88350-D LEA NARATRIPTAN TAB 2.5mg TUK	Version: 2	20 April 2015

PAGE 1: FRONT FACE (INSIDE OF REEL)

Naratriptan 2.5 mg Film-Coated Tablets

PACKAGE LEAFLET: INFORMATION FOR THE USER

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

•    Keep this leaflet. You may need to read it again.

•    If you have any further questions, ask your doctor or pharmacist.

•    This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.

•    If you get any side effects,talk to your doctor or pharmacist.This includes any possible side effects not listed in this leaflet. See section 4..

What is in this leaflet:

1.    What Naratriptan is and what it is used for

2.    What you need to know before you take Naratriptan

3.    How to take Naratriptan

4.    Possible side effects

5.    How to store Naratriptan

6.    Contents of the pack and other information

OWhat Naratriptan is and what it is used for

Your medicine contains naratriptan (hydrochloride), which belongs to a group of medicines called triptans (also known as 5-HTi receptor agonists).

It is used to treat migraine headache.

Migraine symptoms may be caused by the temporary widening of blood vessels in the head. Naratriptan is believed to reduce the widening of these blood vessels. This in turn helps to take away the headache and relieve other symptoms of a migraine attack, such as feeling or being sick (nausea or vomiting) and sensitivity to light and sound.

©What you need to know before you take Naratriptan

Do not take Naratriptan if you:

• are allergic to naratriptan, or any of the other ingredients of this medicine (listed in section 6).

• have a heart problem such as narrowing of the arteries (ischaemic heart disease) or chest pains (angina), or have already had a heart attack.

• have circulation problems in your legs that cause cramp-like pains when you walk (peripheral vascular disease).

• have had a stroke or a mini-stroke (also called a transient ischaemic attack or TIA).

• have high blood pressure. You may be able to take Naratriptan if your high blood pressure is mild and is being treated.

• have serious kidney or serious liver disease. • are taking other migraine medicines, including those which contain ergotamine, or with similar medicines such as methysergide, or with any triptan or 5-HTi receptor agonists.

If any of these apply to you, tell your doctor, and don't take Naratriptan.

Warnings and precautions

Talk to your doctor or pharmacist before taking Naratriptan.

If you have any extra risk factors • If you are a heavy smoker or are using nicotine replacement therapy, and especially • If you are a man over 40, or • If you are a woman who has been through the menopause.

In very rare cases, people have developed serious heart conditions after taking Naratriptan, even though they had no signs of heart disease before.

If any of the points in the list applies to you, it could mean you have a greater risk of developing heart disease - so:

Tell your doctor so that your heart function can be checked before Naratriptan is prescribed for you.

If you are allergic to antibiotics called sulphonamides

If so, you may also be allergic to Naratriptan. If you know you are allergic to an antibiotic but you are not sure whether it is a sulphonamide: Tell your doctor or pharmacist before taking Naratriptan.

If you take naratriptan frequently

Taking naratriptan too often may make your

headaches worse.

Tell your doctor if this applies to you. He or she may recommend you stop taking naratriptan.

If you feel pain or tightness in your chest after you take Naratriptan

These effects may be intense but they usually pass quickly. If they don't pass quickly, or they become severe:

Get medical help immediately. Section 4 of this leaflet has more information about these possible side effects.

If you are taking antidepressants called SSRIs (Selective Serotonin Reuptake Inhibitors) or SNRIs (Serotonin Noradrenaline Reuptake Inhibitors)

Tell your doctor or pharmacist before taking Naratriptan.

Other medicines and Naratriptan

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Some medicines must not be taken with Naratriptan and others may cause adverse effects if they're taken with Naratriptan. You must tell your doctor if you are taking:

•    any triptan or 5-HTi receptor agonist used to treat migraine. Don't take Naratriptan at the same time as these medicines. Don't take them again for at least 24 hours after taking Naratriptan.

•    ergotamine also used to treat migraine, or similar medicines such as methysergide. Don't take Naratriptan at the same time as these medicines. Stop taking these medicines at least 24 hours before taking Naratriptan. Don't take them again for at least 24 hours after taking Naratriptan

•    SSRIs (Selective Serotonin Reuptake Inhibitors) or SNRIs (Serotonin Noradrenaline Reuptake Inhibitors) used to treat depression. Taking Naratriptan with these medicines can cause confusion, weakness and/or lack of co-ordination. Tell your doctor immediately if you are affected in this way.

•    St John's Wort (Hypericum perforatum). Using herbal remedies that contain St John's Wort while you are taking Naratriptan may make side effects more likely.

Pregnancy and breast-feeding

Pregnancy: If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask to your doctor or pharmacist for advice before taking this medicine. There is only limited information about the safety of naratriptan for pregnant women, though up till now there is no evidence of any increased risk of birth defects. Your doctor may recommend that you do not take Naratriptan while you are pregnant. Breast-feeding: Don't breast-feed your baby for 24 hours after taking Naratriptan. If you express any breast milk during this time, discard the milk and don't give it to your baby.

Driving and using machines

Either the symptoms of migraine or your medicine may make you drowsy. If you are affected, don't drive or operate machinery.

TEVA UK Ref: 231-30-88350-D LEA NARATRIPTAN TAB 2.5mg TUK	Version: 2	20 April 2015

PAGE 2: REAR FACE (OUTSIDE OF REEL)

Naratriptan contains lactose

If you have been told by your doctor that you have an intolerance to some sugars, contact

your doctor before taking this medicinal product.

a How to take Naratriptan

Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

Only take Naratriptan after your migraine headache begins.

Don't take Naratriptan to try to prevent an attack. How much to take

•    The recommended dose for adults aged 18 to 65 is one 2.5 mg tablet, swallowed whole with water.

Naratriptan is not recommended for children under 18 and adults over 65.

When to take Naratriptan

•    It's best to take Naratriptan as soon as you feel a migraine headache coming on, although it can be taken at any time during an attack.

If your symptoms start to come back

•    You can take a second tablet after 4 hours, unless you have kidney or liver damage.

•    If you have kidney or liver damage don't take more than one tablet in 24 hours.

•    No-one should take more than two tablets in 24 hours.

If the first tablet has no effect

•    Don't take a second tablet for the same attack.

If Naratriptan doesn't give you any relief:

Ask your doctor or pharmacist for advice.

If you take more Naratriptan than you should

•    Don't take more than two Naratriptan tablets in 24 hours.

Taking too much naratriptan could make you ill. If you have taken more than two tablets in 24 hours: Contact your doctor for advice.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

^4 Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

•    Allergic reaction: get a doctor's help straight away (may affect up to 1 in 1,000 people): The signs of allergy include rash; wheezing; swollen eyelids, face or lips; complete collapse.

If you get any of these symptoms soon after taking Naratriptan, don't take any more. Contact a doctor straight away.

Common (may affect up to 1 in 10 people):

•    Feeling sick (nausea) or being sick (vomiting), although this may be due to the migraine itself.

•    Tiredness, drowsiness, or generally feeling unwell.

•    Dizziness, tingling feelings, or getting hot flushes.

If you get any of these effects tell your doctor or pharmacist.

Uncommon (may affect up to 1 in 100 people):

•    Heaviness, pressure, tightness or pain in the chest, throat or other parts of the body.

These effects may be intense but generally pass quickly.

If these effects continue or become severe (especially the chest pain) get medical help urgently. In a very small number of people these symptoms can be caused by a heart attack.

Other uncommon side effects include:

•    Visual disturbances (although these may be due to the migraine attack itself).

•    Heart beat may go faster, slower or change rhythm.

•    Slight increase in blood pressure which may last for up to 12 hours after taking Naratriptan.

If you get any of these effects tell your doctor or pharmacist.

Rare: (may affect up to 1 in 1,000 people):

•    Pain in the lower left side of the stomach and bloody diarrhoea (ischaemic colitis).

If you get these symptoms tell your doctor or pharmacist.

Very rare: (may affect up to 1 in 10,000 people):

•    Heart problems, including chest pains (angina) and heart attack.

•    Poor blood circulation to the arms and legs, causing pain and discomfort.

If you get these symptoms, tell your doctor or pharmacist.

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse.This includes any possible side effects not listed in this leaflet.You can also report side effects directly via theYellow Card Scheme at: www.mhra.gov.uk/yellowcard

By reporting side effects you can help provide more information on the safety of this medicine.

How to store Naratriptan

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the carton or blister.The expiry date refers to the last day of that month.

This medicinal product does not require any special storage conditions.

Do not use this medicine if you notice description of the visible signs of deterioration.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

^6 Contents of the pack and other information

What Naratriptan contains

•    The active substance is naratriptan. Each film-coated tablet contains 2.5mg naratriptan (as naratriptan hydrochloride).

•    The other ingredients in the tablet core are anhydrous lactose, microcrystalline cellulose, colloidal anhydrous silica, croscarmellose sodium and magnesium stearate.

•    The other ingredients in the coating are hypromellose (E464), titanium dioxide (E171), lactose monohydrate, macrogol 3350, triacetin, quinoline yellow aluminium lake (E104), indigo carmine aluminium lake (E132) and yellow iron oxide (E172).

What Naratriptan looks like and contents of the pack

Green, biconvex, round, film-coated tablets debossed "NT 2.5" on one side and plain on the other.

Naratriptan is available in blisters of 2, 4, 6, 12 film-coated tablets and hospital packs of 18 or 50 film-coated tablets.

Not all pack sizes may be marketed.

Marketing Authorisation Holder and Manufacturer

TEVA UK Limited, Brampton Road, Hampden Park, Eastbourne, East Sussex, BN22 9AG, United Kingdom.

This leaflet was last revised in March 2015

Product licence number PL 00289/1106 88350-D 160x323