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Document: leaflet MAH BRAND_PLPI 15361-0573 change

• leaflet MAH BRAND_PL 17901-0076
• leaflet MAH BRAND_PLPI 15361-0573
• leaflet MAH BRAND_PLPI 20636-2665

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Zomig® Rapimelt 2.5 mg orodispersible tablets

(zolmitriptan)

PATIENT INFORMATION LEAFLET

Read all of this leaflet carefully before you start taking 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.

Your medicine will be referred to as Zomig Rapimelt throughout the leaflet. What is in this leaflet:

1.    What Zomig Rapimelt is and what it is used for

2.    What you need to know before you take Zomig Rapimelt

3.    How to take Zomig Rapimelt

4.    Possible side effects

5.    How to store Zomig Rapimelt

6.    Contents of the pack and other information

1.    WHAT ZOMIG RAPIMELT IS AND WHAT IT IS USED FOR

Zomig Rapimelt contains zolmitriptan and belongs to a group of medicines called triptans.

Zomig Rapimelt is used to treat migraine headache.

-    Migraine symptoms may be caused by swollen blood vessels in the head. Zomig Rapimelt is thought to reduce the widening of these blood vessels. This helps to take away the headache and other symptoms of a migraine attack, such as feeling or being sick (nausea or vomiting) and being sensitive to light and sound.

-    Zomig Rapimelt works only when a migraine attack has started. It will not stop you from getting an attack.

2.    WHAT YOU NEED TO KNOW BEFORE YOU TAKE ZOMIG RAPIMELT

Do not take Zomig Rapimelt:

-    If you are allergic to zolmitriptan or any of the other ingredients of this medicine (listed in Section 6).

-    If you have high blood pressure.

-    If you have ever had heart problems, including a heart attack, angina (chest pain caused by exercise or effort), Prinzmetal's angina (chest pain which happens at rest) or have experienced heart related symptoms such as shortness of breath or pressure over the chest.

-    If you have had a stroke or shortlasting symptoms similar to stroke (transient ischaemic attack or TIA).

-    If you are at the same time taking some other medicines for migraine (e.g. ergotamine or ergot-type medicines like dihydroergotamine and methysergide) or other triptan medicines for migraine. See ‘Other medicines and Zomig Rapimelt' for further information.

Do not take Zomig Rapimelt if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Zomig Rapimelt.

Warnings and precautions

Talk to your doctor of pharmacist before taking Zomig Rapimelt:

-    If you are at risk of getting ischaemic heart disease (poor blood flow in the arteries of the heart). Your risk is greater if you smoke, have high blood pressure, high levels of cholesterol, diabetes or if anyone in your family has ischaemic heart disease.

-    If you have been told that you have Wolff-Parkinson-White Syndrome (a type of abnormal heart beat).

-    If you have ever had liver problems.

-    If you have headaches which are not like your usual migraine headache.

-    If you are taking any medicine for treatment of depression (see ‘Other medicines and Zomig Rapimelt' for further information).

If you go into hospital tell the medical staff you are taking Zomig Rapimelt.

Zomig Rapimelt is not recommended for people aged over 65.

As with other migraine treatments, using too much Zomig Rapimelt can cause daily headaches or can make your migraine headaches worse. Ask your doctor if you think that this is the case for you. You may need to stop taking Zomig Rapimelt to correct the problem.

Children and adolescents

Zomig Rapimelt is not recommended in children and adolescents under 18 years.

Other medicines and Zomig Rapimelt

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This includes herbal medicines and medicines you buy without prescription.

In particular, tell your doctor if you are taking any of the following medicines:

Medicines for migraine

-    If you take a triptan other than Zomig Rapimelt (such as sumatriptan or naratriptan) leave 24 hours before taking Zomig Rapimelt.

-    After taking Zomig Rapimelt leave 24 hours before taking another triptan.

-    If you take medicines containing ergotamine or ergot-type medicines (such as dihydroergotamine or methysergide), leave 24 hours before taking Zomig Rapimelt.

-    After taking Zomig Rapimelt leave 6 hours before taking ergotamine or ergot-type medicines.

Medicines for depression

-    Mono-Amine Oxidase Inhibitors, also known as MAOls (such as moclobemide).

-    SSRls (selective serotonin reuptake inhibitors) such as fluoxetine, paroxetine, fluvoxamine or sertraline.

-    SNRls (serotonin norepinephrine reuptake inhibitors) such as venlafaxine or duloxetine.

Other medicines

-    Cimetidine (for indigestion or stomach ulcers).

-    A quinolone antibiotic (such as ciprofloxacin).

You should not take the herbal remedy St. John's wort (Hypericum perforatum) at the same time as this medicine. If you already take a St. John's wort preparation, stop taking it and mention this to your doctor at your next visit.

Zomig Rapimelt with food and drink

You can take Zomig Rapimelt with or without food. It does not affect the way that Zomig Rapimelt works.

Pregnancy, breast-feeding and fertility

It is not known if taking Zomig Rapimelt during pregnancy is harmful. If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Driving and using machines

During a migraine attack your reactions may be slower than usual. Bear this in mind when you drive or use any tools or machines.

Zomig Rapimelt is unlikely to affect driving or using tools or machines. However, it may make you feel sleepy. Wait to see how Zomig Rapimelt affects you before you try these activities.

Zomig Rapimelt contains Aspartame (E951)

Zomig Rapimelt contains aspartame, a source of phenylalanine, which may be harmful for people with phenylketonuria.

3. HOW TO TAKE ZOMIG RAPIMELT

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

You can take this medicine as soon as a migraine headache starts. You can also take it once an attack is underway.

-    The recommended dose is one tablet (2.5 mg).

-    Peel the blister pack open as shown on the foil. Do not push the tablet through the foil.

-    Place the tablet on your tongue, where it will dissolve and be swallowed with the saliva. You do not have to take a drink of water in order to swallow your tablet.

-    You can take another tablet if the migraine is still present after two hours or if it returns within 24 hours.

If the tablets did not give you enough help with your migraine, tell your doctor. Your doctor may change your treatment.

Do not use more than the dose prescribed for you.

-    Do not use more than two doses in one day unless prescribed by your doctor.

-    The maximum daily dose is 10 mg.

If you take more Zomig Rapimelt than you should

If you have taken more Zomig Rapimelt than prescribed by your doctor, talk to your doctor or pharmacist straight away or go to the nearest hospital straight away. Take this medicine with you.

If you forget to take Zomig Rapimelt

-    Do not take a double dose to make up for a forgotten dose.

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. Some of the symptoms below could be part of the migraine attack itself.

If you notice any of the following serious side effects, stop taking Zomig Rapimelt and contact a doctor straight away:

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

-    Allergic reactions including itchy rash (urticaria) and swelling of the face, lips, mouth, tongue and throat.

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

-    Angina (pain in the chest, often brought on by exercise), heart attack or spasm of the blood vessels of the heart. The signs include chest pain and shortness of breath.

-    Spasm of the blood vessels of the gut, which can cause damage to your gut. The signs include stomach pain or bloody diarrhoea.

-    Bleeding in the brain (cerebral bleeding) or stroke.

Manufacturer and Product Licence Holder

Manufactured by AstraZeneca UK Ltd., Macclesfield, Cheshire SK10 2NA, United Kingdom. Procured from within the EU and Repackaged by Product Licence holder P.I.E. Pharma Ltd, 207 Kenton Road, Harrow, Middlsex HA3 0HD.

Leaflet revision and issue date (Ref) 20.08.15[10]

Zomig Rapimelt is a trademark of IPR Pharmaceuticals, Inc.

You can also get support and information about migraine from the Migraine Action Association (UK),

Unit 6, Oakley Hay Lodge Business Park,

Great Folds Road,

Great Oakley,

Northants NN18 9AS.

Zolmitriptan 2.5 mg orodispersible tablets

PATIENT INFORMATION LEAFLET

Read all of this leaflet carefully before you start taking 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.

Your medicine will be referred to as Zolmitriptan throughout the leaflet.

What is in this leaflet:

1.    What Zolmitriptan is and what it is used for

2.    What you need to know before you take Zolmitriptan

3.    How to take Zolmitriptan

4.    Possible side effects

5.    How to store Zolmitriptan

6.    Contents of the pack and other information

1.    WHAT ZOLMITRIPTAN IS AND WHAT IT IS USED FOR

Zolmitriptan orodispersible tablets contains zolmitriptan and belongs to a group of medicines called triptans.

Zolmitriptan is used to treat migraine headache.

-    Migraine symptoms may be caused by swollen blood vessels in the head. Zolmitriptan is thought to reduce the widening of these blood vessels.

This helps to take away the headache and other symptoms of a migraine attack, such as feeling or being sick (nausea or vomiting) and being sensitive to light and sound.

-    Zolmitriptan works only when a migraine attack has started. It will not stop you from getting an attack.

2.    WHAT YOU NEED TO KNOW BEFORE YOU TAKE ZOLMITRIPTAN Do not take Zolmitriptan:

-    If you are allergic to zolmitriptan or any of the other ingredients of this medicine (listed in Section 6).

-    If you have high blood pressure.

-    If you have ever had heart problems, including a heart attack, angina (chest pain caused by exercise or effort), Prinzmetal's angina (chest pain which happens at rest) or have experienced heart related symptoms such as shortness of breath or pressure over the chest.

-    If you have had a stroke or shortlasting symptoms similar to stroke (transient ischaemic attack or TIA).

-    If you are at the same time taking some other medicines for migraine (e.g. ergotamine or ergot-type medicines like dihydroergotamine and methysergide) or other triptan medicines for migraine. See ‘Other medicines and Zolmitriptan' for further information.

Do not take Zolmitriptan if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Zolmitriptan.

Warnings and precautions

Talk to your doctor of pharmacist before taking Zolmitriptan:

-    If you are at risk of getting ischaemic heart disease (poor blood flow in the arteries of the heart). Your risk is greater if you smoke, have high blood pressure, high levels of cholesterol, diabetes or if anyone in your family has ischaemic heart disease.

-    If you have been told that you have Wolff-Parkinson-White Syndrome (a type of abnormal heart beat).

-    If you have ever had liver problems.

-    If you have headaches which are not like your usual migraine headache.

-    If you are taking any medicine for treatment of depression (see ‘Other medicines and Zolmitriptan for further information).

If you go into hospital tell the medical staff you are taking Zolmitriptan.

Zolmitriptan is not recommended for people aged over 65.

As with other migraine treatments, using too much Zolmitriptan can cause daily headaches or can make your migraine headaches worse. Ask your doctor if you think that this is the case for you. You may need to stop taking Zolmitriptan to correct the problem.

Children and adolescents

Zolmitriptan is not recommended in children and adolescents under 18 years.

Other medicines and Zolmitriptan

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This includes herbal medicines and medicines you buy without prescription.

In particular, tell your doctor if you are taking any of the following medicines:

Medicines for migraine

-    If you take a triptan other than Zolmitriptan (such as sumatriptan or naratriptan) leave 24 hours before taking Zolmitriptan.

-    After taking Zolmitriptan leave 24 hours before taking another triptan.

-    If you take medicines containing ergotamine or ergot-type medicines (such as dihydroergotamine or methysergide), leave 24 hours before taking Zolmitriptan.

-    After taking Zolmitriptan leave 6 hours before taking ergotamine or ergot-type medicines.

Medicines for depression

-    Mono-Amine Oxidase Inhibitors, also known as MAOls (such as moclobemide).

-    SSRls (selective serotonin reuptake inhibitors) such as fluoxetine, paroxetine, fluvoxamine or sertraline.

-    SNRls (serotonin norepinephrine reuptake inhibitors) such as venlafaxine or duloxetine.

Other medicines

-    Cimetidine (for indigestion or stomach ulcers).

-    A quinolone antibiotic (such as ciprofloxacin).

You should not take the herbal remedy St. John's wort (Hypericum perforatum) at the same time as this medicine. If you already take a St. John's wort preparation, stop taking it and mention this to your doctor at your next visit.

Zolmitriptan with food and drink

You can take Zolmitriptan with or without food. It does not affect the way that Zolmitriptan works.

Pregnancy, breast-feeding and fertility

It is not known if taking Zolmitriptan during pregnancy is harmful. If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Driving and using machines

During a migraine attack your reactions may be slower than usual. Bear this in mind when you drive or use any tools or machines.

Zolmitriptan is unlikely to affect driving or using tools or machines.

However, it may make you feel sleepy. Wait to see how Zolmitriptan affects you before you try these activities.

Zolmitriptan contains Aspartame (E951)

Zolmitriptan contains aspartame, a source of phenylalanine, which may be harmful for people with phenylketonuria.

3. HOW TO TAKE ZOLMITRIPTAN

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

You can take this medicine as soon as a migraine headache starts. You can also take it once an attack is underway.

-    The recommended dose is one tablet (2.5 mg).

-    Peel the blister pack open as shown on the foil. Do not push the tablet through the foil.

-    Place the tablet on your tongue, where it will dissolve and be swallowed with the saliva. You do not have to take a drink of water in order to swallow your tablet.

-    You can take another tablet if the migraine is still present after two hours or if it returns within 24 hours.

If the tablets did not give you enough help with your migraine, tell your doctor. Your doctor may change your treatment.

Do not use more than the dose prescribed for you.

-    Do not use more than two doses in one day unless prescribed by your doctor.

-    The maximum daily dose is 10 mg.

If you take more Zolmitriptan than you should

If you have taken more Zolmitriptan than prescribed by your doctor, talk to your doctor or pharmacist straight away or go to the nearest hospital straight away. Take this medicine with you.

If you forget to take Zolmitriptan

- Do not take a double dose to make up for a forgotten dose.

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. Some of the symptoms below could be part of the migraine attack itself

Manufacturer and Product Licence Holder

Manufactured by AstraZeneca UK Ltd., Macclesfield, Cheshire SK10 2NA, United Kingdom. Procured from within the EU and Repackaged by Product Licence holder P.I.E. Pharma Ltd, 207 Kenton Road, Harrow, Middlesex HA3 0HD.

Leaflet revision and issue date (Ref) 20.08.15[10]

If you notice any of the following serious side effects, stop taking

Zolmitriptan and contact a doctor straight away:

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

-    Allergic reactions including itchy rash (urticaria) and swelling of the face, lips, mouth, tongue and throat.

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

-    Angina (pain in the chest, often brought on by exercise), heart attack or spasm of the blood vessels of the heart. The signs include chest pain and shortness of breath.

-    Spasm of the blood vessels of the gut, which can cause damage to your gut. The signs include stomach pain or bloody diarrhoea.

-    Bleeding in the brain (cerebral bleeding) or stroke.

You can also get support and information about migraine from the Migraine Action Association (UK),

Unit 6, Oakley Hay Lodge Business Park,

Great Folds Road,

Great Oakley,

Northants NN189AS

Other possible side effects include:

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

These side effects are usually mild and go away after a short time.

-    Abnormal sensations such as tingling in your fingers and toes or skin that is sensitive to touch.

-    Feeling sleepy, dizzy or warm.

-    Headache.

-    Uneven heart beat.

-    Feeling sick (nausea) or being sick (vomiting).

-    Stomach pain.

-    Dry mouth.

-    Muscle weakness or muscle pain.

-    Feeling weak.

-    Heaviness, tightness, pain or pressure in the throat, neck, arms and legs, or chest.

-    Problems swallowing.

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

-    Very fast heart beat.

-    Slightly higher blood pressure.

-    Increase in the amount of water you pass (urine) or in how often you need to pass water.

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 the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard. By reporting side effects, you can help provide more information on the safety of this medicine.

5. HOW TO STORE ZOLMITRIPTAN

-    Keep out of the sight and reach of children.

-    Do not store your tablets above 30^oC.

-    Keep your tablets in the container they came in.

-    Do not use Zolmitriptan after the expiry date stated on the carton. The expiry date refers to the last day of that month.

-    If your orodispersible tablets become discoloured or shown any other signs of deterioration, please contact your doctor or pharmacist before taking your medicine.

-    Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. FURTHER INFORMATION What Zolmitriptan contain

Each orodispersible tablet contains 2.5 mg of zolmitriptan which is the active ingredient. It also contains the following inactive ingredients: aspartame, citric acid anhydrous, silica colloidal anhydrous, crospovidone, magnesium stearate, mannitol, microcrystalline cellulose, orange flavour and sodium hydrogen carbonate.

What Zolmitriptan looks like and contents of the pack

Zolmitriptan are white round orodispersible tablets marked ‘Z' on one side and plain on the reverse. Zolmitriptan is available in packs of 2, 6 and 12 orodispersible tablets.