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Navin Khosla NowPatientGreen tick
Updated on 26 Mar 2024

What to do if you missed your ZOMIG ® dose

The MHRA's reporting program for suspected side effects to medicines, vaccines, e-cigarettes, medical device incidents, defective or falsified (fake) products to the Medicines and Healthcare products Regulatory Agency to ensure safe and effective use.

Learn more about reporting side effects

About Zomig

Zomig contains zolmitriptan as the active ingredient. It is classed as a selective serotonin receptor agonist, or triptan. It is thought to work by reversing the widening of blood vessels in the brain, helping to ease the symptoms of migraine. Zomig is most effective when used at the start of a migraine attack.

Zomig is available with a prescription only. NowPatient offers zolmitriptan as a generic or under the brand name Zomig as a treatment for migraines only, following an online consultation with a prescribing clinician.

Key facts of Zomig

  • For the treatment of migraine attacks
  • Zomig has some common side effects which include drowsiness and nausea
  • It can be dangerous if you take Zomig with certain medications. If you’re not sure if it is safe, discuss this with the prescribing clinician

Who is Zomig not suitable for?

Zomig may not be suitable for some people. To make sure it’s safe for you, speak to the prescribing clinician before taking Zomig if you:

  • Have ever had an allergic reaction to Zomig
  • Have a family history of heart problems such as chest pain (angina), heart attack, stroke, high blood pressure, or heart disease
  • Have liver disease or kidney disease
  • Have a history of epilepsy
  • Have high cholesterol
  • Have hemiplegic or basilar migraines
  • Are taking monoamine oxidase inhibitor (MAOI) antidepressants such as phenelzine or tranylcypromine
  • Are taking other triptan medicines
  • Are taking cimetidine
  • Are taking ergot-type medications such as dihydroergotamine or ergotamine, or its derivatives, methysergide
  • Are taking selective serotonin reuptake inhibitors (SSRI) such as fluoxetine, paroxetine, or sertraline, serotonin norepinephrine reuptake inhibitor (SNRI) antidepressants such as venlafaxine or duloxetine, or St. John’s wort

How and where to get Zomig?

Zomig is available with a prescription only. It is not available over the counter at a pharmacy.

NowPatient does not allow customers to buy Zomig directly. Our service is certified, safe and effective, and we only ever treat conditions. If you book a consultation with a prescribing clinician for the treatment of migraines, you can discuss if Zomig is a suitable treatment option for you.

At the end of the consultation, the clinician will decide if a treatment plan is suitable for you. If it is, the clinician will issue you with a prescription which can then be ordered, paid for and delivered directly to your chosen address by NowPatient.

Dosage and strength for Zomig for migraines

Zomig is available as oral tablets, oral disintegrating tablets, and a nasal spray, in doses of 2.5 and 5 mg. when used for migraine attacks.

Information about how to take Zomig for migraines

The recommended dose of Zomig tablets is one 2.5 mg tablet at the first sign of a migraine headache. If your headache returns, a second dose may be taken after 2 hours, but do not take more than 10 mg within a 24-hour period. If you’re first dose gives no pain relief, do not take a second dose without speaking to your doctor first.

If oral tablets can not be taken, Zomig nasal spray 5mg may be administered as soon as possible after the onset of migraine into one nostril only, followed by 5 mg after at least 2 hours, if required. As with the tablets, do not take more than 10 mg within a 24-hour period.

You are advised to read the patient information leaflet supplied with your medication or speak to a healthcare professional for medical advice.

What happens if you take too much Zomig?

If you take more than prescribed, then it can lead to some unpleasant side effects. You should talk to your doctor or reach out to one of our prescribing clinicians, if you have taken too much Zomig and you experience any of the following side effects:

What are the side effects of Zomig?

Side effects of Zomig are split into common and serious.

Common side effects include:

  • Drowsiness
  • Chest pain
  • Dry mouth
  • Nausea
  • Dizziness

Serious side effects

  • Heaviness, pain or pressure in the throat, neck, chest, arms and legs
  • Sudden and severe stomach pain with bloody diarrhea
  • Chest pain spreading to your jaw or shoulder
  • Serotonin syndrome – hallucinations, fast heart rate, loss of coordination

If you experience any serious side effects, you should contact NHS 111.

If you experience a serious allergic reaction with the signs shown below you should contact emergency services on 999.

  • Your lips, mouth, throat or tongue suddenly become swollen
  • You’re breathing very fast or struggling to breathe (you may become very wheezy or feel like you’re choking or gasping for air and have shortness of breath)
  • Your throat feels tight or you’re struggling to swallow
  • Your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
  • You suddenly become very confused, drowsy or dizzy
  • Someone faints and cannot be woken up

Always report adverse effects to the MHRA yellow card reporting system. You can read more about this here How and where do I report side effects of my medication? – NowPatient

Information about taking Zomig at the same time as other medications or herbal supplements

There is not enough evidence to suggest there are any drug interactions between herbal supplements and Zomig. In any event, you should let your prescribing clinician know if you are taking any herbal supplements.

Can Zomig taken for migraines be taken long term?

You should not use Zomig for more than 10 days per month. Speak to your doctor if your migraine does not go away, or if you have migraines or cluster headaches on a regular basis.

Is there a herbal Zomig?

No. Herbal Zomig does not exist. If you have been marketed such a formulation, it may be fake.

Can women use Zomig?

Women can take Zomig for the treatment of migraine attacks. It is not known if Zomig passes into breast milk. Speak to your doctor if you are breastfeeding or suspect you are pregnant, before taking zolmitriptan.

Should I avoid any particular food or drink when taking Zomig?

You can eat and drink normally when taking Zomig, but you should avoid alcohol during a migraine attack.

What lifestyle changes can I make to help me with migraines?

  • Maintain regular sleep patterns
  • Exercise
  • Eat regular healthy meals
  • Reduce your stress
  • Avoiding triggers

Alternatives to Zomig

Alternatives for the treatment of migraines include other triptans such as almotriptan, frovatriptan, rizatriptan, naratriptan and sumatriptan (Imigran, Imitrex), or painkillers such as paracetamol, aspirin, or ibuprofen.


Medical Disclaimer

NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information in this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

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