Amerge (Naratriptan)

(℞) Prescription Required - Amerge is also marketed as Naramig

    Amerge (Naratriptan) Dosage and Side Effects

    AMERGE is intended to relieve your migraine headache and other associated symptoms of a migraine attack.

    Proper Use of this medication

    REMEMBER: this medicine was prescribed only for YOU. Only a physician knows who can use it safely. Never give it to someone else. It may harm them, even if their symptoms are the same as yours.

    Usual dose:

    For adults, the usual dose is a single 1 or 2.5 mg tablet (as recommended by your doctor) taken whole with waterThe tablet should be taken as soon as your migraine appears, but may be taken anytime after the headache starts. A second tablet may be taken if your headache returns or if you need more relief, but not sooner than 4 hours following the first tablet.

    For an individual attack, if you have no response to the first tablet, do not take a second tablet without first talking to your doctor. Do not take more than a total of 5 mg in any 24-hour period.

    If you are taking any other migraine medicines, check with your doctor first before taking AMERGE.

    If you have kidney or liver disease, take as directed by your doctor.

    Side Effects

    Like all medicines, AMERGE can cause some side effects. You may not experience any of them. For most patients these side effects are likely to be minor and temporary. However, some may be serious. Consult your doctor if you experience these or other side effects.

    Common side effects—these may affect up to 1 in 10 people:

    • Ear, nose and throat infections

    • Nausea, vomiting

    • Drowsiness

    • Dizziness

    • Headache

    • Dry mouth

    • Feeling tired or unwell

    Uncommon side effects—these may affect up to 1 in 100 people:

    • Rise in blood pressure

    • Fainting, light-headedness

    • Tremor

    • Difficulty sleeping

    • Nose, throat and sinus infection

    • Urinary tract infections

    • Feeling full or bloated

    • Stomach pain or discomfort

    • Diarrhea

    • Constipation

    • Muscle or joint pain, muscle cramps, or inflammation of the joints

    • Feeling anxious or depressed

    • Difficulty with learning, perception, memory and problem solving

    • Increased sense of touch

    • Skin effects such as rash, itchiness, bumpiness and sensitivity to light

    • Sweating

    • Feeling thirsty

    • Sensitivity to sound

    Rare side effects—these may affect up to 1 in 1000 people:

    • Nasal congestion (allergic rhinitis)

    • Eye problems such as dry eyes, blurred vision and sensitivity to light

    • Acid reflux

    • Hemorrhoids

    • Itchy or irritated mouth

    • Ulcers

    • Muscle or joint stiffness

    • Muscle twitches

    • Low blood pressure

    • Poor balance or coordination, slowed movement

    • Lack of energy or alertfulness, confusion

    • Aggression, agitation or detachment

    • Hair loss

    • Red, flushed or inflamed skin

    • Ear effects such as infection, difficulty hearing, ringing sensation

    • Sudden, compelling urge to urinate

    • Swelling of the glands that produce salvia

    • Changes in sense of taste

    Warnings and Precautions

    AMERGE is not recommended for people over 65 years of age or for children under the age of 18.

    BEFORE you use AMERGE, talk to your doctor or pharmacist if you:

    • have or have had blood vessel problems, including ischemic bowel disease

    • are pregnant, think you might be pregnant, you are trying to become pregnant, you are using inadequate contraception, or you are breast-feeding

    • have or had any pain or tightness in the chest (which may or may not spread to your neck, jaw, or upper arm), heart or blood vessel disease, angina, shortness of breath, or irregular heartbeats

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

    • have risk factors for heart disease (such as high blood pressure, high cholesterol, obesity, diabetes, smoking, strong family history of heart disease, or you are postmenopausal or a male over 40)

    • have ever had to stop taking this or any other medication because of an allergy or other problems

    • have or have had epilepsy or seizures

    • suffer from peripheral vascular disease (e.g., pain in the back of the legs while walking) or are prone to cold and/or pale or purplish hands and feet

    • are taking any other migraine medications such as IMITREX (sumatriptan), ZOMIG (zolmitriptan), MAXALT (rizatriptan), or AXERT (almotriptan), which may contain any triptan/5-HT1 agonists, or ergotamine, dihydroergotamine, or methysergide

    • are taking any antidepressants classed as selective serotonin reuptake inhibitors (SSRIs), serotonin noradrenaline reuptake inhibitors (SNRIs) or other medications for depression

    • have ever experienced numbness or have had difficulty moving one side of your body when you have a headache

    • had or have any disease of the kidney or liver

    • experience a headache that is different from your usual migraine attacks

    Continuous use of AMERGE:

    Taking AMERGE too often may make your headaches worse or more frequent. If this happens to you, tell your doctor. You may have to stop taking AMERGE.

    If you are not sure whether you should take AMERGE, contact your doctor or pharmacist.

    Driving and using machines:

    AMERGE may make you drowsy. Do not drive or operate machinery unless you are feeling alert.

    The use of AMERGE During Pregnancy:

    Do not use AMERGE if you are pregnant, think you might be pregnant, are trying to become pregnant, or are not using adequate contraception, unless you have discussed this with your doctor.

    Interactions with this medication

    Tell your doctor or pharmacist if you’re taking any other medicines, if you have taken any recently, or if you start taking new ones. This includes medicines you’ve bought without a prescription.

    Some medicines must not be taken with AMERGE and others may cause adverse effects if they’re taken with AMERGE. These include:

    • SSRIs (Selective Serotonin Reuptake Inhibitors) or SNRIs (serotonin-noradrenaline reuptake inhibitors) used to treat depression. A life-threatening condition called serotonin syndrome can happen when medicines called triptans, such as AMERGE, and medicines used to treat depression and mood disorders called SSRIs and SNRIs are used together. Signs and symptoms of serotonin syndrome include the following: restlessness, diarrhea, hallucinations, coma, loss of coordination, nausea, fast heartbeat, vomiting, increased body temperature, changes in blood pressure and overactive reflexes.

    • Other 5-HT1 receptor agonists, such as sumatriptan used to treat migraine.

    • Ergotamine also used to treat migraine, or similar medicines such as methysergide.

    Tell your doctor or pharmacist if you are taking any of these.

    Other related products

    The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.