Patient leaflet - NARAMIG 2.5 MG FILM-COATED TABLETS
1 What Naramig is and what it is used for
2 What you need to know before you take Naramig
3 How to take Naramig
4 Possible side effects
5 How to store Naramig
6 Contents of the pack and other information
1 what naramig is and what it is used for
Naramig tablets contain naratriptan (hydrochloride), which belongs to a group of medicines called triptans (also known as 5-HT 1 receptor agonists).
Naramig tablets are used to treat migraine.
Migraine symptoms may be caused by the temporary widening of blood vessels in the head. Naramig tablets are 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.
2 what you need to know before you take naramig do not take naramig:
- If you are allergic to naratriptan, or any of the other ingredients of this medicine (listed in section 6)
- If you have a heart problem such as heart failure or chest pains (angina), or have already had a heart attack
- If you have circulation problems in your legs that cause cramp-like pains when you walk (peripheral vascular disease) If you have had a stroke or a mini-stroke (also called a transient ischaemic attack or TIA)
- If you have high blood pressure. You may be able to take Naramig if your high blood pressure is mild and is being treated.
- If you have kidney or liver disease
- With other migraine medicines, including those which contain ergotamine, or with similar medicines such as methysergide, or with other 5-HT1 receptor agonists, such as sumatriptan.
If any of these apply to you:
^ Tell your doctor, and don’t take Naramig.
Warnings and precautions
Talk to your doctor or pharmacist before taking Naramig.
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 Naramig, 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 Naramig is prescribed for you.
If you are allergic to antibiotics called sulphonamides
If so, you may also be allergic to Naramig. 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 Naramig.
If you take Naramig frequently
Taking Naramig too often may make your headaches worse.
^ Tell your doctor if this applies to you. He or she may recommend you stop taking Naramig.
If you feel pain or tightness in your chest after you take Naramig
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.
Not for older people or children under 18
Naramig is not recommended for people aged over 65 or for children under the age of 18.
Other medicines and Naramig
Tell your doctor if you’re taking, have recently taken or might take any other medicines.
Some medicines must not be taken with Naramig and others may cause adverse effects if they’re taken with Naramig. You must tell your doctor if you are taking:
- any medicines for your migraine which contain any triptan/5-HT1 agonist (such as sumatriptan or zolmitriptan). Don’t take Naramig at the same time as these medicines. Stop taking these medicines at least 24 hours before taking Naramig.
- ergotamine also used to treat migraine or similar medicines such as methysergide. Don’t take Naramig at the same time as these medicines. Stop taking these medicines at least 24 hours before taking Naramig.
- any antidepressants classed as selective serotonin reuptake inhibitors (SSRIs), such as citalopram, fluoxetine or paroxetine, or serotonin noradrenaline reuptake inhibitors (SNRIs) such as venlafaxine. If you are not sure, talk to your doctor or pharmacist.
- St John’s Wort (Hypericum perforatum). Using herbal remedies that contain St John’s Wort while you are taking Naramig may make side effects more likely.
- If you are pregnant, think you may be pregnant or are planning to have a baby ask your doctor for advice before taking this medicine. There is only limited information about the safety of Naramig 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 Naramig while you are pregnant.
- Don’t breast-feed your baby for 24 hours after taking Naramig. If you express any breast milk during this time, discard the milk and don’t give it to your baby.
- Either the symptoms of migraine or your medicine may make you drowsy. If you are affected, don’t drive or operate machinery.
Naramig contains lactose
Naramig tablets contain a small amount of a sugar called lactose. If you have an intolerance to lactose or any other sugars:
^ Ask your doctor for advice about taking Naramig.
3 How to take Naramig Only take Naramig after your migraine headache begins. Don’t take Naramig to try to prevent an attack.
Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
How much to take
The usual dose for adults aged 18 to 65 is one Naramig
2.5 mg tablet, swallowed whole with water.
Naramig is not recommended for children under 18 and adults over 65.
When to take Naramig
- It’s best to take Naramig as soon as you feel a migraine coming on, although it can be taken at any time during an attack.
- You can take a second Naramig 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 Naramig doesn’t give you any relief:
^ Ask your doctor or pharmacist for advice.
If you take more Naramig than you should
- Don’t take more than two Naramig tablets in 24 hours.
Taking too much Naramig could make you ill. If you have taken more than two tablets in 24 hours:
^ Contact your doctor for advice.
4 Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Tell your doctor straight away if you notice any of the following serious side effects – you may need urgent medical treatment:
- Heartbeat may go faster, slower or change rhythm (affects up to 1 in 100 people).
- Pain in the lower left side of the stomach and bloody diarrhoea (ischaemic colitis – affects up to 1 in 1,000 people). Allergic reaction (affects up to 1 in 1,000 people). The signs of allergy include rash; hives; itching;
wheezing; swollen eyelids, face or lips; complete collapse.
If you get any of these symptoms soon after taking Naramig:
^ Don’t take any more. Contact a doctor straight away.
- Heaviness, pressure, tightness or pain in the chest, throat or other parts of the body (affects up to 1 in 100 people).
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.
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 sleepiness (somnolence), 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
- Visual disturbances (although these may be due to the migraine attack itself).
- Slight increase in blood pressure which may occur up to 12 hours after taking Naramig.
If you get any of these effects:
^ 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.
5 how to store naramig
Keep out of the sight and reach of children.
Do not store above 30°C.
Do not use this medicine after the expiry date which is stated on the labels. The expiry date refers to the last day of that month. If the tablets show any signs of discolouration or deterioration consult your pharmacist for advice.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These medicines you no longer use. These measures will help protect the environment.
6 contents of the pack and other informationwhat naramig containseach film-coated tablet contains 2.5mg naratriptan (as the hydrochloride).
Also contains microcrystalline cellulose, lactose, croscarmellose sodium, magnesium stearate, hypromellose, titanium dioxide (E171), triacetin, Iron (III) hydroxide, Indigo carmine aluminium lake (E132).
What Naramig looks like and contents of the pack
Naramig tablets are green, film-coated, D-shaped tablets engraved GX CE5 on one side and plain on the reverse.
Available in blister packs containing 6 or 12 tablets.
PL 20774/1592 Naramig 2.5mg film-coated tablets POM
Manufactured by: GlaxoSmithKline Pharmaceuticals S.A, Ul. Grunwaldzka 189, 60–322 Poznan, Poland. Procured from within the EU. Product Licence Holder: Quadrant Pharmaceuticals Ltd, Lynstock House, Lynstock Way, Lostock, Bolton, BL6 4SA. Repackaged by: Maxearn Ltd, Bolton, BL6 4SA.
Leaflet revision date: 26th March 2018
Naramig is a registered trademark.
Blind or partially sighted? Is this leaflet hard to see or read? Contact
01204 473081
PP1/1592/V2