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Migraine headache, also known as migraine headache, is a common disease in modern life. Migraine headaches make patients extremely uncomfortable, greatly affecting work performance. Among the drugs used to treat migraines, Amerge with the active ingredient is naratriptan. So how is Amerge used?
1. What is amerge drug?
Amerge (Naratriptan) belongs to the class of drugs used to treat migraine headaches. This medication helps relieve headaches and other migraine symptoms such as sensitivity to light or sound, nausea, and vomiting.
Timely use of Amerge can help patients return to normal and limit the use of other migraine medications. The active ingredient Naratriptan in Amerge does not prevent or reduce the frequency of future migraines.
Naratriptan belongs to the group of triptans. The effect of migraine treatment is due to the drug inhibiting the effect of the chemical mediator serotonin (this substance constricts blood vessels in the brain and causes migraine). In addition, Amerge also blocks other pain pathways in the brain.
2. How to use Amerge
Amerge is to be taken by mouth before or after meals, at the first signs of a migraine headache, or as directed by your doctor. Do not use this medicine for the purpose of preventing migraine attacks.
If the pain does not improve, the patient should not increase the dose on their own before talking to the doctor. In case of partial relief or recurrence of migraine, the patient may take a second dose at least 4 hours later or as otherwise directed by the physician.
The maximum dose of Amerge migraine medication is 5mg every 24 hours.
If the patient has never taken this drug before and has risk factors for cardiovascular disease, the doctor may order the first dose of Amerge in the clinic to monitor for adverse effects on the heart (although rare but serious like a heart attack).
The dose of Naratriptan depends on the severity of the migraine and the patient's ability to respond to the medication. Talk to your doctor if your migraine symptoms don't improve or get worse.
In some cases of using migraine medication for at least 10 days in a month, Amerge is completely capable of making the patient's headache worse (headache due to drug abuse).
Therefore, do not use the medicine more than once a day or longer than prescribed by the doctor. Talk to your doctor about situations such as needing to use this medication regularly, Amerge not working, or worsening migraine symptoms.
3. Side effects of the drug Amerge
Possible side effects of Amerge include:
Flushing; Feeling of tingling, numbness, stinging, heat in the body; Body fatigue, weakness; Drowsiness or dizziness. The drug Amerge can cause high blood pressure in patients . Therefore, it is advisable to measure your blood pressure more often and notify your doctor if your blood pressure is unusually high.
Some serious side effects need to be reported to the doctor immediately when using Amerge , including:
Blue fingers, toes or nails; Feeling cold hands and feet; Hearing changes; Mental and mood changes. Naratriptan can cause pain or tightness in the chest, jaw, or neck area and is usually less severe. However, these signs are similar to those of acute coronary disease, including chest pain radiating to the jaw or left arm, shortness of breath, or sweating.
Therefore, people taking Amerge should get medical help as soon as these side effects or some other serious signs appear, including:
Fast or irregular heartbeat; Faint; severe stomach or abdominal pain; bloody diarrhea; Signs of a stroke such as weakness on one side of the body, difficulty speaking, sudden vision changes, confusion, etc.
Amerge can increase serotonin levels in the body but rarely causes serotonin toxicity syndrome. The risk of this side effect is increased if the patient is taking other medications that also increase serotonin. Signs of this syndrome include:
Tachycardia; The appearance of hallucinations; Loss of coordination or dizziness; Nausea, vomiting, diarrhea; Muscle twitching; Fever of unknown cause; Agitated or restless mood. Amerge medicine rarely causes serious allergic reactions
4. Precautions for amerge drug side effects
Before prescribing Amerge, the doctor needs to find out if the patient is allergic to naratriptan, other triptan migraine medications or any previous allergic disease.
Before using Amerge, patients need to declare their medical history, especially diseases such as:
Heart disease such as chest pain, coronary artery disease or irregular heartbeat; Cerebral circulatory disorders such as stroke or transient ischemic attack; Blood circulation disorders such as intestinal ischemia, Raynaud's syndrome; Certain types of headaches; Kidney disease or liver disease. Some cardiovascular disease risk factors to watch out for include diabetes, family history of heart disease or high blood pressure, high blood cholesterol, obesity, smoking, postmenopausal women or men over 40 age. If Amerge users are at high risk for cardiovascular disease, their doctor may check cardiovascular function before prescribing the drug.
The risk of heart disease and hypertension increases with age. Therefore, the elderly when using Amerge migraine medication are prone to side effects, especially hypertension and cardiovascular disease.
5. Amerge . drug interactions
If the patient is taking ergotamine (such as dihydroergotamine) or any other "triptan" drug (such as zolmitriptan, rizatriptan), Amerge should be spaced between these drugs to reduce the risk of a reaction. serious side.
The risk of serotonin toxicity syndrome is increased when taken with other classes of substances that also increase serotonin levels, eg methamphetamine, ecstasy, certain antidepressants (SSRI antidepressants such as fluoxetine). , paroxetine or SNRIs such as duloxetine, venlafaxine). In particular, the risk of serotonin toxicity is higher when first starting or increasing the dose of these drugs.
Use Amerge only when absolutely necessary (when the patient has a migraine) or as directed by the doctor. The medicine is not to be taken on a daily or scheduled basis. Do not increase the dose on your own or take it more often than prescribed by your doctor.
Some foods, drinks or spices such as red wine, cheese, chocolate, MSG... and living habits such as irregular eating and sleeping, stress, stress... can cause migraine headaches. Eliminating these factors can help patients reduce the frequency of migraines.
Store at room temperature, away from direct sunlight and high humidity. Keep amerge out of the reach of children and pets.
Amerge is a drug indicated for the treatment of migraine headaches. For the drug to work best, the patient should use it exactly as directed by the doctor. In case of side effects or condition that does not improve after use, patients should go to Vinmec International General Hospital for examination and treatment.
With many years of experience in the examination and treatment of neurological diseases, now at Vinmec International General Hospital, it has become one of the major health care centers, capable of examination and screening. filtering and treating many diseases in depth. Therefore, if the migraine condition does not improve after using the drug, the patient can go to Vinmec International General Hospital to examine and receive support and advice from doctors.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
Reference source: webmd.com