What is Nomigran Tablet 100 mg?

Nomigran Tablet 100 mg is a medication used to treat migraine headaches. It belongs to a class of medications known as serotonin receptor agonists, and works by reducing inflammation and constricting dilated blood vessels in the brain, helping to relieve migraine pain.

Uses for Nomigran Tablet 100 mg

Nomigran Tablet 100 mg is used to treat migraine headaches, as well as other conditions where severe headaches are present. It can also be used to prevent migraine headaches in those patients who suffer from frequent migraines. It is also used to treat other types of headaches such as cluster headaches.

Brand Name Nomigran
Type Tablet
Weight 100 mg
Generic Sumatriptan
Manufacturer Ambee Pharmaceuticals Ltd.
Available in English বাংলা

Mechanism of Action

Nomigran Tablet 100 mg works by constricting dilated blood vessels in the brain that can cause the migraines. It also reduces inflammation in the head, neck, and scalp. It is believed to work by activating serotonin receptors in the brain, which helps to regulate pain.

How Long Does It Take To Work?

Nomigran Tablet 100 mg usually begins to work within 30 minutes, although it can take up to two hours for the full effects to be seen. The medication should only be taken when you feel a migraine coming on. Take mid-treatment as needed if the pain still persists.

Absorption

Nomigran Tablet 100 mg is rapidly absorbed after oral administration, with peak drug concentrations occurring 1 to 4 hours after dosing. The mean oral bioavailability of sumatriptan is 69%.

Route of Elimination

Nomigran Tablet 100 mg is primarily excreted in the urine in the form of metabolites. It has a half-life of 2.5 to 3.3 hours.

Dosage

Sumatriptan nasal spray: Single-dose of 10 mg of nasal spray. The maximum dose in a 24 hour period is 30 mg; separate doses by at least one hour or as directed by the physician.

Sumatriptan tablets: In controlled clinical trials, single doses of 25, 50, or 100 mg of Sumatriptan tablets were effective for the acute treatment of migraine in adults. There is evidence that doses of 50 and 100 mg may provide a greater effect than 25 mg. There is also evidence that doses of 100 mg do not provide a greater effect than 50 mg. Individuals may vary in response to doses of Sumatriptan tablets. The choice of dose should therefore be made on an individual basis, weighing the possible benefit of a higher dose with the potential for a greater risk of adverse events.

If the headache returns or the patient has a partial response to the initial dose, the dose may be repeated after 2 hours, not to exceed a total daily dose of 200 mg. If a headache returns following an initial treatment with Sumatriptan Injection, additional single Sumatriptan Tablets (up to 100 mg/day) may be given with an interval of at least 2 hours between tablet doses. The safety of treating an average of more than 4 headaches in a 30-day period has not been established.

Use in children and adolescents: Sumatriptan is not recommended for use in patients younger than 18 years of age.

Nomigran Tablet 100 mg is available in 25, 50, and 100 mg tablets. The recommended dose for an adult is 25 to 100 mg orally, taken with or without food. It can be taken up to 4 times a day as needed. For children under 12, a dosage of 25 to 50 mg orally every 4 to 6 hours as needed, up to a maximum of 200 mg in a 24-hour period.

Administration

Nomigran Tablet 100 mg should be taken orally with or without food. To ensure best results, follow the dosage instructions provided by your doctor. Do not change the dosage without first consulting a doctor.

Side Effects

Common side effects of sumatriptan include nausea, drowsiness, dizziness, and flushing. Rare but serious side effects can include chest pain, heart problems, vision changes, seizures, and difficulty breathing. If any of these side effects occur, seek medical attention immediately.

Toxicity

Nomigran Tablet 100 mg is generally well-tolerated and has a low risk of toxicity when taken according to instructions. However, an overdose of sumatriptan can be dangerous and may be life-threatening. Symptoms of an overdose include dizziness, confusion, drowsiness, and seizures.

Precautions

Nomigran Tablet 100 mg should be used with caution in patients with a history of stroke, heart attack, or bleeding disorders. It can also interact with certain medications, so it is important to let your doctor know of any other medications you may be taking before starting treatment with sumatriptan.

Interactions

Nomigran Tablet 100 mg can interact with certain medications, including MAO inhibitors, blood thinners, and certain antibiotics and antifungals. Patients should discuss any other medication they are taking with their health care provider before using Nomigran Tablet 100 mg.

Disease Interaction

Nomigran Tablet 100 mg is not recommended for use in patients with uncontrolled hypertension, cerebral or coronary vasospasm, severe hepatic or renal impairment, and ischemic heart disease.

Drug Interaction

Nomigran Tablet 100 mg should not be taken with any drugs in the monoamine oxidase (MAO) inhibitor family. These include phenelzine (Nardil), isocarboxazid (Marplan), and tranylcypromine (Parnate). If you are taking any of these medications, tell your doctor before taking Nomigran Tablet 100 mg.

Food Interactions

Nomigran Tablet 100 mg should not be taken with foods that are high in tyramine content such as aged cheeses, sour cream, certain meats, smoked fish, and certain beers. Alcohol can also interfere with the effectiveness of Nomigran Tablet 100 mg. Try to avoid drinking alcohol while taking this medication.

Pregnancy Use

It is not recommended to take sumatriptan during pregnancy. This medication can cross the placenta and potentially harm a developing fetus. It is important to discuss any potential risks with your health care provider before beginning treatment with sumatriptan.

Lactation Use

The safety of sumatriptan in breastfeeding women has not been established. It is recommended that women who are breastfeeding either avoid or discontinue breastfeeding while taking this medication.

Acute Overdose

The symptoms of acute overdose with sumatriptan are similar to those experienced with an overdose of other medications in this class. Symptoms can include drowsiness, confusion, rapid or irregular heartbeat, seizures, coma, and death.

Contraindication

Nomigran Tablet 100 mg is contraindicated in patients with an allergy to the medication and in those with certain pre-existing medical conditions, including ischemic heart disease, uncontrolled hypertension, severe hepatic or renal impairment, and cerebral or coronary vasospasm.

Use Direction

Take sumatriptan exactly as directed by your healthcare provider. The recommended dose is 25 to 100 mg orally, taken with or without food, up to 4 times daily as needed for migraine symptoms. Do not exceed 200 mg in a 24-hour period.

Storage Condition

Nomigran Tablet 100 mg should be stored at room temperature, away from moisture and heat. Keep out of the reach of children and pets.

Volume of Distribution

The volume of distribution for sumatriptan is 17 L/kg.

Half Life

The half-life of sumatriptan is 2.5 to 3.3 hours.

Clearance

Nomigran Tablet 100 mg has an oral clearance of 35.6 L/hr/kg.

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*** Taking medicines without doctor's advice can cause long-term problems.
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