Triptan medicine for treating a migraine attack

Almotriptan (ألموتريبتان)

Almotriptan narrows selected blood vessels and blocks pain signals involved in migraine. It is taken for an attack that has already started, with or without aura, and is not for daily prevention or an undiagnosed headache. It is unsuitable for people with certain heart or blood-vessel diseases.

What it is used for

  • Acute treatment of a migraine attack with or without aura after the diagnosis is confirmed
  • Relieving attack pain and associated symptoms such as nausea and sensitivity to light and sound

How it is used

  • Take the tablet when migraine pain begins as prescribed, with or without food
  • If the headache improves and then returns, follow the doctor's or leaflet's instructions; do not repeat it or combine headache medicines yourself
  • If the first treatment does not help, do not take more for the same attack before asking the doctor because the diagnosis may need review
  • Record headache days and treatment use, and see the doctor if attacks become more frequent

Possible side effects

  • Dizziness, sleepiness or headache
  • Nausea or dry mouth
  • Tingling, numbness or a warm sensation
  • Temporary pressure or heaviness in the chest, throat or neck
  • Rarely, palpitations or raised blood pressure

Who should not use it

  • Coronary artery disease, coronary spasm or a history of heart attack
  • Stroke, transient ischaemic attack or severe peripheral vascular disease
  • Uncontrolled high blood pressure
  • Hemiplegic migraine, migraine with brainstem symptoms, or allergy to the medicine

Before and while using it

  • Severe or persistent chest pain, breathlessness or sweating needs emergency care and must not be treated with another dose
  • Sudden weakness, speech difficulty or loss of vision may be a stroke rather than migraine and needs emergency care
  • Frequent use of attack medicines can cause medication-overuse headache; see the doctor if headache days increase
  • Fever with agitation, sweating, tremor or stiffness may be serotonin syndrome and needs urgent help
  • It can cause dizziness or sleepiness; do not drive during an attack or until you know its effect

Medicine interactions

  • Do not combine it with another triptan or an ergot medicine within the interval stated in the leaflet because of blood-vessel narrowing
  • Monoamine oxidase inhibitors and some liver-enzyme inhibitors can raise its level and must be reviewed
  • Serotonergic antidepressants can increase the risk of serotonin syndrome
  • Tell the doctor about every headache, blood-pressure or depression medicine and any herbs

Pregnancy and breastfeeding

  • Tell the doctor if you are pregnant or planning pregnancy; use only when expected benefit justifies possible risk
  • Ask the doctor before breastfeeding because the medicine may enter milk; suitable timing or an alternative may be advised

How to store it

  • Keep tablets in their original pack, away from moisture, heat and children's reach

Get medical help straight away if

  • Your face, lips or tongue swell, or you find it hard to breathe.
  • You get a severe rash, blistering or peeling skin.
  • A side effect worries you or doesn’t go away: contact your doctor or pharmacist.

Questions about this medicine?

Talk to a doctor by video, or send your question by text.

Source: Standard international medicine references

This guide is general information and doesn’t replace advice from your doctor or pharmacist. Don’t start, stop or change a medicine without asking them, and always read the leaflet in the pack.