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Suma10 mg/spra
ACME Laboratories Ltd.
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Sumatriptan: Brands, Price & Uses in Bangladesh
Sumatriptan is a triptan medicine used for the acute (abortive) treatment of certain headache disorders.
About Sumatriptan
Indications of Sumatriptan
Sumatriptan is a triptan medicine used for the acute (abortive) treatment of certain headache disorders. It does not prevent attacks and is not for daily/prophylactic use.
| Indication | Evidence / Status | Formulation typically used |
|---|---|---|
| Acute treatment of migraine attacks, with or without aura, in adults | Established / FDA-approved | Oral tablet, subcutaneous injection, nasal spray |
| Acute treatment of migraine attacks in adolescents (12–17 years) | FDA-approved for this formulation only | Nasal spray |
| Acute treatment of cluster headache episodes in adults | Established / FDA-approved | Subcutaneous injection |
Sumatriptan is not indicated for prevention (prophylaxis) of migraine, for hemiplegic or basilar migraine, or for tension-type or other non-migraine headaches.
Dosage & Administration of Sumatriptan
Adults — Migraine
| Formulation | Usual single dose | Repeat dosing | Maximum |
|---|---|---|---|
| Oral tablet | 25 mg, 50 mg, or 100 mg | May repeat once after ≥2 hours if migraine returns | 200 mg per 24 hours |
| Subcutaneous injection | 4 mg or 6 mg | May repeat once after ≥1 hour if migraine returns | 12 mg (two 6 mg doses) per 24 hours |
| Nasal spray | 5 mg, 10 mg, or 20 mg in one nostril | May repeat once after ≥2 hours if migraine returns | 40 mg per 24 hours |
Adults — Cluster Headache
Subcutaneous injection 6 mg for an acute episode; may repeat once after at least 1 hour if needed. Maximum 12 mg (two 6 mg injections) in 24 hours. Oral and nasal forms are not established for cluster headache.
Adolescents (12–17 years) — Migraine
Nasal spray only: a single 10 mg or 20 mg spray in one nostril, based on body weight, at the onset of migraine. The safety and effectiveness of a second dose in this age group have not been established (see Pediatric Uses).
Hepatic Impairment
In mild-to-moderate hepatic impairment, use the lowest recommended dose and monitor closely. Sumatriptan is not recommended in severe hepatic impairment (see Contraindications).
Doses should be taken as early as possible after migraine symptom onset, but Sumatriptan is effective when taken at any point during an attack. Do not use for a headache with atypical features suggestive of stroke or other serious neurological cause without medical evaluation.
Side Effects of Sumatriptan
Common side effects of Sumatriptan include:
- Tingling, numbness, or pins-and-needles sensation (paresthesia)
- Flushing or feeling of warmth
- Mild sensation of pain, pressure, or tightness in the chest, neck, jaw, or throat — usually transient and not of cardiac origin, but should be evaluated promptly if severe, persistent, or occurring with risk factors for heart disease (see Precautions and Warnings)
- Dizziness or drowsiness
- Injection site reactions (with subcutaneous use) or nasal discomfort, throat irritation, and altered taste (with nasal spray)
- Fatigue and mild nausea
Rare but serious effects — including cardiac ischemia, stroke, serotonin syndrome, seizures, and anaphylaxis — are discussed under Precautions and Warnings.
Contraindications of Sumatriptan
Sumatriptan is contraindicated in patients with:
- Ischemic heart disease (history of myocardial infarction, angina pectoris, or documented silent ischemia) or coronary artery vasospasm, including Prinzmetal's angina
- History of stroke or transient ischemic attack, or history of hemiplegic or basilar migraine
- Peripheral vascular disease
- Ischemic bowel disease
- Uncontrolled hypertension
- Severe hepatic impairment
- Use of another triptan or an ergotamine-type medication (ergotamine or methysergide) within the preceding 24 hours
- Use of, or use within 2 weeks of stopping, a monoamine oxidase (MAO) inhibitor
- Known hypersensitivity to Sumatriptan or any component of the formulation
Frequently Asked Questions about Sumatriptan
What is Sumatriptan used for?
Sumatriptan is used for the acute treatment of a migraine attack (with or without aura) once it has started, and — as a subcutaneous injection — for acute cluster headache episodes in adults. It is not used to prevent migraine or cluster headache attacks.
Can I take Sumatriptan for a regular headache or every day for migraine prevention?
No. Sumatriptan is only for treating an individual migraine or cluster headache attack, not for daily or preventive use, and not for ordinary tension-type headaches. Using it more than about 10 days a month can itself lead to worsening, medication-overuse headache, so it should be used strictly as directed.
Who should not take Sumatriptan?
Sumatriptan must not be used by people with ischemic heart disease (such as a history of heart attack or angina) or coronary artery vasospasm, a history of stroke or transient ischemic attack, hemiplegic or basilar migraine, peripheral vascular disease, ischemic bowel disease, uncontrolled high blood pressure, or severe liver impairment. It also must not be combined with an ergotamine-type medicine or another triptan within 24 hours, or with an MAO inhibitor (or within 2 weeks of stopping one), or used by anyone with a known allergy to it. Always share your full medical history with your physician before starting Sumatriptan.
Is it safe to use Sumatriptan during pregnancy or while breastfeeding?
Sumatriptan should be used in pregnancy only if clearly needed, since the potential benefit must be weighed against any potential risk to the fetus; although available pregnancy-registry data are reassuring, formal safety has not been established, so a physician should be consulted first. Sumatriptan passes into breast milk in small amounts, so caution is advised while breastfeeding — some guidance recommends waiting about 12 hours after a dose before nursing again — and a doctor should be consulted.
What are the common side effects of Sumatriptan?
Common effects of Sumatriptan include tingling or numbness, flushing or a feeling of warmth, mild tightness or pressure in the chest, neck, jaw, or throat (usually brief and not heart-related, but should be checked if severe or persistent), dizziness, drowsiness, and mild nausea. Injection use can cause site reactions, and nasal spray can cause nasal discomfort or an unusual taste. Serious but rare effects include heart-related events, stroke, serotonin syndrome, seizures, and allergic reactions — seek medical help immediately if these occur.
What should I do if I take too much Sumatriptan?
An overdose of Sumatriptan can cause seizures, tremor, bluish skin discoloration, weakness, poor coordination, marked blood pressure changes, or loss of consciousness. There is no specific antidote, so if an overdose is suspected, seek immediate medical attention or contact emergency services or a poison control center right away rather than attempting to treat it at home.
Disclaimer
The information provided is accurate to the best of our knowledge, but it does not replace professional medical advice. We cannot guarantee its completeness or accuracy, and the absence of specific information about a drug should not be taken as an endorsement. We are not responsible for any consequences arising from this information, so please consult a healthcare professional for any concerns or questions.