Important Information About All Medicines
Never take more than the prescribed dose. If you suspect that you or someone else might have taken an overdose of this medicine, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.
This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.
If you buy any medicines, check with a pharmacist that they are suitable to take with your other medicines.
If you are having an operation or any dental treatment, tell the person carrying out the treatment which medicines you are taking.
Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.
If you have any questions about this medicine, ask your pharmacist.
Further reading and references
Drug Forms And Strengths
Nurtec ODT comes as oral disintegrating tablets, which can be taken in either of these ways:
- sublingually, which means that you let the tablet dissolve under your tongue and then swallow it
- orally, which means that you let the tablet dissolve on top of your tongue and then swallow it
The drug is available in one strength: 75 milligrams .
What Drug Class Does Nurtec Odt Belong To
Nurtec ODT belongs to a class of drugs called calcitonin gene-related peptide receptor antagonists. CGRP receptor antagonists that are taken by mouth, such as Nurtec ODT, are also called gepants.
CGRP is a protein in your brain thats thought to be involved in causing migraine symptoms. Nurtec ODT works to block CGRP receptors in the brain. This prevents CGRP from attaching to receptors, which can prevent it from causing migraine symptoms. For more details, see the How Nurtec ODT works section above.
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Medication Then Medication Overuse Headache: A Vicious Cycle
Pain relieving or antimigraine medications may stop headache attack when taken as needed to relieve headache. But if a person with a primary headache disorder, such as migraine or tension-type headache, takes these headache-relieving medications more than two to three days a week, they may trigger medication overuse headache.
A variety of medications can lead to rebound headaches. For example, people with migraine who take over-the-counter pain-relieving medications such as acetaminophen , ibuprofen , or naproxen on more than 15 days per month are at risk for medication overuse headache. So are people who take combination medications such as Excedrin, which contains caffeine, aspirin, and acetaminophen; people who take combination medications that contain the barbiturate butalbital; and those who take triptans, including sumatriptan , ergots, or opioids, if they take these medications on more than 10 days per month. In fact, butalbital-containing medications and opioids have been shown to increase the risk of a persons migraine progressing from episodic to chronic .
Interestingly, the same pain-relieving medications taken for other conditions such as back pain, neck pain, or arthritis usually do not trigger medication overuse headache in people without a pre-existing primary headache disorder.
Are Nsaids Safe To Take If You Have Kidney Disease
NSAIDs are usually safe for occasional use when taken as directed. However, if your doctor has told you that you have low kidney function, NSAIDs might not be right for you. These medications should only be used under a doctor’s care by patients with kidney disease. Also, they might not be the best choice for people with heart disease, high blood pressure or liver disease. Some of these drugs affect blood pressure control. High doses over a long period of time can also lead to chronic kidney disease and even progress to kidney failure.
For people without kidney disease, the recommended dose of aspirin can be safe if you read the label and follow the directions. When taken as directed, regular use of aspirin does not seem to increase the risk of kidney disease in people who have normal kidney function. However, taking doses that are too large may temporarily and possibly permanently reduce kidney function. In people with kidney disease, aspirin may increase the tendency to bleed.
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How Is This Drug Best Taken
Use this drug as ordered by your doctor. Read all information given to you. Follow all instructions closely.
- Take with or without food. Take with food if it causes an upset stomach.
- Take with a full glass of water.
- Place the powder on your tongue and follow with a full glass of water or other liquid. You may also mix the powder with water and drink.
Caffeine: A Key Ingredient To The Excedrin List
You may have heard that caffeine can cause or exacerbate headaches, and if so, youre probably wondering why theres caffeine in most Excedrin products.
Its true that caffeine can be a headache trigger in certain situations, but thats far from the full story.
Caffeine is referred to as an analgesic adjuvant. This means that it helps to boost the effects of certain pain relievers. In the case of Excedrin, caffeine boosts the pain-relieving effects of aspirin and acetaminophen making these medicines up to 40% more effective.
Thats why youll find caffeine in almost all Excedrin products. Only Excedrin PM Headache does not contain caffeine, as caffeine consumed too close to bedtime can keep you from getting a good nights sleep.
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Medications For Acute And Chronic Migraines
- Triptans , may be extremely effective in treating migraines and may be prescribed to help patients treat their migraines at home. A combination of naproxen and sumatriptan is now available. Additionally, sumatriptan is now available as a patch, which delivers the medication though the skin.
- Not every patient can take these medications, and there are specific limitations regarding how often these medications can be used.
Other migraine treatments
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Ask Doctor Before Use If
- you have never had migraines diagnosed by a health professional
- you have a headache that is different from your usual migraines
- you have the worst headache of your life
- you have fever and stiff neck
- you have headaches beginning after or caused by head injury, exertion, coughing or bending
- you experienced your first headache after the age of 50
- you have daily headaches
- you have a migraine so severe as to require bed rest
- you have liver disease
- stomach bleeding warning applies to you
- you have a history of stomach problems, such as heartburn
- you have high blood pressure, heart disease, liver cirrhosis, or kidney disease
- you are taking a diuretic
- you have asthma
- you have problems or serious side effects from taking pain relievers or fever reducers
- you have vomiting with your migraine headache
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Is Nurtec Odt Used To Treat Cluster Headaches
Cluster headaches and migraine can both cause headache pain. But cluster headaches can cause different symptoms from migraine, and they may last longer.
If you have cluster headache episodes that arent managed, talk with your doctor. They may recommend a drug thats approved to treat cluster headaches, such as galcanezumab-gnlm .
What Are Migraine Headaches
Migraine headaches are severe headaches that cause intense pain. They can start suddenly and get worse quickly. A migraine headache typically lasts from 4 hours to 3 days if not treated. Migraines are thought to run in families.
Symptoms of a migraine headache can include:
- A severe headache, often with throbbing on one side of the head
- Sensitivity to light or sound
- Nausea and vomiting
- Difficulty doing physical activities like walking or climbing stairs
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Magnesium And Your Migraines
Magnesium;is a mineral;involved in the functioning and health of many parts of your body, including your muscles, bones, heart, and nerves.;A deficiency of magnesium has been linked to a number of health problems, including migraine development.;
In the United States, magnesium deficiency is actually quite common and is mostly due to an increased intake of;processed and refined foods, which are naturally low in magnesium.
A number of medical problems can also contribute to magnesium deficiency, like alcohol abuse, kidney disease, celiac disease, inflammatory bowel disease,;and certain medications like proton pump inhibitors .
While magnesium deficiency has been linked to migraine development at a basic scientific level , experts arent quite sure how that science translates to the clinical level .
There are likely many factors involved in a persons migrainesa very complex neurological;disease. So;while;magnesium deficiency may make certain people more vulnerable to developing migraines, it probably is only one piece of the puzzle.
Headaches Or Migraine Attacks That Occur Following Vaccination Can Be Treated As Usual
After getting the vaccine, if a person has a headache, they can take either their regular migraine abortive drug or an over-the-counter medication to help ease any of the symptoms, says Estemalik.
There was initial concern that if you took an over-the-counter medication after your vaccine that it might make it less effective, but there isnt evidence to support that, says Strauss.
Since people can manage any headache that may come on as a side effect of the vaccine with their normal medications, I hope that takes a little of the fear away. This headache might last longer than what youre used to, but you can certainly treat it, she says.
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Nurtec Odt With Medications For Migraine Prevention
Nurtec ODT is used as needed for acute migraine treatment. Its not approved for migraine prevention. But as long as your doctor approves, Nurtec ODT can be taken with certain drugs for migraine prevention.
Nurtec ODT belongs to a class of drugs called CGRP receptor antagonists. Other CGRP receptor antagonists are sometimes used as preventive migraine treatments, such as galcanezumab-gnlm .
Its unknown if its safe to use Nurtec ODT while youre also taking a CGRP receptor antagonist for migraine prevention. In this case, your doctor may recommend that you take a drug other than Nurtec ODT for acute migraine treatment.
Before starting Nurtec ODT, talk with your doctor about all of your migraine treatments.
Massage The Pain Away
A regular massage may seem like a luxury, but when a migraine strikes, it can be the best way to relive all thats built up in your head.
Learn how to give yourself a calming and pain relieving massage, and you can prevent your migraines from growing worse, quickly. As you stretch and massage both the neck and the base of the scalp, you will stimulate blood flow and relaxation, sending the pain away from your head.
Check out Theory & Practice of Therapeutic Massage for more on how to relieve the pain of headaches and migraines through massage.
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How Long Does It Take To Work
When taken as directed, Nurtec ODT is fully absorbed by the body in about an hour and a half.
In a clinical study, many people had reduced or no migraine pain and were able to function normally 2 hours after taking Nurtec ODT. Also, some people continued to experience relief from migraine symptoms for 48 hours after taking Nurtec ODT.
Nurtec ODTs half-life is 11 hours. This is the time it takes your body to clear half of the drug. Most drugs are cleared from the body after about 5 half-lives. So for Nurtec ODT, it would take about 55 hours for your body to clear the drug from its system.
Here are answers to some frequently asked questions about Nurtec ODT.
Nurtec Odt And Vaccines
Its typically safe to receive vaccines while youre taking Nurtec ODT. Staying up to date with your vaccines is an important part of staying healthy. So, ask your doctor which vaccines are right for you.
You should take Nurtec ODT according to your doctors or healthcare providers instructions. If you have questions, talk with your doctor or pharmacist, or check Nurtec ODTs patient information.
Nurtec ODT comes as a tablet that you take by mouth. It can be taken either:
- sublingually, which means that you let the tablet dissolve under your tongue, then swallow it
- orally, which means that you let the tablet dissolve on top of your tongue, then swallow it
Let the tablet fully dissolve in your saliva, and then swallow it without water. Avoid eating or drinking until after youve swallowed the dissolved tablet.
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What Do I Need To Tell My Doctor Before I Take This Drug
For all patients taking this drug:
- If you are allergic to this drug; any part of this drug; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had.
- If you have gotten nasal polyps or had swelling of the mouth, face, lips, tongue, or throat; unusual hoarseness; or trouble breathing with aspirin or NSAID use.
- If you have bleeding problems.
- If you are taking another drug that has the same drug in it.
- If you are taking any other NSAID.
- If you are pregnant, plan to become pregnant, or get pregnant while taking this drug. This drug may cause harm to an unborn baby if taken at 20 weeks or later in pregnancy. If you are between 20 to 30 weeks of pregnancy, only take this drug if your doctor has told you to. Do not take this drug if you are more than 30 weeks pregnant.
- If your child or teenager has or is getting better from flu signs, chickenpox, or other viral infections. The risk of a very bad problem called Reyes syndrome may be raised. Do not give this drug to a child or teenager who has or is getting better from a viral infection.
This is not a list of all drugs or health problems that interact with this drug.
Tell your doctor and pharmacist about all of your drugs and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
How To Use Excedrin Migraine
See also Warning section.
If you are taking the over-the-counter product to self-treat, read all directions on the product package before taking this medication. If you have any questions, consult your pharmacist. If your doctor has prescribed this medication, take it as directed.
Take this medication by mouth as directed by your doctor, or follow the product package directions. Drink a full glass of water with this medication unless your doctor directs you otherwise. If you are using the tablet form of this medication, do not lie down for at least 10 minutes after you have taken this drug. If upset stomach occurs, you may take it with food or milk.
The dosage is based on your medical condition and response to treatment. Do not increase your dose or use this drug more often or for longer than directed. Do not use this product for pain lasting longer than 10 days or fever lasting more than 3 days. Use the smallest effective dose. Consult your doctor or pharmacist for more information.
If you are taking this drug “as needed” , remember that pain medications work best if they are used as the first signs of pain occur. If you wait until the pain has worsened, the medication may not work as well.
Consult your doctor if your condition persists or worsens .
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What Analgesics Are Safe For People Who Have Kidney Disease
Acetaminophen is the drug often recommended for occasional use in patients with kidney disease. But everyone with kidney disease should rely on their doctor or other health care professional for a personal recommendation. It is important to know that any drug can be harmful if used at high doses or very frequently. People with kidney disease should also be sure to avoid drinking alcohol while taking pain medicines.
If I Need Pain Medicines What Can I Do To Keep My Kidneys Healthy
Kidney disease caused by pain relievers is often preventable. Here are some things you can do to help keep your kidneys healthy.
How you take these medicines makes a difference:
- Make sure you read the warning label before using any overthecounter analgesics.
- Do not use overthecounter pain relievers more than 10 days for pain or more than three days for fever. If you have pain or fever for a longer time, you should see your doctor.
- Avoid using pain medicines that contain a combination of ingredients, like aspirin, acetaminophen and caffeine mixed together in one pill.
- If you are taking pain medicines, increase the amount of fluid you drink to six to eight glasses a day.
- If you are taking pain medicines, avoid drinking alcohol.
Talking with your doctor about pain medicines can also make a difference:
- If you have kidney disease, ask your doctor before taking a pain medicine, particularly NSAIDs and higher dose aspirin.
- If you have high blood pressure or heart disease, make sure you only take NSAIDs under your doctors supervision. This is especially important if you take diuretic medications or are over 65 years of age.
- Make sure your doctor knows about all medicines you are taking, even over-the-counter medicines.
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