Instructions

This medicine is for use in the rectum. DO NOT take this medicine by mouth.

Ask your doctor, nurse or pharmacist to show you how to use this medicine correctly.

Wash your hands before and after using this medicine. However, do not get up right away to wash your hands if you are supposed to lie down for a period of time to give the medicine time to work.

Lie on your left side, with your right knee bent toward your chest. Or, you may kneel on both knees, with your arms folded on the floor with your head resting on your arms.

Unwrap the suppository and moisten it with a few drops of cool water. Insert the pointed end into the anus, and push it all the way in with your finger.

Continue to lie down on your left side for a few minutes after inserting the medicine into the rectum.

Try not to have a bowel movement for at least 1 hour after using this medicine.

Keep this medicine in the refrigerator.

This medicine should be used after a migraine headache starts. It should not be used to prevent a migraine headache.

If your headache improves but does not completely disappear after taking this medicine, you may need a second dose.

If you need to take a second dose, wait at least 1 hour after taking your first dose.

Do not use more than 2 doses for a single migraine attack.

Drug interactions can change how medicines work or increase risk for side effects. Tell your health care providers about all medicines taken. Include prescription and over-the-counter medicines, vitamins, and herbal medicines. Speak with your doctor or pharmacist before starting or stopping any medicine.

Tell your doctor if symptoms do not get better or if they get worse.

You may stop using this medicine if you no longer have symptoms.

Do not use more than 5 doses in a week.

Cautions

Tell your doctor and pharmacist if you ever had an allergic reaction to a medicine.

Some patients taking this medicine have experienced serious side effects. Please speak with your doctor to understand the risks and benefits associated with this medicine.

This medicine is associated with an increased risk of serious heart problems, heart attack, and stroke. Please speak with your doctor about the risks and benefits of using this medicine. Contact your doctor immediately if you experience chest pain or difficulty breathing.

Do not use the medication any more than instructed.

Using this medicine for 10 or more days in a month may make the headaches worse.

Your ability to stay alert or to react quickly may be impaired by this medicine. Do not drive or operate machinery until you know how this medicine will affect you.

If you drink alcohol regularly, please speak with your doctor.

Avoid smoking while on this medicine. Smoking may increase your risk for stroke, heart attack, blood clots, high blood pressure, and other diseases of the heart and blood vessels.

Do not breastfeed while on this medicine. This medicine can pass through breast milk to the baby.

Do not use this medicine if you are pregnant. If you become pregnant, contact your doctor immediately.

This medicine can cause birth defects. Speak with your doctor about birth control methods that should be used while on this medicine.

Do not share this medicine with anyone who has not been prescribed this medicine.

Side Effects

The following is a list of some common side effects from this medicine. Please speak with your doctor about what you should do if you experience these or other side effects.

• agitated feeling or trouble sleeping
• dizziness
• nausea and vomiting
• restlessness

Call your doctor or get medical help right away if you notice any of these more serious side effects:

• severe or persistent abdominal pain
• chest or jaw pain
• feeling cold or numb, especially in arms and legs
• pale, blue or cold fingers, toes or nails
• numbness or tingling in hands and feet
• fast, irregular, or slow heartbeat
• signs of kidney damage (such as change in urine color or bubbly urine)
• muscle pain or weakness
• symptoms of stroke (such as one-sided weakness, slurred speech, confusion)
• blurring or changes of vision

A few people may have an allergic reaction to this medicine. Symptoms can include difficulty breathing, skin rash, itching, swelling, or severe dizziness. If you notice any of these symptoms, seek medical help quickly.