Zomig Zmt

From WikiMD's Food, Medicine & Wellness Encyclopedia

Zomig ZMT is a medication used in the treatment of migraine headaches. It belongs to a class of drugs known as triptans, which work by constricting blood vessels around the brain and blocking pain pathways in the brain. Zomig ZMT is specifically formulated as an orally disintegrating tablet, designed to dissolve quickly on the tongue, making it a convenient option for individuals who have difficulty swallowing pills or who prefer a faster onset of relief from migraine symptoms.

Composition and Mechanism of Action[edit | edit source]

Zomig ZMT contains the active ingredient Zolmitriptan, which is a selective serotonin receptor agonist. Zolmitriptan targets the 5-HT1B and 5-HT1D receptors on intracranial blood vessels and sensory nerves of the trigeminal system. The activation of these receptors leads to vasoconstriction of dilated cerebral arteries and inhibition of pro-inflammatory neuropeptide release, which in turn helps to alleviate migraine symptoms.

Indications[edit | edit source]

Zomig ZMT is indicated for the acute treatment of migraine attacks with or without aura in adults. It is not intended for the prophylactic therapy of migraine or for the treatment of cluster headaches.

Dosage and Administration[edit | edit source]

The recommended starting dose of Zomig ZMT for the treatment of an acute migraine attack is 2.5 mg. If the migraine symptoms return after an initial response to the first dose, a second dose may be administered at least 2 hours after the first dose. The maximum recommended dose in a 24-hour period is 10 mg.

Side Effects[edit | edit source]

Common side effects of Zomig ZMT include dizziness, nausea, dry mouth, somnolence, and throat or neck symptoms. In rare cases, more serious cardiovascular side effects can occur, including chest pain, tightness, pressure, and palpitations. Patients with a history of cardiovascular disease should not use Zomig ZMT without discussing the risks with their healthcare provider.

Contraindications[edit | edit source]

Zomig ZMT is contraindicated in patients with a history of ischemic heart disease, uncontrolled hypertension, severe hepatic impairment, and those who have had a stroke or transient ischemic attack (TIA). It should not be used within 24 hours of another triptan or an ergotamine-containing medication.

Drug Interactions[edit | edit source]

Zomig ZMT can interact with a variety of medications, including monoamine oxidase inhibitors (MAOIs), other 5-HT1 agonists, and selective serotonin reuptake inhibitors (SSRIs). These interactions can increase the risk of serotonin syndrome, a potentially life-threatening condition. Patients should inform their healthcare provider of all medications they are taking before starting Zomig ZMT.

Conclusion[edit | edit source]

Zomig ZMT offers an effective treatment option for adults suffering from migraine attacks. Its orally disintegrating tablet form provides convenience and ease of use, especially for individuals who require rapid relief from migraine symptoms. However, like all medications, it is important to use Zomig ZMT under the guidance of a healthcare provider, considering the potential side effects and interactions with other medications.

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Contributors: Prab R. Tumpati, MD