Managing Your Migraine

1. Understand your migraine

Knowing your own migraine symptoms, triggers, and stages is one way to prepare yourself for a migraine attack.

Unfortunately you can’t always predict when a migraine will happen, but you can be prepared. Follow these tips and suggestions so you can be ready for a migraine attack.

Check out these helpful resources to help manage your migraines:

Migraine Trigger Tracker

Click here to get your report.

Migraine Symptom Discussion Guide

Click here to create yours.

2. Develop a migraine plan

Getting to know your migraine triggers and symptoms is a good way to prepare for migraine attacks. A little preparation can help you manage your migraines. Take a look at the following suggestions to help develop a plan to manage your migraines. 

Four things you can do:

  • See your doctor for evaluation and treatment
  • Identify your migraine triggers and avoid them whenever possible
  • Make a migraine management plan with your doctor and follow it. Your management plan may include taking your medication as soon as possible when you have a migraine attack
  • Follow an exercise regimen that doesn't trigger your migraines

General tips:

  • Keep to a regular sleep schedule—go to bed and get up at the same time every day and get an adequate amount of sleep every night 
  • Reduce stress and anxiety by using relaxation techniques (eg, deep breathing, positive imagery)
  • Drink plenty of water
  • Watch your diet—don't skip meals, but do avoid foods that tend to trigger migraines 
  • Avoid alcohol and nicotine

On the road:

  • Keep your medication handy
  • Stay as close to your “at-home” sleeping and eating schedule as possible
  • Avoid excessive heat and humidity
  • Ask for the first aid station if you feel an attack coming on in an airport, train station, or bus terminal
  • Avoid the stress of carrying heavy bags on your neck and shoulders; use a luggage cart instead
  • Leave yourself plenty of time when traveling—don't rush

At work:

  • Dim bright lights if they bother you
  • Store a supply of your migraine medication at your workplace in a safe place
  • Maintain a regular lunch schedule

Click here to watch videos about how you can plan ahead for migraines



Do not use ZOMIG if you have:

  • heart problems, a history of heart problems, or problems with the electrical system of your heart
  • had a stroke, transient ischemic attacks (TIAs), or problems with your blood circulation
  • hemiplegic migraines or basilar migraines. If you are not sure if you have these types of migraines, ask your healthcare provider
  • narrowing of blood vessels to your legs, arms, or stomach (peripheral vascular disease)
  • uncontrolled high blood pressure
  • used other migraine medications in the last 24 hours, including other triptans, ergots, or ergot-type medications
  • used monoamine oxidase (MAO) inhibitors for depression or other conditions within the last 14 days
  • allergies to zolmitriptan or any of the ingredients in ZOMIG, ZOMIG-ZMT or ZOMIG Nasal Spray

If you are not sure about any of the above, ask your doctor.

  • Before taking ZOMIG, tell your doctor about all your medical conditions, including if you have high blood pressure, high cholesterol, diabetes, if you smoke, are overweight, are a female who has gone through menopause, have heart disease or a family history of heart disease or stroke, have liver problems, are pregnant or plan to become pregnant, are breastfeeding or plan to breastfeed
  • Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Especially tell your doctor if you take medicines used to treat mood disorders including selective serotonin reuptake inhibitors (SSRIs), serotonin norepinephrine reuptake inhibitors (SNRIs), monoamine oxidase (MAO) inhibitors or cimetidine (reduces stomach acid production)
  • ZOMIG can cause serious side effects. Seek emergency help right away if you have any of the following symptoms of a heart attack such as: severe tightness, pain, pressure, or heaviness in your chest, throat, neck, or jaw that is severe or does not go away; shortness of breath or wheezing; or symptoms of a stroke such as: slurring of speech; or unusual weakness or numbness. Call your doctor right away if you have any of the following problems after taking ZOMIG: changes in color or sensation in your fingers and toes; sudden or severe stomach pain; cramping or pain in your legs or hips; bloody diarrhea; hives; tongue, mouth, lip or throat swelling; problems seeing. ZOMIG can cause heart attacks, increases in blood pressure, stroke, life-threatening disturbances of heart rhythm, constriction of blood vessels in the abdomen or other parts of the body, or serious allergic reactions. In extremely rare cases, patients have died from these side effects
  • Some people who take ZOMIG may have a reaction called serotonin syndrome which can be life-threatening. In particular this reaction may occur when ZOMIG is used together with certain types of antidepressants known as SSRIs or SNRIs. Symptoms may include mental changes (confusion, seeing things that are not there (hallucinations), agitation, coma), fast heartbeat, changes in blood pressure, feeling faint, fever, sweating, muscle spasm, trouble walking, nausea, vomiting, and/or diarrhea. Call your doctor immediately if you have any of these symptoms after taking ZOMIG
  • Tell your doctor if you are sensitive to phenylalanine, which can be found in the artificial sweetener aspartame. ZOMIG-ZMT contains phenylalanine
  • The safety and effectiveness of ZOMIG have not been established in patients under 18 years of age or patients over 65 years of age
  • The most common side effects reported by patients in clinical trials for ZOMIG Tablets and ZOMIG-ZMT Orally Disintegrating Tablets include tingling sensation; weakness; nausea; dizziness; pain, tightness, pressure or heaviness such as in the chest, throat, neck, or jaw; drowsiness; and warm sensation. The most common side effects reported by patients in clinical studies for ZOMIG Nasal Spray include unusual taste; tingling sensation; skin sensitivity; dizziness; nausea; pain, pressure, and tightness sensations such as in the nose, throat, or chest; drowsiness; weakness; disorder/discomfort of the nasal cavity; and dry mouth

Approved Use for ZOMIG

ZOMIG is a prescription medicine approved to treat migraine headaches in adults with or without aura. It is not known if ZOMIG Nasal Spray is safe and effective in children. Only your doctor can determine if ZOMIG is right for you.

ZOMIG should only be used where a clear diagnosis of migraine has been established. For a given migraine attack, if you do not respond to the first dose of ZOMIG, then your doctor will need to determine if you really have a migraine headache before you take another dose. ZOMIG is not for the prevention of migraines or for the treatment of hemiplegic or basilar migraines (if you are not sure about this, ask your doctor). ZOMIG is not for other types of headaches, including cluster headache. ZOMIG Nasal Spray is not for people with moderate or severe liver problems (hepatic impairment).

Click here to see the full Prescribing Information for ZOMIG Nasal Spray  

Click here to see the full Prescribing Information for ZOMIG Tablets and ZOMIG-ZMT Orally Disintegrating Tablets  

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit or call 1-800-FDA-1088.

The health information contained herein is provided for educational purposes only and is not intended to replace discussions with a healthcare professional. All decisions regarding patient care must be made with a healthcare professional, considering the unique characteristics of the patient.

This Web site contains information relating to various medical conditions and treatment. Such information is provided for educational purposes only and is not meant to be a substitute for the advice of a physician or other healthcare professionals. You should not use this information for diagnosing a health problem or disease. In order for you to make intelligent healthcare decisions, you should always consult with a physician or other healthcare provider for your, or your loved one’s, personal medical needs. All quotes included in this Web site represent the individual experience of some doctors, some patients, and their caregivers. Individual responses to treatment may vary.

This site is intended for residents of the United States only. Any products discussed herein may have different product labeling in different countries.

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ZOMIG and ZOMIG-ZMT are registered trademarks of the AstraZeneca group of companies.

© 2014 Impax Pharmaceuticals, a Division of Impax Laboratories, Inc. All rights reserved. 3027402 PP-ZNS-US-0002 Last updated 07/14