Hedan 50 mg. 3 tablets

What Hedan and what it is used
Using the product should be done only when diagnosed with migraine.
Hedan is a medicine for the treatment of acute migraine attacks - with or without signs of warning signs (auras), such as increased sensitivity to light, sensation of nausea and vomiting. It is not indicated for prophylaxis of migraine.
Hedda contains sumatriptan, which belongs to a group of medicines called triptans or 5-HT1 receptor agonists.
It is assumed that the symptoms of migraines are caused by the temporary widening of blood vessels in the brain. Sumatriptan have effect as narrowing the vessels.

2. What you need to know before taking Hedan
Do not take Hedan if:
you are allergic to sumatriptan or any of the other ingredients of this medicine (listed in section 6);
you have heart problems, such as narrowing of the arteries (ischemic heart disease) or pain in the chest (angina) or have experienced heart attack (myocardial infarction);
You have problems with blood circulation in the legs, which leads to spastic pain during walking (peripheral vascular disease);
you have previously had a stroke (stroke), or mini-strokes (also called transient ischemic attack);
have severe liver disease;
have high blood pressure. Hedan can be used only if your blood pressure is elevated in mild and can be treated;
concurrently with other drugs to treat migraine which contain ergotamine or a derivative thereof (incl. methysergide) or triptan / 5-HT1 receptor agonists;
taking medicines to treat depression as MAOIs (monoamine oxidase inhibitors), or you took them over the past two weeks.
Warnings and Precautions
Hedda tablets are used only if you have been diagnosed migraine.
The recommended dose should not be exceeded!
In patients with migraine risk of occurrence of certain cerebrovascular accidents has increased.
Talk to your doctor or pharmacist before taking Hedda if:
Your migraine is accompanied by weakness on one side of the body (hemiplegic migraine); sudden fainting, impaired speech, dizziness, tinnitus (basilar migraine) or weakness of the eye muscles (ophthalmoplegic migraine);
you have mild hypertension (high blood pressure) that is amenable to treatment;
You have impaired renal or hepatic function;
you are allergic to sulfonamides (sulfamethoxazole, furosemide, and sulfagvanidin etc.).
you are a heavy smoker or use replacement therapy for smoking cessation, especially if you are a man of 40 years and more or woman during and after menopause;
taking herbal products containing St. John's wort.
You should inform your doctor to be able to monitor you if:
taking antidepressants such as SSRIs (selective inhibitors of serotonin reuptake inhibitors, e. citalopram, fluoxetine, paroxetine, sertraline) or SNRJs (reuptake inhibitors of serotonin and norepinephrine, such as venlafaxine, duloxetine);
if you have ever had seizures (fits) or have conditions that predispose to seizures, such as head trauma, alcoholism and others.
In each case, your doctor will decide whether to accept Hedda.
If you suffer from frequent headaches and regular use of pain medication does not help you seek advice from your doctor, because if you use Hedda often a headache you may deteriorate. To prevent the possible development of chronic headaches recommended daily doses of painkillers should be carefully monitored and must avoid excessive monthly use of drugs for migraine. Your doctor may advise you to discontinue treatment with Hedda.
Immediately contact your doctor if you are taking medication until you feel tightness and pain in the chest that can be strong and go for the throat.

Children and adolescents
Hedda should not be used in children under 18 years of age.

Other medicines and Hedda
Tell your doctor or pharmacist if you are taking, you have recently taken or might take any other medicines.
Some medicines should not be taken simultaneously with Hedda, others can cause side effects if taken with him.

You should tell your doctor if you take:
ergotamine - is also used to treat migraine, or similar medicines such as methysergide (see section 2 Do not use Hedda). Chelate should not be used at the same time with these drugs. Discontinue use at least 24 hours before taking Hedda. Do not take medicines containing ergotamine and its derivatives 6 hours after the use of Hedda;
triptan / 5-HT1 receptor agonists. Do not take other triptan / 5-HT1 receptor agonists (such as naratriptan, rizatriptan, zolmitriptan), which are also used to treat migraine (see section 2 Do not use Hedda) simultaneously with Hedda. Discontinue use at least 24 hours before using Hedda. Do not take over other triptan / 5-HT1 receptor agonists for at least 24 hours after using Hedda;
SSRIs (selective serotonin reuptake inhibitors of serotonin) or SNRIs (serotonin reuptake inhibitors of serotonin and norepinephrine) used to treat depression. Hedda use of these medicines can cause serotonin syndrome (multiple symptoms that may include: anxiety, confusion, sweating, hallucinations, increased reflexes, muscle spasms, tremors and rapid heart beat). Tell your doctor immediately if you are affected in this way;
MAO inhibitors (MAO inhibitors) used to treat depression. Do not use Hedda, if you have taken MAOIs in the last two weeks;
products containing St. John's wort (Hypericum perforatum), for example. herbal products. If you use them at the same time Hedda is more likely to get side effects.
Pregnancy, lactation and fertility
If you are pregnant or breast-feeding, you think you may be pregnant or planning to become pregnant, ask your doctor or pharmacist before taking this medicine.
There is only limited information on the safe use of Hedda in pregnant women. Although so far no evidence of an increased risk of birth defects Your doctor will discuss with you whether you can use Hedda while pregnant.
Do not breastfeed her baby 12 hours after using Hedda. Expressed milk during this period should be discarded and not given to the baby.

Driving and using machines
The symptoms of migraine or your medicine Hedda may cause drowsiness. Before driving or operating machinery, make sure that you do not feel sleepy. If you are affected in this way should not drive or operate machinery.

Hedda contains lactose
If your doctor has told you that you have an intolerance to some sugars, contact your doctor before taking this product.

3. How to take Hedan
Always take this medicine exactly as described in this leaflet or as you have been told by your doctor or pharmacist. If you're not sure, ask your doctor or pharmacist.
The tablets should not be taken for prevention (prophylaxis) of attack!
It is recommended to swallow the tablets whole with a sufficient amount of water. Tablets should not be chewed or crushed.
The usual dose Hedda at the first signs of a migraine is 1 tablet of 50 mg. It is recommended that the tablet be taken immediately after the onset of a migraine attack. This dose is equally effective at every stage of the migraine attack. If the first dose does not bring you any relief, do not take more tablets for this attack because it is unlikely that the second dose can help. You can accept Hedda in the next bout of migraine.
If you feel relieved after the first dose but the symptoms recur, you can take a second dose at least 2 hours after you take the first one.
Do not take more than 300 mg per 24 hours (this corresponds to 6 tablets of 50 mg or 3 tablets of 100 mg).
Experience of administration of sumatriptan in patients 65 years and older is limited. Therefore not recommended in this group of patients.

Once you have started treatment with Hedan
If medication does not relieve your condition can take the tablets, which usually relieve your pain if you're sure they do not contain ergotamine or its derivatives. Wait at least 6 hours after taking Hedda tablets before taking medicines containing ergotamine or its derivatives.
If you take more than the amount of Hedan
When taking a higher dose than prescribed, immediately contact a doctor!
It is important to stick to the recommended dose.
If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Most patients have no problems during treatment with Hedan, but few of them can be observed side effects.
Some symptoms can be a result of migraine.

If an allergic reaction should you be immediate medical attention.
Allergic reactions have been observed in a very small number of patients and their frequency is unknown:
Signs of allergy include rash, hives (itchy rash); wheezing, swelling of the eyelids, face or lips, collapse.
If you experience any of these symptoms soon after using Hedda:
Do not use it more. Contact your doctor immediately!

Common side effects (may affect up to 1 in 10 patients):
Dizziness, drowsiness, abnormal sensation of decreased sensation or numbness, tingling; a feeling of weakness and fatigue;
A transient increase in blood pressure soon after taking the medicine; flushing;
shortness of breath;
Nausea or vomiting (if not a manifestation of migraine headache);
Muscle pain; feeling of warmth or cold, pain, heaviness or tightness in any part of the body including the chest and throat. If these effects continue or become severe (especially chest pain or heart area, spreading to the hands), tell your doctor immediately, as has been reported rare cases of such side effects due to heart attacks (incl. Infarction infarction);
Feelings of weakness, fatigue (usually transient and less pronounced).
Very rare side effects (may affect 1 in 10,000 patients):
Abnormal liver enzymes. Tell your doctor that you are taking Hedda if you have blood tests to monitor liver function.
Not known (from the available data rate can not be determined):
Seizures (convulsions) usually in patients who have previously experienced seizures (eg. Epilepsy) or in patients with predisposing factors (alcoholism, head trauma, etc.);
Tremors and involuntary movements of the limbs, involuntary movements of the eyes, dark spots in the visual field;
Visual disturbances, including flash, double vision and reduced vision, loss of vision. Cases of permanent eye damage;
Delayed or rapid pulse, palpitations (sensation of rapid heart beat), heart rhythm disturbances, changes in the electrocardiogram indicative of vascular spasm, angina, myocardial infarction);
Lowering blood pressure, leading to fainting, especially when standing;
Raynaud's phenomenon - poor blood supply to the fingers and toes, with the result that they become stiff and pale;
Inflammation of the colon, which can occur with lower abdominal pain and / or bloody diarrhea;
diarrhea;
Neck stiffness, joint pain;
anxiety;
Increased sweating.

5. How to store Hedan
At temperatures below 25 ° C!
Keep out of reach of children.
Do not use this medicine after the expiry date stated on the carton. The expiry date refers to the last day of that month.
Do not dispose of medications in wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer use. These measures will help to protect the environment.

6. Contents of the pack and other information
What Hedda
The active substance in a tablet of 50 mg chelate is sumatriptan succinate 70 mg / sumatriptan succinate /, equivalent to 50 mg sumatriptan / sumatriptan /.
The active ingredient in one tablet of 100 mg chelate is sumatriptan succinate 140 mg / sumatriptan succinate /, equivalent to 100 mg sumatriptan / sumatriptan /.
The other ingredients are lactose monohydrate; croscarmellose sodium; anhydrous lactose; microcrystalline cellulose; magnesium stearate; mannitol; titanium dioxide; talc; glycerol triacetate.
Hedda looks like and contents of the pack
Hedda 50 mg - white, oval, convex, film-coated tablets with breakline and SN on one side and 50 on the other.