Talk to your doctor about migraine

Stethoscope

Honestly, you may not have much time to talk to your doctor about migraine. That’s why we’ve provided some simple tips to help you get prepared so that you can make the most out of your time.

  • Find a doctor

    Make an appointment to talk specifically about migraine. If your doctor doesn’t evaluate and treat patients with migraine, ask for a referral or find another doctor in your area. There are helpful directories on the American Headache Society website and the American Migraine Foundation website.

  • Keep a headache diary

    Use a diary for at least a month to track the number and severity of your migraine attacks and whether or not they impact your daily life. Try to identify triggers or see if your migraine falls into a specific pattern. For example, do you usually get a migraine in the morning? You can find many helpful (and free) headache diary apps online.

  • Gather questions and answers

    Write down all the questions that you want to ask your doctor to make sure you don’t forget. If you want to ask your doctor about ONZETRA Xsail, download and review the Doctor Discussion Guide before your appointment. And remember, there are a lot of things that your doctor may want to know. It can be very helpful to prepare answers to the following questions:

    Timing

    • When did you start getting migraine?
    • How often do you get them?
    • How long do they last?
    • Do you get more migraines in the morning, afternoon, or evening?

    Impact

    • How bad are your migraines?
    • What impact do they have on the rest of your day?

    Warning signs

    • Have you noticed any signals (such as dark spots in your vision) that you are about to experience a migraine?
    • Does anything happen the night before you wake up with a migraine?

    Associated symptoms

    • Do you experience nausea or vomiting with your migraine?
    • Are you sensitive to light, sound, or smell?

    Family history

    • Does anyone else in your family experience migraine?

    Past migraine treatment

    • What, if anything, have you done to try to treat your migraine?
    • What worked and what didn’t?
    • If you’ve taken medications, what did you take? How much did you take? How long did you take it? Why did you stop taking it?

    Previous tests

    • Have you ever had any type of brain scan (such as a CT or MRI) for migraine?
  • Take clear notes

    Before you leave the office, make sure that your doctor has answered all of your questions and that you fully understand your diagnosis.

Doctor Discussion

Before talking to your doctor about ONZETRA, download the Doctor Discussion Guide.

Did you enjoy this article?

Checklist

Read about tips to help avoid migraine

Tap for Safety Information

ONZETRA® Xsail® is a prescription medication approved for the acute treatment of migraine, with or without aura in adults. ONZETRA Xsail is used for people who have been told by a healthcare provider that they have migraine headaches. ONZETRA Xsail is not for the prevention of migraines or for other types of headaches, including cluster headache.

Important Safety Information

What important information should I know about ONZETRA Xsail?
ONZETRA Xsail may cause serious side effects, including:

ONZETRA® Xsail® is a prescription medication approved for the acute treatment of migraine, with or without aura in adults. ONZETRA Xsail is used for people who have been told by a healthcare provider that they have migraine headaches. ONZETRA Xsail is not for the prevention of migraines or for other types of headaches, including cluster headache.

Important Safety Information

What important information should I know about ONZETRA Xsail?

ONZETRA Xsail may cause serious side effects, including:

  • Heart attack and other heart problems, which may lead to death. Stop using ONZETRA Xsail and get emergency medical help right away if you have any symptoms of a heart attack like shortness of breath or tightness, pain, pressure, or heaviness in your chest, throat, neck, or jaw that is severe or does not go away
  • Changes in color or sensation in your fingers and toes (Raynaud’s syndrome)
  • Stomach and intestinal problems (gastrointestinal and colonic ischemic events)
  • Problems with blood circulation to your legs and feet (peripheral vascular ischemia)
  • Serious allergic reactions (symptoms include hives; tongue, mouth, lip, or throat swelling; problems breathing)
  • Medication overuse headaches. Some people who use ONZETRA Xsail too many times may have worse headaches. If your headaches get worse your doctor may decide to stop your treatment with ONZETRA Xsail
  • Serotonin syndrome, a rare but serious problem that can happen in people using ONZETRA Xsail, especially if ONZETRA Xsail is used with antidepressant medicines called SSRIs, SNRIs, or TCAs. Call your doctor right away if you have any of the following symptoms of serotonin syndrome: mental changes such as seeing things that are not there (hallucinations), agitation, or coma; fast heartbeat; changes in blood pressure; high body temperature; tight muscles; trouble walking; or nausea, vomiting, or diarrhea
  • Seizures. Seizures have happened in people taking sumatriptan who have never had seizures before

The most common side effects of ONZETRA Xsail are abnormal taste, discomfort of your nose or throat, runny nose, and stuffy nose. This is not a complete list of side effects. Tell your doctor about any side effect that bothers you or does not go away.

Who should not take ONZETRA Xsail?
Do not take ONZETRA Xsail or stop using ONZETRA Xsail if you:

  • Have heart problems or a history of heart problems
  • Have had a stroke, transient ischemic attacks (TIAs), or problems with your blood circulation
  • Have uncontrolled high blood pressure
  • Have hemiplegic migraines or basilar migraines. If you are not sure if you have these, ask your doctor
  • Have peripheral vascular disease (narrowing of blood vessels to the legs, arms, stomach, intestines, or kidneys)
  • Have taken other migraine medications in the last 24 hours, including other triptans, ergots, or ergot-type medications. Ask your doctor for a list of these medicines if you are not sure
  • Are taking a medicine called a monoamine oxidase inhibitor (MAOI). MAOIs cannot be taken within 14 days before or after taking ONZETRA Xsail
  • Have severe liver problems
  • Have an allergy to sumatriptan, the medicine in ONZETRA Xsail, or any of the components in ONZETRA Xsail

What should I tell my healthcare provider before taking ONZETRA Xsail?
Before you take ONZETRA Xsail, tell your doctor about all your medical conditions and all the medicines you take, including prescription medicines, especially antidepressants, and all over-the-counter medicines, vitamins, and herbal supplements.

What should I avoid while taking ONZETRA Xsail?
ONZETRA Xsail can cause dizziness, weakness, or drowsiness. If you have these symptoms, do not drive a car, use machinery, or do anything where you need to be alert.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 800-FDA-1088.

For additional Important Safety Information about ONZETRA Xsail, please see the full Prescribing Information, including Patient Information and Instructions for Use.