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Migraine

Migard

Migard tablets are taken for treating migraines. When a migraine attack starts, a single tablet of this treatment can be taken in response to get swift and effective relief. Another tablet can be taken a couple of hours later if the attack returns or doesn’t go away. Migard is classed as a type of ‘triptan’ medicine, and medicines of this type are often prescribed to treat migraines. Migard is not able to prevent migraines, but it can provide effective pain relief against this particular condition and it can be taken in conjunction with preventive treatments such as propranolol.

See Migard Patient Information Leaflet

Last PIL Review Date: 13/01/2020

Prices start at £27.99 for 6 tablets


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PLEASE CLICK HERE TO ANSWER SOME QUESTIONS ABOUT YOUR SYMPTOMS
Please note all the answers are reviewed by a doctor to assess eligibility
1
2
  • Ergotamine
  • Other migraine treatments
  • MAOIs
  • SSRIs
  • Oral contraceptives
  • St John's Wort
3

Please use a minimum of 1 words.

4
  • The recommended dose of frovatriptan is 2.5mg at the first sign of a migraine
  • The maximum dose is 5mg in a 24 hour period
  • You may not always need a second dose of frovatriptan. You should only take a second dose of 2.5mg if another migraine appears over 2 hours after the first one. 
  • Frequent use of triptans may cause headaches to worsen.
5

Please use a minimum of 1 words.

6
  • You have an allergy to frovatriptan
  • You've used this treatment in the past and suffered with serious side effects
  • You're already using a treatment that contains frovatriptan for any reason other than migraine relief
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Dr. Diana Gall GMC No. 7685129

Dr Diana Gall graduated from medical school in 2005 and has since undertaken further intensive training in many different areas of medicine. Dr Diana has reached consultant level and has practiced medicine all over Europe.

Shamir Patel GPHC No. 2049338

Shamir is a well-respected pharmacist with extensive experience running online pharmacies in the UK.

What is Migard?

Migard is a brand of migraine treatment. It contains the active drug, Frovatriptan. Frovatriptan belongs to the triptan family of medicines, all of which are used to treat the symptoms of migraine headache once an attack has started. Migard is also a serotonin agonist.

How does Migard work?

Migard is a triptan, as well as a serotonin agonist. It helps to relieve migraine symptoms during an attack by reversing some of the changes in the brain that are thought to contribute to the development of a migraine headache.

Migraines are thought to be caused by the dilation of blood vessels around the brain, so Migard works to reverse this process and narrow the blood vessels, returning them to their usual diameter. Migard (frovatriptan) mimics the action of serotonin by stimulating the serotonin receptors in the brain, ultimately resulting in the narrowing of the blood vessels.

Frovatriptan, the active ingredient in Migard, has a long half-life when compared to other triptans, meaning that it should stay in your system for a while after taking it. This is particularly useful for those who suffer with persistent migraines that can last for several hours or days.

Migard should start to work within 2 hours of ingestion, but it must be taken as soon as you notice a migraine starting to develop to be effective at relieving it.

Triptans

Triptans are an effective treatment for migraine headaches, and they can treat the condition with or without the presence of aura (migraine aura describes migraines that are accompanied by visual disturbances or neurological symptoms). Some of the medicines in the triptan family include:

  • frovatriptan
  • sumatriptan
  • almotriptan
  • eletriptan
  • naratriptan
  • rizatriptan
  • zolmitriptan

All of these drugs are generic, but branded versions such as Migard (which contains frovatriptan) are available.

Triptans are generally prescribed to migraine patients when ordinary painkillers aren’t effective enough at relieving the symptoms and headache associated with migraines. In most cases, you should be able to take painkillers alongside triptans, but you should always check with your doctor first if it’s safe for you to do this, but due to the fact that triptan medicines and most painkillers work in different ways, you should still be able to use pain relief as long as it doesn’t interact with your migraine treatment.

Is it safe for me to take Migard?

Migard is generally prescribed if painkillers don’t work effectively to reduce your pain during a migraine, and most people are able to take it safely. However, due to the fact that it’s a medicine that affects how your body works, there are some people that should take caution and avoid using Migard before speaking to their own doctor first. If you fall into any of the following categories, you should make an appointment with your GP to talk about whether Migard is the best treatment for you or whether you should consider other options:

  • allergic to frovatriptan
  • allergic to other ingredients in Migard
  • ever had a heart attack
  • angina
  • stroke or TIA
  • high blood pressure
  • severe liver disease
  • using other drugs for migraines
  • heavy smoker
  • post-menopausal

It’s also not known if Migard is the most suitable treatment in patients over the age of 65, so if you’re this age or older, you should speak to your doctor if it’s your first time using the drug.

If none of these conditions apply to you, then it might be safe for you to use Migard for the treatment of your migraines. However, it’s also important to know that there are other medicines that frovatriptan might interact with. If you take any of the following drugs, you should also ask your doctor if it’s safe to take Migard alongside them or if any of your doses need adjusting. It might be the case that your GP will want to monitor you to make sure you don’t suffer any adverse effects. The interactions listed in the Migard patient information leaflet include:

  • ergotamine
  • ergotamine derivatives
  • other triptans
  • sumatriptan
  • almotriptan
  • eletriptan
  • naratriptan
  • rizatriptan
  • zolmitriptan
  • MAOIs
  • Phelenzline
  • Isocarboxazid
  • Tranylcypromine
  • Moclobemide
  • Oral contraceptives
  • SSRIs
  • Citalopram
  • Fluoxetine
  • Fluvoxamine
  • Paroxetine
  • Sertraline
  • St John’s Wort

If you don’t know whether you take any of these medicines, make a list of everything you do take and ask your local pharmacist if any of them interact with Migard.

What are the side effects of Migard?

Migard, like most medicines, has the ability to cause side effects. Side effects are symptoms that are associated with a medication rather than the condition that it treats.

Not everyone experiences side effects when they take Migard, but it’s important to know about them in case it happens to you. Some of the most commonly reported side effects with Migard include:

  • Nausea
  • Dry mouth
  • Digestion problems
  • Stomach pain
  • Fatigue
  • Chest discomfort
  • Headache
  • Dizziness
  • Pins and needles
  • Altered sense of touch
  • Extreme fatigue
  • Hot flushes
  • Tightness in throat
  • Sight disturbances
  • Increased sweating
  • Muscle spasms
  • Floppy muscles
  • Movement problems
  • IBS
  • Heartburn
  • Diarrhoea
  • Difficulty swallowing
  • Stomach discomfort
  • Weakness
  • Thirst
  • Feeling generally unwell
  • Anxiety
  • Sleep disturbances
  • Cold hands and feet
  • Irritation of nose / inflamed sinus
  • Muscle and bone pain
  • Eye pain or irritation
  • Itchiness
  • Ringing in ears / earache
  • Dehydration
  • Passing urine frequently

This list isn’t extensive, but a full list of side effects can be found in the patient information leaflet that comes with your order when you buy Migard online. You should read this thoroughly as it explains all of the important information about the drug that you might need to know.

There is also a slight risk of some serious side effects. These rarely affect people, but if you experience either of the following, you should dial 999 for emergency medical help:

  • Tightness or pain in the chest. (Heart attack)
  • Anaphylaxis

Can I take Migard whilst pregnant?

Your own GP will be monitoring you during your pregnancy, so it’s important to tell them any and all medicines that you’re taking, including Migard if you buy it online through Doctor4U. It’s up to your own doctor to tell you whether it’s safe to continue using Migard whilst you’re pregnant or whether you should stop using it.

Can I drive whilst taking Migard?

Migard can make you drowsy, so if you haven’t taken it before (or other drugs with frovatriptan), you should wait and see how it affects you before you attempt driving. If you feel drowsy, you should avoid driving completely. You should also avoid it if the migraine hasn’t been relieved by Migard.

You should only ever drive if you feel well and alert enough to do so.

Dosage Instructions
Take ONE tablet as soon as you notice the symptoms of a migraine attack. Swallow the medicine whole with a sip of water.
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Migard Dosage Quantity Cost Including Consultation
Migard 1 x 6 Tablets £27.99
Migard 2 x 6 Tablets £52.00
Migard 3 x 6 Tablets £78.00

Delivery Charges

The following delivery methods are currently available within the UK: All orders are sent in discreet, plain packaging.

UK Standard Delivery, £1.99

Order before 12pm to have your order delivered using Royal Mail Tracked 48 Service

standard UK delivery within 3-5 working days

Additional terms and conditions apply.

UK Express Delivery, £2.99

Order before 12pm to have your order delivered using the Express delivery service* (deliveries are made Monday - Saturday)

If you order after 12pm, your order will be dispatched the next working day and will be with you within 48 hours once dispatched. This excludes weekends and bank holidays

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Royal Mail Special Delivery Next Day Anytime, £4.99 (This service includes Saturday)

Order before 12pm to have your order delivered using Royal Mail Special Delivery Service, which includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 1pm, £7.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 1pm next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 9am, £14.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 9am next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

DPD Next Day Delivery, £4.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 12 Noon, £9.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 12 noon the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 10:30am, £14.99  (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, £14.99

Orders signed by the doctor before 12 noon the day before will be delivered the following Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply

DPD Saturday Delivery, by 12:00am, £21.99

Orders signed by the doctor before 12 noon the day before will be delivered by 12:00am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, by 10:30am, £29.99

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply, please see below.

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Unfortunately, we can't process orders from outside the UK at this time.


Terms and Conditions

Delivery options exclude Bank Holidays, public holidays and Sundays.All deliveries are subject to Doctor-4-u successfully receiving payment and prescription being approved by the doctor.

All purchases require additional approval, which will involve completion of an online questionnaire and any subsequent approval.

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