Migraine

If yes, please list your medical conditions.

• Liver problems
• Kidney problems
• Stroke / transient ischemic attack
• Seizures
• Cardiovascular disease (including heart attacks, angina, or ischaemic heart disease)
• Problems with your blood pressure
• Coronary vasospasm
• Coronary artery disease
• Arrhythmias
• Wolff-Parkinson-White syndrome
• Peripheral vascular disease
• Previous cerebrovascular accident

Including any of the following : hypersensitivity reactions, chest pain or tightness, shortness of breath, palpitations, rashes, flushing, light-headedness, weakness, increased nausea and vomiting or increase in your blood pressure.

This includes herbal remedies and over the counter medication.

• Any other medication for migraine (such as ergotamine or methysergide).
• Combined oral contraceptives
• Antipsychotics (such as flupentixol)
• Medications for depression (such as lithium)
• MAOIs (such as moclobemide or selegiline)
• SSRIs (such as citalopram, fluoxetine or sertraline)
• SNRIs (such as mirtazapine or venlafaxine)
• St. John's Wort
• Cimetidine
• Antibiotics (such as ciprofloxacin)
• Antifungals (such as ketoconazole)

• To Inform both us and your GP about any treatment-related side effects, the initiation of new medication, or changes in your medical conditions during the course of treatment.
• To read the patient information leaflet provided with your medication before using your new treatment. If you have any questions you can contact our support team or your GP.
• The prescribed treatment is intended exclusively for your personal use.
• You have provided accurate and truthful responses to all the preceding questions.
• You acknowledge that our prescribers rely on your responses as truthful and honest to make prescribing decisions and recognise that inaccurate information may result in serious health risks.