Aspirin och metoklopramid för migrän
MigraMax
Granskad av Sid DajaniSenast uppdaterad av Michael Stewart, MRPharmSSenast uppdaterad 23 okt 2023
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MigraMax® helps to ease headache and sickness (nausea and vomiting) during a migraine or during treatment with chemotherapy or radiotherapy.
Take a dose as soon as you feel the start of a migraine attack. Dissolve the contents of one sachet into a small glass of water. You can take a second dose after two hours if needed.
Do not take any other medicines containing aspirin while you are taking this medicine.
Överblick
MigraMax is a combination medicine containing aspirin and metoclopramide.
It treats headache and sickness during occasional migraine attacks.
Stir one sachet into water and drink it at the start of a migraine.
Do not take more than three sachets in 24 hours.
It should not be taken by anyone under 18 years old.
Talk to your doctor if you experience muscle or movement disorders or allergic reactions.
About aspirin and metoclopramide
Typ av medicin | A painkiller with an anti-emetic |
Används för | The treatment of migraine symptoms; prevention of nausea and vomiting caused by chemotherapy or radiotherapy |
Även kallad | MigraMax® |
Tillgänglig som | Sachets containing powder |
MigraMax® is a combination medicine containing a type of aspirin, called lysine acetylsalicylate, and metoclopramide. Aspirin belongs to a group of medicines known as analgesics (painkillers). It helps to ease the pain you feel during a migraine headache. Metoclopramide is an anti-sickness medicine, also called an anti-emetic. It helps to stop you from feeling sick (nausea).
This medicine is used to treat headache and sickness during an occasional migraine attack. If you have migraines frequently, you should discuss this with your doctor, as there are other medicines available that can help to reduce the number of migraine attacks.
Before taking aspirin and metoclopramide
Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you take MigraMax® it is important that your doctor knows:
Om du är gravid, försöker bli gravid eller ammar.
If you are under 18 years of age - MigraMax® must not be taken by anyone under 18 years old.
If you have any allergies, or if you have asthma.
If you have ever had a stomach or duodenal ulcer.
If you have epilepsy, Parkinson's disease, or gout.
If you have any problems with the way your liver works or with the way your kidneys work.
If you know you have a problem with your digestive system, such as a blockage or any internal bleeding.
If you have a heart condition or a problem with your thyroid gland.
If you have a blood disorder such as haemophilia, or glucose-6-phosphate dehydrogenase (G6PD) deficiency.
If you have a tumour on your adrenal gland (known as phaeochromocytoma).
If you have ever had an unusual or allergic-type reaction after taking aspirin or a non-steroidal anti-inflammatory drug (NSAID). NSAIDs include ibuprofen, diclofenac, indometacin and naproxen. You should also let your doctor know if you have ever had an allergic reaction to any other medicine.
Om du tar några andra läkemedel. Detta inkluderar alla läkemedel du tar som finns att köpa utan recept, samt växtbaserade och komplementära läkemedel.
How to take aspirin and metoclopramide
Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about the medicine and it will provide you with a full list of the side-effects which you may experience.
Take MigraMax® exactly as your doctor tells you to. As soon as a migraine starts, stir the contents of one sachet into a small glass of water and drink it straightaway. You can take a further sachet in the same way after two hours if needed. Do not take more than a total of three sachets in any 24-hour period.
If you are able, try to take the sachets with something to eat.
Få ut det mesta av din behandling
A number of things can trigger migraines in some people. These can include some foods (for example, cheese, chocolate, and red wine), worry, bright sunlight, too much or too little sleep, and skipping meals. If you are not sure if these things trigger a migraine for you, it may help for you to keep a migraine diary. Note down when and where each migraine attack started, what you were doing, and what you had eaten that day. A pattern may emerge and it may be possible for you to avoid some of the things that trigger an attack.
Try to keep any follow-up appointments with your doctor. MigraMax® will only be prescribed for a short period of time. Only take it during a migraine attack.
You will not be prescribed the treatment for longer than three months in total, as this could lead to some serious unwanted effects. If you continue to be troubled with migraines, discuss this with your doctor, as an alternative preparation will be more suitable for you.
It is important that you do not take more than one preparation containing aspirin at a time. Aspirin is an ingredient in some over-the-counter preparations for cold and flu, so before you take any other medicines, check the label to see whether they contain aspirin.
Some people who get frequent migraine attacks are in fact getting medication-induced headache. Medication-induced headache (also called medication-overuse headache) is caused by taking painkillers too often. If you use painkillers on more than two days a week on a regular basis, you may be at risk of this. You should talk with your doctor if you suspect it.
Taking too much aspirin can cause serious problems. If you suspect that you have taken more than the prescribed dose, or if a child accidentally ingests the contents of a sachet, contact your local accident and emergency department for advice omedelbart.
Can aspirin and metoclopramide cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the side-effects associated with MigraMax®. You will find a full list in the manufacturer's information leaflet supplied with your medicine. Speak with your doctor or pharmacist if any of the following become troublesome.
MigraMax® side-effects | Vad kan jag göra om jag upplever detta? |
Feeling dizzy or sleepy | If this happens, do not drive and do not use tools or machines |
Diarré | Drick mycket vatten för att ersätta de förlorade vätskorna |
Indigestion, stomach upset | Take MigraMax® after a snack if possible |
Distressing muscle or movement disorders affecting the body, face, or eyes | Låt din läkare veta om detta omedelbart |
Breast changes, irregular periods, mood changes, increased risk of bleeding and bruising | Om något av dessa blir besvärligt, tala med din läkare |
Viktigt: aspirin can cause allergic reactions; this is more common in people who have asthma. If you have an allergic reaction or develop any breathing difficulties, stop taking MigraMax® and speak with a doctor urgently.
Om du upplever några andra symtom som du tror kan bero på medicinen, tala med din läkare eller apotekare för vidare råd.
How to store aspirin and metoclopramide
Förvara alla läkemedel utom räckhåll och synhåll för barn.
Förvara på en sval, torr plats, borta från direkt värme och ljus.
Viktig information om alla läkemedel
Viktig information om alla läkemedel
Ta aldrig mer än den föreskrivna dosen. Om du misstänker att du eller någon annan kan ha tagit en överdos av denna medicin, gå till akutmottagningen på ditt lokala sjukhus. Ta med behållaren, även om den är tom.
Denna medicin är för dig. Ge den aldrig till andra människor även om deras tillstånd verkar vara detsamma som ditt.
Om du ska genomgå en operation eller tandbehandling, informera den som utför behandlingen om vilka mediciner du tar.
Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.
Om du har några frågor om denna medicin, fråga din apotekare.
Rapportera biverkningar av ett läkemedel eller vaccin
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Vanliga frågor
Can I take MigraMax if I am planning to get pregnant?
If you are trying for a baby, you should inform your doctor before taking MigraMax. They will advise if this medicine is suitable for you during this time.
How long should I wait between doses of MigraMax if my migraine doesn't go away?
You can take a second sachet of MigraMax two hours after the first dose if your migraine symptoms persist. However, you should not take more than three sachets within a 24-hour period.
Are there particular foods or activities that might trigger a migraine that I should be aware of?
Yes, certain things can trigger migraines for some people. These can include specific foods like cheese, chocolate, and red wine, as well as factors like worry, bright sunlight, too much or too little sleep, and skipping meals. Keeping a migraine diary can help identify your personal triggers.
What should I do if I accidentally take more than the recommended dose of MigraMax?
If you suspect you have taken more than the prescribed dose of MigraMax, or if a child accidentally ingests it, you should contact your local accident and emergency department for advice immediately. Remember to take the empty container with you.
What if my migraines are not responding to MigraMax after a while?
MigraMax is prescribed for short-term use during a migraine attack and typically not for longer than three months in total due to potential serious unwanted effects. If you continue to be troubled by migraines, you should discuss this with your doctor, as an alternative treatment might be more suitable for you.
Can MigraMax cause any issues during an operation or dental procedure?
Yes, it is important to inform the person carrying out any operation or dental treatment about all the medicines you are currently taking, including MigraMax.
Vidare läsning och referenser
- Manufacturer's PIL, MigraMax® powder for oral solution; Zentiva Pharma UK Ltd, The electronic Medicines Compendium. Dated December 2021.
- Mediciner Komplett BNF 89:e Utgåvan; Brittiska Läkarföreningen och Kungliga Farmaceutiska Sällskapet i Storbritannien, London.
Om författarenVisa fullständig biografi

Michael Stewart, MRPharmS
Ansvarig för granskning av medicinbroschyrer – Konsult, Apotekare
BPharm (Hons), MRPharmS
Michael är en apotekare som arbetar i Midlands och South Yorkshire med mer än 20 års erfarenhet av att ge råd om läkemedel och medicinska tillstånd. Han har en stark bakgrund inom vårdutbildning och har producerat och levererat utbildningskurser för apoteksteam och personal inom vårdboenden, inklusive sjuksköterskor. Han har också bidragit till apoteksrådgivande styrelser för hantering av mindre allvarliga tillstånd i samhället.
Om recensenten

Sid Dajani
Sultan Dajani tog examen vid London School of Pharmacy 1994 och blev den yngsta valda medlemmen i Royal Pharmaceutical Society-rådet sedan dess grundande 1842.
Artikelhistorik
Informationen på denna sida är skriven och granskad av kvalificerade kliniker.
Artikeln finns också på Engelska, Tyska, Spanska, Franska, Italienska, Portugisiska, Hindi, Hebreiska, Arabiska, och Svenska.
Next review due: 22 Oct 2026
23 okt 2023 | Senaste versionen

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