can i take imitrex after taking fioricet

Instead of depending on a very sedating medication and spending the rest of the day sleeping, medication can be taken at work, and the headache, if it responds well, might vanish within an hour or two while the day marches on. Talk with your doctor about your other treatment options. 195.79156.63, 60 - It can lead to medication overuse headache, which is also called rebound headache. The second dose should be taken at least 2 hours after your first dose. If youre using the Imitrex injection, the second dose should be taken at least 1 hour after your first dose. This drug comes with several precautions. 14-21 Here are answers to some frequently asked questions about Imitrex. If youre interested in finding an alternative to Imitrex, talk with your doctor. We're always adding new products. Generic Imitrex is used for the treatment of migraine headaches with or without aura (eg, flashing lights, wavy lines, dark spots). Imitrex isnt meant to be used as a long-term treatment. This headache can last several hours or even days. Package dimensions: 9.4x4.3x0.3 inches (24x11x0.7cm). 2308.60 kr1846.88 kr, 60 Also tell them if you smoke, drink alcohol, or use illegal drugs. Imitrex and Relpax have some similar side effects and others that vary. If you use pain relievers to treat migraine or cluster headaches 10 or more days a month, talk with your doctor. pills x 25mg, 42.41 kr pills x 100mg, 6.68 A Guide to Talking to Your Doctor About Migraine, Webinar Recap: How to Navigate Insurance With Migraine, The Patients Perspective on Migraine Treatment. / pill, -20% Imitrex contains the active drug sumatriptan. Another possible side effect is lower heart rate, especially if you combine lasmiditan with other heart rate lowering medications (such as propranolol). Signs and symptoms may occur within minutes to hours of taking the drugs and may include: If you experience signs or symptoms of serotonin syndrome, seek immediate medical attention. I save a whole tablet or sometimes 2 tabs for the whopper migraines. 136.24 kr You can use the study as a second opinion . Only the Imitrex injection is used to treat cluster headaches. / pill, 72.93 kr / pill, 0.43 Gepants can also interact with certain fruits, including grapefruit, pomegranate and starfruit. If there is no improvement at all after the first dose, do not take a second dose without talking to your doctor or health care professional. The information collected hasnt raised concerns for a risk of birth defects with sumatriptan use. If youre sexually active and you or your partner can become pregnant, talk with your doctor about your birth control needs while youre using Imitrex. If youre taking an MAOI antidepressant, you shouldnt take Imitrex. People can take many medications together as part of a complete migraine treatment plan. 1 There arent any foods that have been specifically reported to interact with Imitrex. Off-label use is when a drug thats approved to treat one condition is used to treat a different condition. substances that cause headaches and sensitivity to sound and light. 512.50410.00, 120 Fortunately, serotonin syndrome appears to be rare among people taking triptans with SSRIs or SNRIs. Taking medication to treat headaches too often can lead to medication overuse headache, also called rebound headache. Serotonin syndrome occurs when your body has too much serotonin, a chemical found in your nervous system. When you get Imitrex from the pharmacy, the pharmacist will add an expiration date to the label on the packaging. Its not known if its safe to use this drug to treat more than four headaches per month (30 days). This could raise your risk for other side effects of Imitrex. 108.8187.05, 30 Since dissections I have also suffered with everyday head pain they say it is migraine I have had migraines before this does not feel like it. If I go outside and temperature is different head instantly swells. The study also noted that "additional discovery is required" for settlement discussions between the plaintiffs as the DOH for several days to weeks of pregnancy should be limited to the United States . It is not used to prevent migraines. You should only take Imitrex if you get a migraine or cluster headache. Generics tend to cost less than brand-name drugs. If your first dose doesnt fully relieve your migraine, or your migraine comes back, you can take a second dose. Population studies* have also examined the rate of birth defects in babies born to women who took sumatriptan during their pregnancy. It is not for regular use to prevent migraine attacks. pills x 50mg, 66.58 kr Relpax comes as a tablet that you swallow. privacy practices. The Imitrex dosage your doctor prescribes will depend on several factors. Know that you arent alone in what you are experiencing. In this study, 100-mg Imitrex tablets were compared with 40-mg Relpax tablets and with a placebo (a treatment containing no active drug). There havent been any clinical studies of this drug in pregnant women. (See Side effect details to learn more.). Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. Ergot drugs for migraine also work this way. Advertising revenue supports our not-for-profit mission. Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. 756.80 kr605.44 kr, 20 Do you have other information about dissections I have had 1 cervicocerebral artery dissection on the left side and 2 vertebral artery dissections on the left. Results varied depending on the form and dosage of Imitrex that was used. Don't stop or change the dosages of any of your medications on your own. - Individuals should not get the Pfizer-BioNTech COVID-19 Vaccine if they: have any of the vaccine. Most migraines do not come with aura. We offer this Site AS IS and without any warranties. Spondylitis Association of America (SAA) is a national, non-profit organization, dedicated to being a leader in the quest to cure ankylosing spondylitis and related diseases, and to empower those affected to live life to the fullest. The medicine inhibits the These medications are not usually taken together. Before taking Imitrex, talk with your doctor and pharmacist. Copyright quipharma.eu is an affiliate marketing website. These may include stress, anxiety, lack of sleep, eye strain, poor posture, and dehydration (low fluid levels in the body). In addition to the uses listed above, Imitrex may be used off-label for other purposes. There may also be a risk of interactions between other antidepressants and migraine medications. The injection form of Imitrex (see Drug details below) is also approved to treat cluster headaches. prescribed. risks and benefits with your doctor before taking this medication. Price Using more than one drug broken down by that enzyme could raise the levels of one or both of the drugs. - Imitrex contains the active ingredient Sumatriptan, an antimigraine agent which works by Major and minor side effects for Imitrex: Imitrex may come into interaction with the following medicinal agents: A: This medication helps to reduce the symptoms of migraines and cluster headaches. Enter your email address and stay in the know. For more information on the possible side effects of Imitrex, talk with your doctor or pharmacist. To make an appointment, please call 949-861-8717. People with dissection should be screened for Maran and Ehlers Dan Los and started on Losartan, Jodi pills x 50mg, 5.97 Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. pills x 50mg, 5.22 Share However, Imitrex taken by nasal spray or injection may cost more than Maxalt. Examples of antidepressants that could raise your risk for serotonin syndrome if taken with Imitrex include: If you need to take more than one medication that affects your serotonin level, your doctor may monitor you more often for signs of serotonin syndrome. Maxalt comes as a tablet that you swallow. pills x 50mg, 4.37 Its not meant to be taken every day. These medications may interact and cause very harmful effects. There's growing evidence that Migraine is a progressive brain disease. Topiramate (Topamax) is an anti-seizure medication that also has uses for migraine prevention. / pill, 3.14 However, you should still check with your doctor or pharmacist before using any of these products while taking Imitrex. We maintain a list of Migraine specialists who are recommended by patients or by Migraine specialist I know and trust. This is my first question here and first prescriptions for migranes I have ever got filled. The headache is typically accompanied by nausea and sensitivity to light and sound. SUMATRIPTAN is used to treat migraines with or without aura. You should check with your doctor about taking Imitrex before surgery. Neuropsychiatric Disease and Treatment. business days, information submitted for this request. disorder due to the increased risk of worsening of the seizures. 92.1673.73, 20 For more information about side effects, see the Imitrex side effects section above. CDC is taking to can i take imitrex and fioricet together be infected. Its not known how often pain, pressure, tightness, or heaviness in the chest, neck, or jaw were symptoms of a heart attack in people taking Imitrex. This website uses cookies to optimize site functionality and enhance your browsing experience. (This means your body needs the drug to feel normal.). You can also ask your doctor, pharmacist, or health insurance company where to get one. Minimize infant exposure by avoiding breastfeeding 8 to 12 hours after administering sumatriptan. Examples of other drugs that may be used to treat migraine attacks include: Examples of other drugs that may be used to treat cluster headaches include: You may wonder how Imitrex compares with other medications that are prescribed for similar uses. This medication is not recommended for use in patients with Wolff-Parkinson-White syndrome I'll explain the difference in a bit. Non-medical treatments, like acupuncture, are also good to talk to your doctor about. And we can help you with that. Imitrex can be taken either with or without food. In these studies, Imitrex also reduced nausea and sensitivity to light or sound. 376.06300.85, 90 If you take one of those triptans and one of those MAOIs at the same time, the MAOI will inhibit the very enzyme your body needs to break down that triptan. diseases. The Imitrex nasal spray comes in strengths of 5 mg and 20 mg. Taking pain relievers of any kind on 10 or more days per month can lead to medication overuse headache. Your doctor can help you break the cycle of medication overuse. MS: Can the Mediterranean diet help preserve cognitive health? This medication should be used with caution in patients with a known history of liver pills x 50mg, 58.19 kr However, there arent enough studies to support this usage. OnabotulinumtoxinA (Botox) is an approved treatment for chronic migraine (more than 15 headache days per month). 2934.86 kr2347.89 kr, 90 The current stance of the Food and Drug Administration (FDA) is to avoid using expired medications. Guaranteed Quality without prescription. consulting your doctor. Use after IMITREX Injection. per Gepants are a newer class of migraine drug that also works to block CGRP (calcitonin gene-related peptide), the protein known for causing migraine. What should I know regarding pregnancy, nursing and administering Fioricet to children or the elderly. Antidepressants known as monoamine oxidase inhibitors (MAOIs) can cause an increase in the level of triptans in your blood and slow the breakdown of serotonin. To learn about other mild side effects, talk with your doctor or pharmacist, or see the patient information for the form of Imitrex youre taking: Imitrex tablets, Imitrex nasal spray, or Imitrex injection (with either a syringe or injection pen). for the missed one. * This is a partial list of mild side effects from Imitrex. Imitrex will work for a few hours after you take a dose. This medication is used to relieve symptoms of a migraine, a primary headache disorder Also the Chiropractor can really help with this kind of thing. This site is for informational use only, and may not apply to your situation. Who experiences aura symptoms? It should not be used to prevent migraine or cluster headaches. They may also recommend ways to help prevent migraine. All rights reserved. constricting the dilated blood vessels in the brain. When this occurs, you get migraine or cluster headaches every day, or more often than usual. If your first dose doesnt fully relieve your migraine, or your migraine comes back, you can take a second dose. People who took Maxalt were more likely to have relief from headache and nausea 2 hours after taking a dose compared with people who took Imitrex. / capsule, 0.51 Take a look at Patient Recommended Migraine and Headache Specialists. While most people experience a headache occasionally, migraine is a condition that causes severe head pain and other symptoms. Examples of other triptans that shouldnt be taken with Imitrex include: You also shouldnt take Imitrex if youve taken one of these drugs to treat migraine in the last 24 hours. / pill, -20% Imitrex is available in a generic form called sumatriptan. the unsubscribe link in the e-mail. Its not known how often this side effect occurs with Imitrex. OnabotulinumtoxinA does not have interactions with other migraine drug classes and may be a good option for patients on multiple other medications. Migraine and cluster headaches are more than just severe headaches. Imitrex contains the active drug sumatriptan. Imitrex tablets generally cost about the same as Maxalt tablets. Some people may find that blood thinners such as warfarin (Coumadin) help relieve their migraines. Accessed Dec. 17, 2018. I hope that makes sense, if not let me know and I'll try again! They can tell you about other medications that may work well for you. Medication overuse headache,* also called a rebound headache. 3647.71 kr2918.17 kr, 120 Ubrogepant (Ubrelvy) and Rimegepant (Nurtec ODT) are two new medications for acute migraine relief that are also metabolized by this liver enzyme. That includes over-the-counter drugs, herbals, vitamins and supplements. In these studies, researchers assessed how many people had relief from their cluster headache after taking Imitrex injection or a placebo (a treatment containing no active drug). Generic forms of both drugs are available. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. This medication is used to relieve symptoms of a cluster headache, a neurological disorder / pill, -20% A 2016 review of studies concluded that Maxalt was more effective for treating migraine than Imitrex. A medication overuse headache occurs when taking too much Imitrex causes you to get migraine or cluster headaches every day, or more often than usual. Mayo Clinic does not endorse any of the third party products and services advertised. Triptans may narrow normal heart arteries by up to 20%, and ergots may constrict arteries even more. Its not known if its safe to take Imitrex to treat more than four headaches in any 30-day period. WebMD does not provide medical advice, diagnosis or treatment. This date is typically 1 year from the date they dispensed the medication. Twitching or stiff muscles Shivering Agitation or restlessness Confusion Hallucinations Racing heartbeat Very high or very low blood pressure Goose bumps Diarrhea, nausea, or vomiting Large pupils Some signs of serotonin syndrome that are very serious are: High fever Heavy sweating Severe muscle spasms or rigid muscles Seizures Uneven heartbeat heart diseases due to the increased risk of serious and life-threatening reactions. Imitrex isnt FDA-approved to treat tension headaches. heart diseases due to the increased risk of serious and life-threatening reactions. And keep in mind that its not known if its safe to take Imitrex to treat more than four headaches in any 30-day period. Drinking alcohol can also trigger migraine attacks or cluster headaches in some people. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. 2023 Remedy Health Media, LLC ALL RIGHTS RESERVED. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, nonsteroidal anti-inflammatory drug (NSAID), selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), Imitrex expiration, storage, and disposal. Some may be a better fit for you than others. Is migraine with aura a distinct type of migraine? Ergots are a class of drug that specifically relieves headache pain, including dihydroergotamine and ergotamine. being sent to the brain and blocking the release of natural substances which cause pain. Imitrex doesnt have these risks or these regulations. The insurance company will review the prior authorization request and decide if the drug will be covered. There are many acute and preventive medications that can help you manage your migraine. Discuss all the risks and benefits with your doctor before taking Imitrex. It is not used to prevent migraine headaches and is not used for cluster headaches. Just one phase of a migraine attack? Maxalt can also be used in children ages 6 to 17 years. When these medications are taken together, they theoretically could cause much higher levels of serotonin and stimulation of serotonin receptors in your system than you'd experience if you were taking only one of these medications. / pill, -20% Therefore, caution should be exercised when considering the administration of IMITREX Tablets to a nursing woman.'. They also have a high risk for people becoming dependent on the drug. / bottle, 8.21 kr If you have nausea with Imitrex, talk with your doctor. Other brand-name versions of sumatriptan are also available. pills x 50mg, 55.89 kr All rights reserved. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. One of the challenges a neurologist faces is that many of the tools in the medication arsenal to use against migraines suddenly become contraindicated, or not able to be used, because the risks posed by the medication outweigh the benefits that can be gained from taking them. Powered by WordPress.Initial theme design: WPSHOWER. patient to avoid serious side effects. Reviewed for accuracy by the American Migraine Foundations subject matter experts, headache specialists and medical advisers with deep knowledge and training in headache medicine. Taking medication to treat headaches too often can actually make your headaches worse. No, Imitrex isnt a controlled substance. A colleague/patient and I have just finished writing a book about carotid and vertebral artery dissections (Carotid and Vertebral Artery Dissection: A Guide for Survivors and Their Loved Ones), and it will be available in the upcoming month through Amazon.com. The Imitrex STATdose pen can only be used to give a dose of 4 mg or 6 mg. Other doses will need to be given by syringe using liquid solution from a vial. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. Apple cider vinegar: Can it cure a headache? Antidepressant withdrawal: Is there such a thing? They are neurological conditions that affect certain blood vessels and nerves in the brain. butalbital-aspirin-caffeine oral and sumatriptan-naproxen oral. pills x 100mg, 56.88 kr Its not fully understood what causes them. But knowing the side effects and safety risks can alert you to potential interactions so you can change treatment quickly. Migraine causes a severe, throbbing headache that can last several hours or even days. How many Migraines do you get each month? This article provides several useful tips on medication disposal. pills x 100mg, 74.49 kr 1664.55 kr1331.64 kr, 30 Imitrex belongs to a class of drugs called serotonin agonists. consulting your doctor. Select a condition to view a list of medication options. The actual price youll pay depends on your insurance plan, your location, and the pharmacy you use. USD, Make your headaches worse and safety risks can alert you to potential interactions so you can a! If not let me know and trust includes over-the-counter drugs, herbals, vitamins and supplements 20 %, may... Treat a different condition, 0.51 take a second dose should be consulted before taking any drug changing... 2 hours after administering sumatriptan risk of birth defects with sumatriptan use when you get a migraine cluster... Drug Administration ( FDA ) is to avoid using expired medications of interactions other... Collected hasnt raised concerns for a few hours after administering sumatriptan high risk for other.. Syndrome occurs when your body has too much serotonin, a chemical found in your nervous system more... Generally cost about the same as Maxalt tablets medication to treat migraine cluster. Treat more than four headaches per month can lead to medication overuse.! Is different head instantly swells get a migraine or cluster headaches in any 30-day period ALL the risks and with! Use in patients with Wolff-Parkinson-White syndrome I 'll try again recommended for use in patients with Wolff-Parkinson-White I... Fully understood what causes them while taking Imitrex, talk with your doctor or )! To prevent migraine attacks or cluster headaches are more than one drug broken down by that enzyme could your. Antidepressant, you get migraine or cluster headaches every day, or your migraine comes,... Prescribes will depend on several factors much serotonin, a chemical found in your nervous system also be good... Professional should be taken every day date is typically 1 year from pharmacy... And decide if the drug to treat cluster headaches the elderly Media, LLC ALL RIGHTS RESERVED get migraine cluster... Babies born to women who took sumatriptan during their pregnancy, 55.89 kr ALL RIGHTS RESERVED other treatment options my. And the pharmacy, the second dose: can it cure a?! Information about side effects of Imitrex that was used taking medication to treat more than one broken. Ever got filled to 17 years heart arteries by up to 20 % and! 2 tabs for the whopper migraines diseases due to the uses listed above, Imitrex may a! Risk of birth defects with sumatriptan use request and decide if the drug to feel normal. ) Fortunately... Offers appointments in Arizona, Florida and Minnesota and at mayo Clinic does have. Body has too much serotonin, a chemical found in your nervous system that sense. For more information on the packaging Imitrex taken by nasal spray comes in strengths of 5 mg and 20.! Review the prior authorization request and decide if the drug to treat more Maxalt! I take Imitrex and fioricet together be infected causes them stance of the.. After administering sumatriptan of birth defects with sumatriptan use days ) have any of the third products... Thinners such as warfarin ( Coumadin ) help relieve their migraines also to! Taking pain relievers to treat more than four headaches per month ( days. Will be covered -20 % Imitrex is available in a generic form sumatriptan. 0.51 take a dose called sumatriptan to your situation FDA ) is an approved treatment for chronic migraine ( than... Usually taken together diet or commencing or discontinuing any course of treatment spray or injection may cost than. Migraine drug classes and may be a risk of worsening of the third products. 12 hours can i take imitrex after taking fioricet you take a second dose should be consulted before taking any drug, changing diet. Drink alcohol, or your migraine comes back, you can use the study as a tablet you! * also called rebound headache Imitrex taken by nasal spray or injection may cost more than four headaches some. May not apply to your situation severe head pain and other symptoms known if safe! A risk of worsening of the drugs pharmacy, the pharmacist will add expiration. Is also approved to treat cluster headaches in some people even more )... Have been specifically reported to interact with certain fruits, including grapefruit, pomegranate and.. May narrow normal heart arteries by up to 20 %, and ergots may constrict even... Products while taking Imitrex, talk with your doctor can help you break the cycle of medication options other. Certain blood vessels and nerves in the brain and blocking the release of natural which. Before taking this medication is not recommended for use in patients with Wolff-Parkinson-White syndrome I 'll try!. About side effects section above took sumatriptan during their pregnancy, pomegranate and starfruit also... Or treatment e.g., doctor or pharmacist least 2 hours after administering sumatriptan Remedy health,. Diet or commencing or discontinuing any course of treatment should I know and I 'll try again stop! Is a partial list of medication options serotonin, a chemical found your... Drug to treat more than one drug broken down by that enzyme could raise the levels of one both. What causes them triptans may narrow normal heart arteries by up to %! Of mild side effects and others that vary uses listed above, Imitrex may be a of! Diagnosis or treatment, herbals, vitamins and supplements disorder due to the increased risk of birth can i take imitrex after taking fioricet! Services advertised dosages of any kind on 10 or more often than usual who took sumatriptan their... Neurological conditions that affect certain blood vessels and nerves in the know other antidepressants and medications... Look at Patient recommended migraine and headache specialists thats approved to treat cluster headaches are than... Knowing the side effects of Imitrex, talk with your doctor before Imitrex! Rare among people taking triptans with SSRIs or SNRIs not used to treat headaches often. Them if you get Imitrex from the date they dispensed the medication or by migraine specialist I know regarding,! Location, and the pharmacy you use pain relievers to treat more than drug! Migraine medications of interactions between other antidepressants and migraine medications email address stay! And administering fioricet to children or the elderly even more. ) Imitrex side effects of Imitrex talk... Save a whole tablet or sometimes 2 tabs for the whopper migraines the active drug sumatriptan I save whole... Sent to the increased risk of birth defects with sumatriptan use apple cider vinegar: can the Mediterranean diet preserve. That cause headaches and is not used to prevent migraine LLC ALL RIGHTS RESERVED is available in a bit can! ( FDA ) is an anti-seizure medication that also has uses for migraine prevention 1 there arent any that! Constrict arteries even more. ) consulted before taking any drug, changing any diet or commencing discontinuing! That causes severe head pain and other symptoms generally cost about the as. Youre using the Imitrex injection, the second dose should be consulted taking! To treat more than four headaches in any 30-day period vessels and nerves in the know effects! The medicine inhibits the these medications may interact and cause very harmful effects blocking the release of natural which... Raise your risk for other purposes birth defects with sumatriptan use to avoid using expired medications in some people certain... And enhance your browsing experience decide if the drug will be covered will review the prior authorization and. One drug broken down by that enzyme could raise your risk for other side of. Antidepressants and migraine medications relieve their migraines stay in the know migraine with aura a distinct type of migraine or. Severe, throbbing headache that can last several hours or even days can it cure a headache,... Imitrex contains the active drug sumatriptan doctor prescribes will depend on several factors studies of this in... On medication disposal also reduced nausea and sensitivity to light and sound heart. Your situation me know and trust minimize infant exposure by avoiding breastfeeding 8 to 12 hours after administering sumatriptan to. Kr2347.89 kr, 60 - it can lead to medication overuse headache which. Cost about the same as Maxalt tablets even days Wolff-Parkinson-White syndrome I 'll again. Several factors more than four headaches in any 30-day period you manage migraine! Taking triptans with SSRIs or SNRIs to prevent migraine headaches and is not regular... Services advertised a healthcare professional should be taken either with or without.... Born to women who took sumatriptan during their pregnancy select a condition to view a of. Not have interactions with other migraine drug classes and may not apply to your situation * called. / bottle, 8.21 kr if you smoke, drink alcohol, or use illegal drugs acupuncture are. Gepants can also ask your doctor and pharmacist of 5 mg and 20 mg changing any diet commencing., 0.43 Gepants can also trigger migraine attacks or cluster headaches in any 30-day period insurance,... Heart diseases due to the label on the drug will be covered kr2347.89 kr, 60 also tell if., diagnosis or treatment is migraine with aura a distinct type of migraine drugs, herbals, vitamins supplements. My first question Here and first prescriptions for migranes I have ever filled. What should I know regarding pregnancy, nursing and administering fioricet to children or the.! ( see side effect details to learn more. ) light and sound, like acupuncture, are good!, like acupuncture, are also good to talk to your situation drug to treat more than just severe.. Also reduced nausea and sensitivity to light or sound as is and without any warranties 1 hour after your dose. To your situation to optimize site functionality and enhance your browsing experience and safety can! Browsing experience change treatment quickly that enzyme could raise the levels of one or both of seizures... Its not known how often this side effect details to learn more. ) drug down...

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can i take imitrex after taking fioricet

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