sumatriptan nasal powder

  • Pharmacy Author:
    Omudhome Ogbru, PharmD

    Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.

  • Medical and Pharmacy Editor: Jay W. Marks, MD
    Jay W. Marks, MD

    Jay W. Marks, MD

    Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.

What is sumatriptan nasal powder, and how does it work?

Sumatriptan is a drug that is used for treating migraine headaches. It belongs to a class of drugs called selective serotonin receptor agonists.

Other medications in this drug class include:

Migraine headaches are believed to result from dilatation of blood vessels in the brain. Sumatriptan relieves a migraine by stimulating serotonin receptors in the brain, which cause the muscles surrounding the blood vessels in the brain to contract and narrow the blood vessels. At the same time, also it reduces transmission of pain signals by nerves to the brain. While it is very effective in relieving migraine headaches, it does not prevent or reduce the number of headaches. This drug is not used for treatment of other types of headache pain.

The FDA approved sumatriptan inhalation powder (Onzetra Xsail) in January, 2016.

What brand names are available for sumatriptan nasal powder?

  • Onzetra Xsail is the brand name for sumatriptan nasal powder in the US.

Is sumatriptan nasal powder available as a generic drug?

  • No, this drug is not available as a generic.

Do I need a prescription for sumatriptan nasal powder?

  • Yes, a prescription is necessary for this migraine drug.

What are the uses for sumatriptan nasal powder?

  • Sumatriptan nasal powder is used for the acute treatment of migraine headaches with or without an aura in adults.

What are the side effects of sumatriptan nasal powder?

Common side effects include:

Possible serious side effects include:

  • Heart attack, chest pain (myocardial ischemia/infarction and Prinzmetal's angina)
  • Abnormal heart beats
  • Chest, throat, neck and/or jaw pain/tightness/pressure
  • Stroke
  • Vasospasm reactions
  • Medication overuse headache (rebound headache)
  • Serotonin syndrome
  • Increase in blood pressure
  • Stomach and intestinal problems (GI ischemia and infarction events, peripheral vasospastic reactions)
  • Seizures
  • Cerebral hemorrhage, subarachnoid hemorrhage, and stroke

Quick GuideMigraine or Headache? Migraine Symptoms, Triggers, Treatment

Migraine or Headache? Migraine Symptoms, Triggers, Treatment

What is the dosage for sumatriptan nasal powder?

  • The recommended dosage for this drug is 2 nosepieces (22 mg) administered using the Xsail breath-powered delivery device.
  • Two additional nosepieces may be used after 2 hours if the migraine headache has not resolved, or returns after some improvement.
  • The maximum dose over a 24 hour period is 2 doses (44 mg or 4 nosepieces) or 1 dose of sumatriptan inhalation powder and 1 dose of another sumatriptan product, separated by at least 2 hours.

Which drugs or supplements interact with sumatriptan nasal powder?

Is sumatriptan nasal powder safe to use during pregnancy or while breastfeeding?

  • Safe use of sumatriptan while pregnant has not been established.
  • Sumatriptan is excreted in breast milk. Infant exposure may be reduced by avoiding breastfeeding for 12 hours after administration of sumatriptan.

What else should I know about sumatriptan nasal powder?

What preparations of sumatriptan nasal powder are available?
  • Intranasal powder: 11 mg (capsule in disposable nosepiece)

Sumatriptan is available in the following forms:

  • intranasal powder (Onzetra Xsail)
  • intranasal spray (Imitrex Intranasal): 5mg, 20mg
  • injection (Imitrex, Imitrex StatDose): 4 and 6mg/.05ml
  • trandermal patch (Zecuity): 86 mg (6.5 over 4 hours)
  • tablets: 25mg, 50mg, 100mg
How should I keep sumatriptan nasal powder stored?
  • Sumatriptan intranasal powder should be stored at room temperature, between 20 C and 25 C (68 F and 77 F).
  • The nosepiece should be used immediately after removing it from the foil pouch.

Summary

Onzetra Xsail (sumatriptan nasal powder) is a drug prescribed to treat migraine headaches in adults (with our without aura). Some common side effects include:

Drug interactions, dosing, storage, and pregnancy and breastfeeding safety information should be reviewed prior to using any medication.

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Medically Reviewed on 1/26/2017
References
REFERENCE: FDA Prescribing Information
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