Disclaimer

dihydroergotamine - nasal, Migranal (cont.)

DRUG INTERACTIONS: See also Warning section.The effects of some drugs can change if you take other drugs or herbal products at the same time. This can increase your risk for serious side effects or may cause your medications not to work correctly. These drug interactions are possible, but do not always occur. Your doctor or pharmacist can often prevent or manage interactions by changing how you use your medications or by close monitoring.To help your doctor and pharmacist give you the best care, be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products) before starting treatment with this product. While using this product, do not start, stop, or change the dosage of any other medicines you are using without your doctor's approval.Some products that may interact with this drug include: bronchodilators/decongestants/stimulants (such as epinephrine, pseudoephedrine, methylphenidate, amphetamine), nitrates (such as isosorbide, nitroglycerin), sibutramine.Other medications can affect the removal of dihydroergotamine from your body, thereby affecting how dihydroergotamine works. These drugs include azole antifungals (such as ketoconazole, itraconazole), macrolide antibiotics (such as erythromycin, clarithromycin), HIV medications (such as ritonavir, nelfinavir, indinavir, amprenavir, delavirdine, efavirenz), certain antidepressants (such as nefazodone, SSRIs such as fluoxetine/paroxetine/fluvoxamine). This is not a complete list.Check the labels on all your medicines (such as cough-and-cold products, diet aids, other migraine medications) because they may contain ingredients that could increase your heart rate or blood pressure. Ask your pharmacist about the safe use of those products.This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.



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