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ergoloid mesylates - oral, Gerimal, Hydergine (cont.)

PRECAUTIONS: Before taking ergoloid mesylates, tell your doctor or pharmacist if you are allergic to them; or to other ergot alkaloids (e.g., dihydroergotamine, ergotamine); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: a certain mental/mood disorder (psychosis).Before using this medication, tell your doctor or pharmacist your medical history, especially of: other behavior problems, blood pressure problems, heart problems, liver disease.This drug may make you dizzy or drowsy or cause blurred vision. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit alcoholic beverages.During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.It is not known whether this drug passes into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.This drug should not be used with the following medications because very serious interactions may occur: azole antifungals (e.g., ketoconazole, itraconazole, voriconazole), delavirdine, efavirenz, macrolide antibiotics (e.g., erythromycin, clarithromycin, troleandomycin), protease inhibitors (e.g., amprenavir, indinavir, nelfinavir, ritonavir, saquinavir), sibutramine, telithromycin.If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting ergoloid mesylates.Tell your doctor of all prescription and nonprescription drugs you may use, especially of: dopamine, nitrates (e.g., isosorbide, nitroglycerin).If you also take "triptan" migraine drugs (e.g., sumatriptan, rizatriptan), you will need to separate your "triptan" dose from your dose of this medication to reduce the risk of serious side effects. Ask your doctor how long you should wait between your doses of these drugs.Check the labels on all your medicines (e.g., 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 using those products safely.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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