ergotamine/belladonna/phenobarbital - oral, Bellamine-S, Bellaspas, Beller (cont.)
DRUG INTERACTIONS: See also How to Use section.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, etravirine, macrolide antibiotics (e.g., erythromycin, clarithromycin, troleandomycin, telithromycin), pramlintide, protease inhibitors (e.g., amprenavir, indinavir, nelfinavir, ritonavir, saquinavir), sibutramine, sodium oxybate.If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting this medication.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: antihistamines (e.g., diphenhydramine, meclizine), antispasmodics (e.g., atropine, dicyclomine), certain antiarrhythmic drugs (e.g., quinidine, procainamide), certain beta blockers (e.g., propranolol), certain drugs for Parkinson's disease (e.g., levodopa, benztropine, trihexyphenidyl), corticosteroids (e.g., prednisone), cyclosporine, disulfiram, dopamine, drugs affecting liver enzymes that remove ergotamine from your body (such as fluoxetine, fluvoxamine, metronidazole, nefazodone, zileuton), MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine), nicotine (e.g., nicotine gum, nicotine patches), nitrates (e.g., isosorbide, nitroglycerin), other ergot alkaloids (e.g., methysergide), phenothiazines (e.g., promethazine, chlorpromazine), potassium tablets/capsules, tricyclic antidepressants (e.g., amitriptyline), St John's wort, valproic acid, warfarin.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.This drug can speed up the removal of other drugs from your body by affecting certain liver enzymes. These affected drugs include certain calcium channel blockers (e.g., felodipine, nimodipine), certain cancer drugs (e.g., erlotinib, sunitinib), griseofulvin, theophylline, corticosteroids (e.g., prednisone), estrogens, doxycycline, exemestane.Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: anti-seizure drugs (e.g., phenytoin), medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., haloperidol, risperidone, trazodone).Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain drowsiness-causing ingredients or ingredients that could increase your heart rate or blood pressure. Ask your pharmacist about the safe use of those products.This medication may decrease the effectiveness of combination-type birth control pills. This can result in pregnancy. Ask your doctor or pharmacist for details. Discuss whether you should use additional reliable birth control methods while taking any of these drugs.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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