ERGOTAMINE (er GOT a meen) is part of a group of medicines known as ergot alkaloids. It is used to treat vascular headaches or migraines.
Take this medicine by mouth. Place the tablet under the tongue and allow it to completely dissolve. Do NOT chew or swallow the tablet. Follow the directions on the prescription label. For best results take this medicine at the start of a migraine headache. Do not take this medicine every day. Do not take your medicine more often than directed.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
changes in vision
cold, discolored hands or feet
decrease in the amount of urine passed
fast or slow heartbeat
high blood pressure
numbness, tingling in fingers, toes
swelling of ankles, feet, hands
weakness in the legs
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
Do not take this medicine with any of the following medications:
antibiotics like clarithromycin, erythromycin, troleandomycin
herbal supplements with Ephedra, Ma huang, feverfew
medicines for colds, congestion
medicines for fungal infections like ketoconazole, itraconazole, posaconazole, and voriconazole
medicines for migraines or nausea like eletriptan, naratriptan, sumatriptan, zolmitriptan
medicines or herbal products to decrease weight or appetite
other ergot alkaloids like dihydroergotamine, ergonovine, methylergonovine
some medicines for HIV
This medicine may also interact with the following medications:
nicotine in chewing tobacco, cigarettes
This does not apply; this medicine is not for regular use.
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep in foil package until ready to use. Protect from light and moisture. Throw away any unused medicine after the expiration date.
They need to know if you have any of these conditions:
chest pain or difficulty breathing
heart or blood vessel disease
risk factors for heart disease such as smoking
an unusual or allergic reaction to ergotamine, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
Check with your doctor or health care professional if you do not get relief from your headaches after using this medicine. You may need to be changed to a different kind of medicine to treat your headaches.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. To reduce dizzy or fainting spells, do not sit or stand up quickly, especially if you are an older patient. Alcohol can increase drowsiness, dizziness and flushing. Avoid alcoholic drinks.
This medicine decreases the circulation of blood to your skin, fingers, and toes. You may get more sensitive to the cold. Elderly patients are more likely to feel this effect. Dress warmly and avoid long exposure to the cold.
If you take migraine medicines for 10 or more days a month, your migraines may get worse. Keep a diary of headache days and medicine use. Contact your healthcare professional if your migraine attacks occur more frequently.