Ergotamine

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Medication Name and Quantity Generic? Product Price  
1mg/ml 3 ampules Yes $16.19
1MG/ML 3X1ML SAB, 3 AMPULS No $23.29
1mg/ml 6 ampules Yes $32.38
1MG/ML 3X1ML SAB, 6 AMPULS No $33.58
1MG/ML 5X1ML, 5 AMPULS Yes $34.44
1 MG/ML (1 PK) No $36.04
1MG/ML 3X1ML SAB, 9 AMPULS No $43.87
1mg/ml 9 ampules Yes $48.57
2MG/100MG, 12 dose No $50.86
12 Dose, 2mg/100mg No $51.00
1MG/ML 5X1ML, 10 AMPULS Yes $55.88
100 Dose, 1mg/100mg No $58.00
1MG/ML 5X1ML, 15 AMPULS Yes $77.31
1MG-100MG, 100 dose No $78.28
24 Dose, 2mg/100mg No $99.00

Basic Information:
This medicine is an ergot alkaloid and analgesic aid combination used to prevent and treat migraine headaches. It may also be used to treat other conditions as determined by your doctor.
Detailed Information:

Before using
WARNING: Infrequently, a very serious, life-threatening decrease in the amount of blood supply to the hands and feet (peripheral ischemia) and rarely to the brain can occur when this medication is taken with drugs that affect liver metabolism (e.g., potent CYP 3A4 enzyme inhibitors). Do not take this medicine with macrolide antibiotics (e.g., erythromycin, clarithromycin, troleandomycin), protease inhibitors (e.g., ritonavir, nelfinavir, indinavir, amprenavir, saquinavir), or azole antifungals (e.g., ketoconazole, itraconazole). Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine you are taking. DO NOT TAKE THIS MEDICINE if you are also taking telithromycin, delavirdine, efavirenz, voriconazole, sibutramine, dexfenfluramine, fenfluramine, or "triptan" migraine drugs (e.g., sumatriptan). ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking dopamine, nitrates (isosorbide, nitroglycerin), nefazodone, fluconazole, fluoxetine, fluvoxamine, zileuton, metronidazole, clotrimazole, beta-blockers (e.g., propranolol), nicotine (e.g., tobacco, nicotine patches), caffeine, or other mild CYP 3A4 inhibitors. Consult your pharmacist for more information. Inform your doctor of any other medical conditions including history of smoking/tobacco use, allergies, pregnancy, or breast-feeding. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have a history of high blood pressure or heart or kidney conditions. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.

Directions
Follow the directions for using this medicine provided by your doctor. BEGIN USING THIS MEDICINE at the first sign of an attack. IF THE SUPPOSITORY IS TOO SOFT TO USE, put it in the refrigerator for about 15 minutes or run cold water over it. Then remove the wrapper and moisten the suppository with cool water. Lie down on your side. Use your finger to push the pointed end of the suppository well up into the rectum. Wash your hands thoroughly after using this medicine. DO NOT EXCEED THE RECOMMENDED DOSE or use this medicine for longer than prescribed without checking with your doctor. Do not use daily on a regular basis. In adults, do not use more than 2 suppositories per attack or more than 5 suppositories in a week. AVOID EATING GRAPEFRUIT OR DRINKING GRAPEFRUIT JUICE WHILE USING THIS MEDICINE. STORE THIS MEDICINE as directed on the prescription label.

Cautions
IF YOUR SYMPTOMS DO NOT IMPROVE or if they become worse, check with your doctor. AVOID LARGE AMOUNTS OF caffeine-containing foods and beverages, such as coffee, tea, cocoa, cola drinks, and chocolate. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. FOR WOMEN: DO NOT USE THIS MEDICINE if you are pregnant. IF YOU SUSPECT THAT YOU COULD BE PREGNANT, contact your doctor immediately. THIS MEDICINE IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED while taking this medicine.

Possible side effects
SIDE EFFECTS, that may go away during treatment, include nausea, vomiting, weakness of the legs, or arm or leg pain. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience numbness or tingling of your fingers or toes, chest pain, change in heart rate, bluish discoloration of the fingers and toes, or itching. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

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