- Very bad and sometimes deadly blood vessel problems have happened with this drug when taken along with certain other drugs. Be sure to talk to your doctor about all the drugs you take.
- It is used to treat migraine headaches.
- If you have an allergy to ergotamine, caffeine, or any other part of this drug.
- If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If you have any of these health problems: Blood vessel disease, heart disease, high blood pressure, kidney disease, liver disease, or a very bad infection.
- If you are pregnant or may be pregnant. Do not take this drug if you are pregnant.
- If you have taken almotriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, or zolmitriptan in the last 24 hours.
- If you take any drugs (prescription or OTC, natural products, vitamins) that must not be taken with this drug, like certain drugs that are used for HIV, infections, or depression. There are many drugs that must not be taken with this drug. Your doctor or pharmacist can tell you if you are taking a drug that must not be taken with this drug.
- Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists.
- This drug may be habit-forming with long-term use.
- Avoid use of caffeine (for example, tea, coffee, cola) and chocolate.
- If you drink grapefruit juice or eat grapefruit often, talk with your doctor.
- If you smoke, talk with your doctor.
- Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Chest pain or pressure.
- Shortness of breath.
- Fast or slow heartbeat.
- A heartbeat that does not feel normal.
- Very bad dizziness or passing out.
- Very bad headache.
- Muscle pain.
- Change in color of hands or feet from pale to blue or red.
- Numbness, pain, tingling, or cold feeling of the hands or feet.
- Any sores or wounds on the fingers or toes.
- Upset stomach or throwing up.
- Take as you have been told by your doctor.
- Take with or without food.
- Take off foil wrapper.
- Use suppository rectally.
- This drug is taken on an as needed basis. Do not take more often than told by the doctor.
- Store at room temperature.
- Store in a dry place. Do not store in a bathroom.
- Store in a refrigerator. Do not freeze.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Check with your pharmacist about how to throw out unused drugs.
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else’s drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, nurse, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.