Dihydroergotamine (Nasal-Systemic)
Brand Names : Migranal
Before Using This MedicineIn deciding to use a medicine,
the risks of using the medicine must be weighed against the good it will do.
This is a decision you and your doctor will make. For nasal dihydroergotamine,
the following should be considered:
Allergies - Tell your doctor if you have ever had any unusual or
allergic reaction to dihydroergotamine or any other ergot alkaloid. Also tell
your health care professional if you are allergic to any other substances,
such as foods, preservatives, or dyes.
Pregnancy - Use of nasal dihydroergotamine by pregnant women
may cause serious harm to the fetus. Therefore, nasal
dihydroergotamine should not be used during pregnancy
.
Breast-feeding - Use of nasal dihydroergotamine is not recommended
for nursing mothers. Nasal dihydroergotamine may pass into the breast milk
and may cause unwanted effects, such as vomiting, diarrhea, weak pulse, changes
in blood pressure, or convulsions (seizures) in nursing babies. Nasal dihydroergotamine
may also decrease the flow of breast milk.
Children - There is no specific information comparing use of
nasal dihydroergotamine in children with use in other age groups.
Older adults - There is no specific information comparing use of
nasal dihydroergotamine in older adults with use in other age groups.
Other medicines - Although certain medicines should not be used
together at all, in other cases two different medicines may be used together
even if an interaction might occur. In these cases, your doctor may want to
change the dose, or other precautions may be necessary. When you are taking
nasal dihydroergotamine, it is especially important that your health care
professional know if you are using any of the following:
-
Cocaine or
-
Epinephrine by injection [e.g., Epi-Pen] or
-
Other ergot medicines (ergoloid mesylates [e.g., Hydergine], ergonovine
[e.g., Ergotrate], methylergonovine [e.g., Methergine], methysergide [e.g.,
Sansert] or
-
Sumatriptan [e.g., Imitrex] - The chance of serious side effects
caused by nasal dihydroergotamine may be increased.
Other medical problems - The presence of other medical
problems may affect the use of nasal dihydroergotamine. Make sure you tell
your doctor if you have any other medical problems, especially:
-
Heart or blood vessel disease or
-
Hypertension (high blood pressure) or
-
Kidney disease or
-
Liver disease or
-
Infection - The chance of serious side effects caused by nasal
dihydroergotmine may be increased. Heart or blood vessel disease and high
blood pressure sometimes do not cause any symptoms, so some people do not
know that they have these problems. Before deciding whether you should use
nasal dihydroergotamine, your doctor may need to do some tests to make sure
that you do not have any of these conditions.
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