Do not take this medication with any of the following:
-Adagrasib
-Bromocriptine
-Ceritinib
-Certain antibiotics, such as clarithromycin or erythromycin
-Certain antivirals for HIV or hepatitis
-Certain medications for blood pressure, heart disease, irregular heart beat
-Certain medications for fungal infections, such as itraconazole, ketoconazole, posaconazole, voriconazole
-Certain medications for migraine headache, such as almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
-Cocaine
-Idelalisib
-Imatinib
-Levoketoconazole
-Lonafarnib
-Mifepristone
-Pseudoephedrine
-Ribociclib
-Tucatinib
This medication may also interact with the following:
-Certain medications for depression, anxiety, or mental health conditions
-Clotrimazole
-Fluconazole
-Grapefruit juice
-Metronidazole
-Nicotine
-Propranolol
-Zileuton

They need to know if you have any of these conditions:
-Chest pain
-Circulation problems
-Heart or blood vessel disease
-High blood pressure
-Infection
-Kidney disease
-Liver disease
-Risk factors for heart disease such as smoking
-Trouble breathing
-An unusual or allergic reaction to ergotamine, other medications, foods, dyes, or preservatives
-Pregnant or trying to get pregnant
-Breastfeeding

Visit your care team for regular checks on your progress. Check with your care team if you do not get relief from your headaches after using this medication. You may need to be changed to a different kind of medication to treat your headaches.
This medication may affect your coordination, reaction time, or judgment. Do not drive or operate machinery until you know how this medication affects you. Sit up or stand slowly to reduce the risk of dizzy or fainting spells. Drinking alcohol with this medication can increase the risk of these side effects.
Tell your care team right away if you notice unexplained wounds on your fingers or toes while taking this medication. You should also tell your care team if you experience numbness or pain, changes in skin color, or sensitivity to temperature in your fingers or toes.
If you take migraine medications for 10 or more days a month, your migraines may get worse. Keep a diary of headache days and medication use. Contact your care team if your migraine attacks occur more frequently.

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 medication after the expiration date.