Do not take this medicine with any of the following medications:

-certain antibiotics like clarithromycin, erythromycin, or troleandomycin
-certain antivirals for HIV or hepatitis
-conivaptan
-grapefruit juice
-imatinib
-medicines for fungal infections like itraconazole, ketoconazole, and voriconazole
-medicines used to treat migraines like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, or zolmitriptan
-nefazodone
-other ergot alkaloids like ergotamine, dihydroergotamine
This medicine may also interact with the following medications:

-certain medicines for blood pressure, heart disease, irregular heart beat
-clotrimazole
-decongestants like phenylephrine and pseudoephedrine
-fluconazole
-fluoxetine
-fluvoxamine
-medicines used for surgery
-nitrates like nitroglycerin
-stimulant medicines for attention disorders, weight loss, or staying awake
-zileuton

They need to know if you have any of these conditions:

-circulation problems
-heart disease
-high blood pressure
-infection
-kidney disease
-liver disease
-an unusual or allergic reaction to methylergonovine, ergot alkaloids, other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Visit your health care provider for regular checks on your progress. Tell your health care provider if your symptoms do not start to get better or if they get worse. Follow the instructions of your health care provider after childbirth.
Do not breast-feed an infant while taking this medicine and for 12 hours after the last dose. Talk to your health care provider for more information.

Keep out of the reach of children and pets.
Store at room temperature below 25 degrees C (77 degrees F). Protect from light. Keep the container tightly closed. Get rid of any unused medicine after the expiration date.
To get rid of medicines that are no longer needed or have expired:

-Take the medicine to a medicine take-back program. Check with your pharmacy or law enforcement to find a location.
-If you cannot return the medicine, check the label or package insert to see if the medicine should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your health care provider. If it is safe to put it in the trash, empty the medicine out of the container. Mix the medicine with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.