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dihydroergotamine and ergotamine belong to the group, medicines known as ergot alkaloids, treat severe, throbbing headaches, migraine and cluster headaches, dihydroergotamine and ergotamine are not ordinary pain relievers, will not relieve any kind, pain other than throbbing headaches, medicines can cause serious side effects, for patients whose headaches are not relieved by acetaminophen, aspirin, other pain relievers, dihydroergotamine and ergotamine, blood vessels, body to constrict, become narrower, this effect can lead to serious side effects that are caused by a decrease, flow, blood, blood circulation, to many parts, the body, the caffeine present in many ergotamine-containing combinations helps ergotamine work better and faster by causing more, quickly absorbed into the body, the belladonna alkaloids, dimenhydrinate, diphenhydramine in some combinations help to relieve nausea and vomiting , which often occur together with the headaches, dimenhydrinate, diphenhydramine, pentobarbital also help the patient relax and even sleep, this also helps relieve headaches, dihydroergotamine is also used for other conditions, available only with a physician's prescription, dosage forms, oral, ergotamine, sublingual tablets, ergotamine and caffeine, tablets, ergotamine, caffeine, dimenhydrinate, capsules, ergotamine, caffeine, diphenhydramine, capsules, parenteral, dihydroergotamine, injection, rectal, ergotamine and caffeine, suppositories, ergotamine, caffeine, belladonna alkaloids, pentobarbital, suppositories, for these headache medicines, allergic reaction to atropine, belladonna, pentobarbital, other barbiturates, caffeine, dimenhydrinate, diphenhydramine, an ergot medicine, allergic to any other substances, foods, preservatives, dyes, use, dihydroergotamine, ergotamine by pregnant women, serious harm, the fetus and miscarriage, should not be used during pregnancy, when breast-feeding , for dihydroergotamine and ergotamine, pass into the breast milk, known to cause, unwanted effects, vomiting, diarrhea, weak pulse, changes in blood pressure, convulsions, seizures, in nursing babies, large amounts, may also decrease the flow, breast milk, for caffeine, caffeine passes into the breast milk, large amounts, can cause the baby to appear jittery, to have trouble in sleeping, for belladonna alkaloids, dimenhydrinate, diphenhydramine, drying effects, possible that they may reduce the amount, breast milk in some people, dimenhydrinate passes into the breast milk, for pentobarbital, pentobarbital passes into the breast milk, large amounts, can cause unwanted effects, drowsiness in nursing babies, discuss these possible problems with a physician before taking, for dihydroergotamine and ergotamine, relieve severe, throbbing headaches in children 6 years, older, not been shown to cause different side effects, problems in children than they do in adults, can cause serious side effects in any patient, discuss with the child's doctor the good that this medicine may do as well as the risks, using it, for belladonna alkaloids, young children, especially children with spastic paralysis, brain damage, especially sensitive to the effects, belladonna alkaloids, this may increase the chance, side effects during treatment, for dimenhydrinate, diphenhydramine, pentobarbital, medicines often cause drowsiness , some children become excited after taking them, for dihydroergotamine and ergotamine, serious side effects caused by decreases in blood flow is increased in elderly people receiving these medicines, for belladonna alkaloids, dimenhydrinate, diphenhydramine, pentobarbital, elderly people are more sensitive than younger adults to the effects, this may increase the chance, side effects, excitement, depression, dizziness , drowsiness , confusion, an interaction might occur, change the dose, many medicines can add to, decrease the effects, the belladonna alkaloids, caffeine, dimenhydrinate, diphenhydramine, pentobarbital present in some, headache medicines, should tell my health care professional, taking any other prescription, nonprescription, over-the-counter, otc, this is especially important if any medicine you take causes excitement, trouble in sleeping, dryness, the mouth, dizziness , drowsiness , when you are taking dihydroergotamine, ergotamine, health care professionals, cocaine, epinephrine by injection, epi-pen, other ergot medicines, ergoloid mesylates, hydergine, ergonovine, ergotrate, methylergonovine, methergine, methysergide, sansert, serious side effects caused by dihydroergotamine, ergotamine, itraconazole, sporanox, ketoconazole, nizoral, macrolide antibiotics, clarithromycin, biaxin, erythromycin, ery-tab, troleandomycin, tao, protease inhibitors, indinavir, crixivan, nelfinavir, viracept, ritonavir, norvir, with ergotamine can cause serious, life-threatening problems with blood circulation, 5-ht₁ agonists, almotriptan, axert, eletriptan, relpax, frovatriptan, frova, naratriptan, amerge, rizatriptan, maxalt, sumatriptan, imitrex, zolmitriptan, zomig, serious side effects if taken within 24 hours, an ergot-containing medicine, other medical problems, headache medicines, any other medical problems, agoraphobia, fear, open, public places, panic attacks, stomach ulcer, trouble in sleeping, insomnia, caffeine can make my condition worse, diarrhea, rectal dosage forms, suppositories, will not be effective, diarrhea, difficult urination , enlarged prostate, glaucoma, not well controlled, heart, blood vessel disease, high blood pressure , not well controlled, infection, intestinal blockage, other intestinal problems, itching, severe, kidney disease , liver disease , mental depression, overactive thyroid, trauma from an accident, broken arm, leg, urinary tract blockage, side effects, increased also, need, recently had, an angioplasty, a procedure done to improve the flow, blood in a blocked blood vessel, surgery on a blood vessel, serious side effects caused by dihydroergotamine, ergotamine, use this medicine, it more often, than directed, the amount you are to use does not relieve my headache, taking too much dihydroergotamine, ergotamine, taking it too often, serious effects, especially in elderly patients, a headache medicine, especially ergotamine, is used too often for migraines, can lose its effectiveness, even cause a type, physical dependence, headaches may actually get worse, works best if you, use it at the first sign, headache, migraine attack, get warning signals, a coming migraine, take it before the headache actually starts, lie down in a quiet, dark room until you are feeling better, a physician may direct, take another medicine to help prevent headaches, follow a physician's directions, headaches continue to occur, headache-preventing medicines may take several weeks to start working, even after they do start working, headaches may not go away completely, headaches should occur less often, should be less severe and easier to relieve, reduce the amount, dihydroergotamine, ergotamine, pain relievers, need, do not notice any improvement after several weeks, headache-preventing treatment, for patients using dihydroergotamine, dihydroergotamine is given only by injection, health care professional will teach you, inject myself with the medicine, be sure to follow the directions carefully, any problems using the medicine, for patients using the sublingual, under-the-tongue, tablets, ergotamine, place the tablet under my tongue and let it remain there until it disappears, the sublingual tablet should not be chewed, swallowed, it works faster when, absorbed into the body through the lining, the mouth, do not eat, drink, smoke while the tablet is under my tongue, for patients using rectal suppository forms, a headache medicine, the suppository is too soft to use, chill it, refrigerator for 30 minutes, run cold water over it before removing the foil wrapper, been directed to use part, a suppository, should divide the suppository into pieces that all contain the same amount, to do this, use a sharp knife and carefully cut the suppository lengthwise, from top to bottom, into pieces that are the same size, the suppository will be easier to cut if it has been kept, refrigerator, to insert the suppository, first remove the foil wrapper and moisten the suppository with cold water, lie down on my side and use my finger to push the suppository well up into the rectum, headache medicines will be different for different patients, follow a physician's orders, the directions on the label, the average doses, dose is different, for dihydroergotamine, adults: for relieving a migraine, cluster headache, 1 mg, headache is not better, no side effects are occurring, a second 1-mg dose, used at least one hour later, children 6 years, age and older: for relieving a migraine headache, not likely that a child will be receiving dihydroergotamine at home, a child needs the medicine, the dose will have, determined by the doctor, for ergotamine, some headache medicines contain only ergotamine, them contain other medicines along with the ergotamine, the number, tablets, capsules, suppositories, need for each dose depends on the amount, ergotamine in them, the size, each dose, the number, doses, take, also depends on the reason you are taking the medicine and on how you react to the medicine, for oral, capsule, tablet, sublingual, under-the-tongue tablet, dosage forms, for relieving a migraine, cluster headache, 1, 2 mg, ergotamine, headache is not better, no side effects are occurring, a second dose and even a third dose, taken; however the doses should be taken at least 30 minutes apart, people who usually need more than one dose, who do not get side effects from it, able, take a larger first dose, not more than 3 mg, ergotamine, this may provide better relief, the headache with only one dose, the medicine should not be taken more often than 2 times a week, at least five days apart, for preventing cluster headaches, ergotamine, the number, doses you need every day, will depend on how many headaches you usually get each day, for some people, 1, 2 mg, ergotamine once a day, enough, other people may need, take 1, 2 mg, ergotamine 2, 3 times a day, for all uses, do not take more than 6 mg, ergotamine a day, form, capsules, tablets, children 6 years, age and older: for relieving migraine headaches, 1 mg, ergotamine, the headache is not better, no side effects are occurring, a second dose and even a third dose, taken, the doses should be taken at least 30 minutes apart, children should not take more than 3 mg, ergotamine a day, form, capsules, tablets, should not be taken more often than 2 times a week, at least five days apart, for rectal suppository, dosage forms, adults: for relieving migraine, cluster headaches, usually 1 mg, ergotamine, the dose may range from half, this amount to up to 2 mg, headache is not better, no side effects are occurring, a second dose and even a third dose, used; however the doses should be taken at least 30 minutes apart, people who usually need more than one dose, who do not get side effects from it, able to use a larger first dose, not more than 3 mg, this may provide better relief, the headache with only one dose, adults should not use more than 4 mg, ergotamine a day in suppository form, should not be used more often than 2 times a week, at least five days apart, children 6 years, age and older: for relieving migraine headaches, one-half, 1 mg, ergotamine, children should not receive more than 1 mg a day, ergotamine in suppository form, should not be used more often than 2 times a week, at least five days apart, keep out, the reach, children since overdose is especially dangerous in children, store away from heat and direct light, in other damp places, heat, moisture, the medicine to break down, suppositories should be stored in a cool place, not allowed to freeze, some manufacturers recommend keeping them in a refrigerator; others do not, follow the directions on the package, cutting the suppository into smaller pieces, need to do so, will be easier if the suppository is kept, refrigerator, do not keep outdated medicine, medicine no longer needed, discarded medicine is out of a child's reach, precautions, know the side effects, migraine headaches are worse than they were before you started using this medicine, headache medicine stops working as well as it did when you first started using it, this may mean, in danger, becoming dependent on the headache medicine, do not try to get better relief by increasing the dose, migraine headaches are occurring more often than they did before you started using this medicine, this is especially important if a new headache occurs within 1 day after you took my last dose, headache medicine, headaches every day, this may mean, dependent on the headache medicine, continuing, take this medicine will cause even more headaches later on, a physician can give you advice on, relieve the headaches, drinking alcoholic beverages can make headaches worse, cause new headaches to occur, people who suffer from severe headaches should probably avoid alcoholic beverages, especially during a headache, smoking, nicotine replacement therapy products may increase some, the harmful effects, dihydroergotamine, ergotamine, best to avoid smoking, the use, nicotine replacement therapy products for several hours after taking these medicines, dihydroergotamine and ergotamine may make you more sensitive to cold temperatures, blood circulation problems, tend to decrease blood flow, skin, fingers, toes, dress warmly during cold weather and be careful during prolonged exposure to cold temperatures, this is especially important for older patients, more likely than younger adults to already have problems with their circulation, a serious infection, illness, any kind, check with a physician before using this medicine, more sensitive to its effects, for patients taking one, the combination medicines that contains caffeine, caffeine may interfere with the results, a test that uses dipyridamole, persantine, to help find out how well my blood is flowing through certain blood vessels, should not have any caffeine for at least 12 hours before the test, caffeine may also interfere with some other laboratory tests, before having any other laboratory tests, taken a medicine that contains caffeine, for patients taking one, the combination medicines that contains belladonna alkaloids, dimenhydrinate, diphenhydramine, pentobarbital, some people to have blurred vision , to become drowsy, dizzy, lightheaded, less alert than they are normally, especially severe if you also take cns depressants, medicines that slow down the nervous system, possibly causing drowsiness , together with one, combination medicines, some examples, cns depressants are antihistamines, medicine for hay fever, other allergies, colds; sedatives, tranquilizers, sleeping medicine; prescription pain medicine, narcotics; barbiturates; medicine for seizures; muscle relaxants; and antiemetics, medicines that prevent, relieve nausea, vomiting, are not able to lie down for a while, make sure you know how you react to this medicine, combination, medicines before you drive, dizzy, not alert and able to see well, belladonna alkaloids, dimenhydrinate, diphenhydramine, dryness, the mouth, nose, throat, for temporary relief, mouth dryness, use sugarless candy, gum, melt bits, ice, in my mouth, use a saliva substitute, belladonna alkaloids may interfere with certain laboratory tests that check the amount, acid, in my stomach, should not be taken for 24 hours before the test, dimenhydrinate and diphenhydramine may interfere with skin tests that show whether you are allergic to certain substances, should not be taken for 3 days before the test, side effects, along with its needed effects, some unwanted effects, side effects may occur, may need medical attention, check with a physician immediately, side effects occur, they may mean, developing a problem with blood circulation, anxiety, confusion, severe, change in vision, chest pain , increase in blood pressure, muscle pain, pain in arms, legs, lower back, especially if pain occurs, in my calves, heels, walking, pale, bluish-colored, cold hands, feet, not caused by cold temperatures and occurring together with other side effects listed in this section, red, violet-colored blisters on the skin, the hands, feet, also check with a physician immediately, side effects occur, they may mean, have taken an overdose, convulsions, seizures, diarrhea, nausea, vomiting, stomach pain, bloating, severe, occurring together with other signs, overdose, problems with blood circulation, dizziness , drowsiness , weakness, severe, occurring together with other signs, overdose, problems with blood circulation, fast, slow heartbeat, diarrhea, headaches, more often and/or more severe than before, problems with moving bowels, occurring together with pain, discomfort, rectum, with rectal suppositories only, shortness of breath, unusual excitement, side effects may go away after a little while, do not take any more medicine while they are present, them occur together with other signs, problems with blood circulation, check with a physician, side effects occur without other signs, problems with blood circulation, them continue for more than one hour, itching, skin, coldness, numbness , tingling in fingers, toes, face, weakness in legs, possible if you notice, side effects, swelling, face, fingers, feet, lower legs, absence, pulse, blurred vision , decrease in blood pressure, lightheadedness, fainting, fever, general feeling, illness, appetite, lower abdominal pain , lower back pain, pounding, ears, rapid, weak pulse, slow, irregular heartbeat , unusual tiredness , side effects may go away after a little while, side effects continue, bothersome, diarrhea, nausea, vomiting, occurring without other signs, overdose, problems with blood circulation, dizziness , drowsiness , occurring without other signs, overdose, problems with blood circulation, especially with combinations containing dimenhydrinate, diphenhydramine, pentobarbital, nervousness, restlessness, dryness, mouth, especially with combinations containing belladonna alkaloids, dimenhydrinate, diphenhydramine, abdominal pain , difficulty in moving bowels, irregular bowel movements, rectal discomfort, after you stop taking this medicine, body may need time to adjust, time this takes depends on the amount, medicine you were taking and how long you took it, during this time check with a physician if my headaches begin again, worsen, other side effects, additional information once a medicine has been approved for marketing for a certain use, experience may show, also useful for other medical problems, this use is not specifically included in product labeling, dihydroergotamine, used together with another medicine, heparin, to help prevent blood clots that may occur after certain kinds, surgery, prevent, treat low blood pressure in some patients, for patients receiving this medicine for preventing blood clots, may need to receive this medicine two, three times a day for several days in a row, this may increase the chance, problems caused by decreased blood flow, health care professional will be following my progress, to make sure that this medicine is not causing problems with blood circulation, for patients using this medicine to prevent, treat low blood pressure, medicine every day as directed by a physician, dihydroergotamine will depend on whether the medicine is going, injected under the skin, into a muscle, the weight, the patient, for these reasons, the dose will have, a physician will need, progress at regular visits, to make sure that the medicine is working properly without causing side effects, is less likely to cause problems with blood circulation in patients with low blood pressure than, in patients with normal, high blood pressure , in patients being treated for low blood pressure, an increase in blood pressure is the wanted effect, not a side effect that may need medical attention, other than, information, there is no additional information relating to, side effects for these uses, brand names some commonly used brand names are, belcomp-pb, cafergot, d.h.e, 45, ergocaff-pb, ergomar, migergot, migracet-pb, wigraine, d.h.e, ergodryl, gravergol,