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Cafergot
This page contains drug information on Cafergot.
The information provided includes the following:
what is Cafergot
the possible side effects of Cafergot
what happens if you miss a dose of Cafergot
what happens if you overdose with Cafergot
the most important information about Cafergot
how to use Cafergot
other drugs that may affect Cafergot
what to avoid while using Cafergot
Generic Name: caffeine and ergotamine (cah FEEN and er GOH tah meen)
Brand Names: Cafatine, Cafergot, Cafetrate, Ercaf, Migergot, Wigraine
What is the most important information I should know about caffeine and ergotamine? - Some medications may increase the risk of dangerously decreased blood flow to the brain, heart, or extremities when taken with caffeine and ergotamine. In rare but severe cases, gangrene or other serious problems can result. Some, but not all, of these medications are listed below in the section "What other drugs will affect caffeine and ergotamine?". Do not take any other medications during treatment with caffeine and ergotamine without first talking to your doctor.
- Contact your doctor immediately if you experience numbness or tingling in the fingers or toes, chest pain, weakness of the legs, muscle pain in the arms or legs, pain in the chest, changes in heart rate, swelling or itching.
- Do not take caffeine and ergotamine if you are pregnant or if you could become pregnant during treatment. Caffeine and ergotamine is in the FDA pregnancy category X. This means that caffeine and ergotamine can cause harm to an unborn baby. Caffeine and ergotamine can induce uterine contractions, which can result in abortion, and it can restrict blood flow to the fetus.
- Do not use more than six tablets or two suppositories per headache. Do not use more than ten tablets or five suppositories in seven days. If your symptoms are not being adequately treated, talk to your doctor.
What is caffeine and ergotamine? - Caffeine and ergotamine both cause vasoconstriction (narrowing) of arteries and veins that supply blood to the head.
- Caffeine and ergotamine is used to prevent and to treat vascular headaches such as migraine and migraine-like headaches.
- Caffeine and ergotamine may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking caffeine and ergotamine ?
Some medications may increase the risk of dangerously decreased blood flow to the brain, heart, or extremities when taken with caffeine and ergotamine. In rare but severe cases, gangrene or other serious problems can result. Some, but not all, of these medications are listed below in the section "What other drugs will affect caffeine and ergotamine?". Do not take any other medications during treatment with caffeine and ergotamine without first talking to your doctor.
Do not take caffeine and ergotamine without first talking to your doctor if you have:
peripheral vascular disease or poor circulation;
- arteriosclerosis or "hardening of the arteries";
- high blood pressure;
- heart disease;
- liver disease;
- kidney disease; or
- a serious infection.
You may not be able to take caffeine and ergotamine, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
Do not take caffeine and ergotamine if you are pregnant or if you could become pregnant during treatment. Caffeine and ergotamine is in the FDA pregnancy category X. This means that caffeine and ergotamine can cause harm to an unborn baby. Caffeine and ergotamine can induce uterine contractions, which can result in abortion, and it can restrict blood flow to the fetus.
Caffeine and ergotamine may pass into breast milk and harm a nursing infant. Do not take caffeine and ergotamine without first talking to your doctor if you are breast-feeding a baby.
How should I take caffeine and ergotamine?
- Take caffeine and ergotamine exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
- Take caffeine and ergotamine at the first sign of an attack.
- For the oral tablets, two tablets should be taken at the first sign of a vascular headache; followed by one additional tablet every half hour if needed, up to six tablets per attack.
- Use the rectal suppositories as directed by your doctor. One suppository should be administered at the first sign of a vascular headache; followed by one additional suppository after one hour if needed, up to two suppositories per attack.
- Do not use more than six tablets or two suppositories per headache. Do not use more than ten tablets or five suppositories in seven days. If your symptoms are not being adequately treated, talk to your doctor.
- Store caffeine and ergotamine at room temperature away from moisture and heat.
What happens if I miss a dose? - Since caffeine and ergotamine is taken on an as-needed basis, missing a dose is not usually a problem.
What happens if I overdose? - Seek emergency medical attention.
- Symptoms of a caffeine and ergotamine overdose include nausea, vomiting, numbness in the fingers or toes, confusion, drowsiness, convulsions, and possibly death.
What should I avoid while taking caffeine and ergotamine? - Do not take more than six tablets per headache. Do not take more than ten tablets in 7 days. If your symptoms are not being adequately treated, talk to your doctor.
What are the possible side effects of caffeine and ergotamine?
Stop taking caffeine and ergotamine and seek emergency medical attention or contact your doctor immediately if you experience.
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
- chest pain;
- numbness or tingling in the fingers or toes;
- muscle pain in the arms or legs;
- leg weakness;
- changes in heart rate;
- swelling; or
- itching.
Other, less serious side effects may also occur. Continue to take caffeine and ergotamine and talk to your doctor if you experience nausea or vomiting.
Caffeine and ergotamine may be habit forming when used for long periods of time. Larger doses may be needed for headache relief, and withdrawal effects may occur when caffeine and ergotamine therapy is stopped.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect caffeine and ergotamine?
Some medications may increase the risk of dangerously decreased blood flow to the brain, heart, or extremities when taken with caffeine and ergotamine. In rare but severe cases, gangrene or other serious problems can result. The following drugs should not be taken with caffeine and ergotamine or should be used only under the close supervision of a doctor:
- another medication that contains an ergot compound such as Ergomar, D.H.E., or D.H.E. Nasal;
- another migraine headache medicine such as almotriptan (Axert), sumatriptan (Imitrex), zolmitriptan (Zomig), rizatriptan
(Maxalt), or naratriptan (Amerge)--these medicines must not be taken within 24 hours of a dose of caffeine and ergotamine;
- a selective serotonin reuptake inhibitor (SSRI) such as citalopram (Celexa), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), sertraline (Zoloft), or paroxetine (Paxil);
- a beta-blocker (which are used to treat high blood pressure, irregular heartbeats, and other heart conditions) such as carteolol (Cartrol), carvedilol (Coreg), labetalol (Normodyne, Trandate), nadolol (Corgard), pindolol (Visken), propranolol (Inderal), sotalol (Betapace), or timolol (Blocadren);
- an HIV/ AIDS medicine such as amprenavir (Agenerase), delavirdine (Rescriptor), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir), or saquinavir (Invirase, Fortovase);
- the antibiotics erythromycin (Ery-Tab, E.E.S., E-Mycin, Eryc, others) or clarithromycin (Biaxin);
- the antifungals medicines itraconazole (Sporanox) or ketoconazole (Nizoral);
- nefazodone (Serzone);
- cimetidine (Tagamet, Tagamet HB); or
- sibutramine (Meridia).
The use of caffeine and ergotamine may be dangerous if you are taking any of the drugs listed above.
Drugs other than those listed here may also interact with caffeine and ergotamine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products. |
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| Imitrex |
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Imitrex
This page contains drug information on Imitrex.
The information provided includes the following:
what is Imitrex
the possible side effects of Imitrex
what happens if you miss a dose of Imitrex
what happens if you overdose with Imitrex
the most important information about Imitrex
how to use Imitrex
other drugs that may affect Imitrex
what to avoid while using Imitrex
Generic Name: sumatriptan (injection) (soo ma TRIP tan)
Brand Names: Imitrex, Imitrex Statdose
What is the most important information I should know about sumatriptan injection?
- Your doctor may want to give your first dose of this medicine in a hospital or clinic setting in case you have serious side effects.
- Sumatriptan injection is used to treat migraine headaches and cluster headaches. Sumatriptan will only treat a headache that has already begun. It will not prevent headaches or reduce the number of attacks.
- Do not use sumatriptan if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), selegiline (Eldepryl, Emsam), or phenelzine (Nardil) in the past 14 days.
- Before using sumatriptan, tell your doctor if you have a seizure disorder, coronary artery disease, or risk factors for coronary artery disease (such as diabetes, menopause, smoking, being overweight, having high blood pressure or high cholesterol).
- Do not use sumatriptan within 24 hours after using any other migraine headache medicines.
- After using a sumatriptan injection, you must wait one hour before using a second injection. Do not use more than two injections in 24 hours.
- Sumatriptan can cause serious side effects on the heart, including heart attack or stroke. Tell your doctor if you have any history of heart or circulation problems. You may not be able to use sumatriptan.
- Sumatriptan can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
What is sumatriptan injection?
- Sumatriptan is a headache medicine. It is believed to work by narrowing the blood vessels around the brain. Sumatriptan also reduces substances in the body that can trigger headache pain, nausea, sensitivity to light and sound, and other migraine symptoms.
- Sumatriptan injection is used to treat migraine headaches and cluster headaches.
- Sumatriptan will only treat a headache that has already begun. It will not prevent headaches or reduce the number of attacks.
- Sumatriptan may also be used for purposes other than those listed in this medication guide.
What should I discuss with my health care provider before using sumatriptan injection?
Sumatriptan can cause serious side effects on the heart, including heart attack or stroke. Tell your doctor if you have any history of heart or circulation problems. You may not be able to use sumatriptan.
You should not use sumatriptan if you have:
- heart disease;
- angina (chest pain);
- liver disease;
- blood circulation problems;
- ischemic bowel disease;
- history of a heart attack or stroke;
- high blood pressure; or
- a headache that is not like other headache you have had.
Do not use sumatriptan if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), selegiline (Eldepryl, Emsam), or phenelzine (Nardil) in the past 14 days.
Do not use sumatriptan within 24 hours after using any of the following medicines:
- ergot medicine such as methysergide (Sansert), ergotamine (Ergostat, Medihaler, Cafergot, Ercaf, Wigraine), or dihydroergotamine (D.H.E., Migranal Nasal Spray); or
- almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt, Maxalt-MLT), or zolmitriptan (Zomig).
Before using sumatriptan, tell your doctor if you have:
- epilepsy or other seizure disorder; or
- coronary artery disease (or risk factors that include diabetes, menopause, smoking, being overweight, having high blood pressure or high cholesterol, having a family history of coronary artery disease, being older than 40 and a man, or being a woman who has had a hysterectomy).
- You may not be able to use sumatriptan, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
- FDA pregnancy category C. This medication may be harmful to an unborn baby and should not be used by a woman who is pregnant. Tell your doctor if you become pregnant during treatment.
- Your name may need to be listed on a sumatriptan pregnancy registry when you start using this medication.
- Sumatriptan can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
- This medicine should not be given to anyone younger than 18 years old.
How should I use sumatriptan injection?
- Use this medication exactly as it was prescribed for you. Do not use the medication in larger or smaller amounts, or use it for longer than recommended by your doctor.
- Use sumatriptan as soon as you notice headache symptoms, or after an attack has already begun.
- Your doctor may want to give your first dose of this medicine in a hospital or clinic setting to see if you have any serious side effects.
- Sumatriptan injection comes in a prefilled cartridge to be loaded into an autoinjector syringe. Each cartridge contains only one dose that you will injected into your skin. This medicine comes with patient instructions for injecting it. Do not give yourself an injection if you do not understand these instructions. Ask your doctor or pharmacist if you have questions.
- After using an injection: If your headache does not completely go away after the injection, call your doctor before using a second sumatriptan injection. If your headache goes away and then comes back, you may use a second injection if it has been at least one hour since your first injection. Do not use more than two injections in 24 hours. If your symptoms do not improve, contact your doctor before using any more injections.
- Contact your doctor if you have more than four headaches in one month (30 days).
- Store this medicine at room temperature away from moisture, heat, and light.
What happens if I miss a dose?
- Since sumatriptan is used as needed, it does not have a daily dosing schedule. After using a sumatriptan injection, you must wait one hour before using a second injection. Do not use more than two injections in 24 hours.
What happens if I overdose?
- Seek emergency medical attention if you think you have used too much of this medicine, or if anyone else has accidentally injected it.
- Symptoms of a sumatriptan overdose may include seizure (convulsions), tremors or shaking, skin redness, breathing problems, blue-colored lips or fingernails, vision problems, watery eyes or mouth, and weakness or lack of coordination.
What should I avoid while using sumatriptan injection?
- Sumatriptan can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
What are the possible side effects of sumatriptan injection?
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Stop using sumatriptan and call your doctor at once if you have any of these serious side effects:
- severe or ongoing chest pain, pounding or uneven heart rate;
- pain or tightness in your chest, jaw, or neck;
- sudden numbness or weakness, especially on one side of the body;
- sudden headache, confusion, problems with vision, speech, or balance;
- sudden and severe stomach pain and bloody diarrhea;
- seizure (convulsions); or
- numbness or tingling and a pale or blue-colored appearance in your fingers or toes.
Continue using sumatriptan and talk with your doctor if you have any of these less serious side effects:
- nausea, vomiting, diarrhea;
- muscle pain;
- redness or warmth in your face, neck, or chest;
- burning, numbness, or heavy feeling in any part of your body;
- sneezing, runny nose, congestion, cough;
- pain or redness where you injected the medicine;
- feeling dizzy or sleepy; or
- drooling or sweating.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect sumatriptan injection?
Before using sumatriptan, tell your doctor if you are using any of the following drugs:
- antidepressants such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), or sertraline (Zoloft);
- If you are using any of these drugs, you may not be able to use sumatriptan, or you may need dosage adjustments or special tests during treatment.
- There may be other drugs not listed that can affect sumatriptan. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
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