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Ergotamine tartrate and caffeine

Ergotamine Tartrate and Caffeine Indicated as therapy to abort or prevent vascular headache, e.g., migraine, migraine variants or so-called “histamini.

Checked against the official label · Updated

Prescription medicine Rectal

Ergotamine tartrate and caffeine: quick answers

Used for
Ergotamine Tartrate and Caffeine Indicated as therapy to abort or prevent vascular headache, e.g., migraine, migraine variants or so-called “histaminic cephalalgia”.
Usual adult dose
Adult Dosage: One suppository at start of attack.
Prescription
Prescription medicine in the United States; rules differ by country.

From the official label (Nov 2022). Your prescription and pharmacist come first.

How to use Ergotamine tartrate and caffeine

What the official label says. If a doctor prescribed it, follow the prescription. Your pack's leaflet comes first if it is different.

Serious warning: Serious and/or life-threatening peripheral ischemia has been associated with the coadministration of ergotamine tartrate and caffeine with potent CYP 3A4 inhibitors including protease inhibitors and macrolide antibiotics. Because CYP 3A4 inhibition elevates the serum levels of ergotamine tartrate and caffeine, the risk for vasospasm leading to cerebral ischemia and/or ischemia of the extremities is increased. Hence, concomitant use of these medications is contraindicated. …
Who it is for

Ergotamine Tartrate and Caffeine Indicated as therapy to abort or prevent vascular headache, e.g., migraine, migraine variants or so-called “histaminic cephalalgia”.

How to take it and how often
  • Procedure For best results, dosage should start at the first sign of an attack
  • Rectally Two suppositories is the maximum dose for an individual attack
  • Total weekly dosage should not exceed 5 suppositories
  • Ergotamine Tartrate and Caffeine Suppositories should not be used for chronic daily administration
  • In carefully selected patients, with due consideration of maximum dosage recommendations, administration of the drug at bedtime may be an appropriate short-term preventive measure
  • Maximum Adult Dosage: One suppository at start of attack; second suppository after 1 hour, if needed for full relief
  • Early administration gives maximum effectiveness
Talk to a doctor first if

Coadministration of ergotamine with potent CYP 3A4 inhibitors (ritonavir, nelfinavir, indinavir, erythromycin, clarithromycin, and troleandomycin) has been associated with acute ergot toxicity (ergotism) characterized by vasospasm and ischemia of the extremities (see PRECAUTIONS : Drug Interactions), with some cases resulting in amputation. …

Warnings

CYP 3A4 Inhibitors (e.g. Macrolide Antibiotics and Protease Inhibitors) Coadministration of ergotamine with potent CYP 3A4 inhibitors such as protease inhibitors or macrolide antibiotics has been associated with serious adverse events; for this reason, these drugs should not be given concomitantly with ergotamine (See CONTRAINDICATIONS ). While these reactions have not been reported with less potent CYP 3A4 inhibitors, there is a potential risk for serious toxicity including vasospasm when these drugs are used with ergotamine. …

Possible side effects

Cardiovascular: Vasoconstrictive complications of a serious nature may occur at times. These include ischemia, cyanosis, absence of pulse, cold extremities, gangrene, precordial distress and pain, EKG changes and muscle pains. Although these effects occur most commonly with long-term therapy at relatively high doses, they have also been reported with short-term or normal doses. Other cardiovascular adverse effects include transient tachycardia or bradycardia and hypertension. Gastrointestinal: Nausea and vomiting; rectal or anal ulcer (from overuse of suppositories). Neurological: Paresthesias, numbness, weakness, and vertigo. Allergic: Localized edema and itching. …

If you take too much

The toxic effects of an acute overdosage of ergotamine tartrate and caffeine are due primarily to the ergotamine component. The amount of caffeine is such that its toxic effects will be overshadowed by those of ergotamine. Symptoms include vomiting, numbness, tingling, pain and cyanosis of the extremities associated with diminished or absent peripheral pulses; hypertension or hypotension; drowsiness, stupor, coma, convulsions and shock. …

Dependence and misuse

There have been reports of drug abuse and psychological dependence in patients on ergotamine tartrate and caffeine therapy. Due to the chronicity of vascular headaches, it is imperative that patients be advised not to exceed recommended dosages with long-term use to avoid ergotism. (See PRECAUTIONS )

How to store it

Store and Dispense The suppositories should be refrigerated at 2° to 8°C (36° to 46°F). Distributed by: Cosette Pharmaceuticals, Inc. South Plainfield, NJ 07080 8-0166CPLNC1 Iss. 06/2020 VC7420

If you miss a dose

Take it when you remember, unless it is nearly time for the next dose. Then skip the missed one. Never take two doses at once to make up for it. Check your leaflet, as some medicines are different.

From the official U.S. FDA label for this active ingredient. Your pack may have a different strength, so always read its leaflet. If a doctor prescribed it, follow the prescription. Ask a pharmacist if you are unsure. Label dated 2022-11-29.

Brands around the world

Products with Ergotamine tartrate and caffeine as the active ingredient. Names differ between countries.

Registered products

United States (FDA)

Ergotamine Tartrate And CaffeineERGOTAMINE TARTRATE 1 mg/1, CAFFEINE 100 mg/1 · Tablet, Film Coated · Cintex Services, LLC
NDC 24470-917Label
CafergotERGOTAMINE TARTRATE 1 mg/1, CAFFEINE 100 mg/1 · Tablet, Film Coated · Trifluent Pharma, LLC
NDC 73352-917Label
MigergotERGOTAMINE TARTRATE 2 mg/1, CAFFEINE 100 mg/1 · Suppository · Cosette Pharmaceuticals, Inc.
NDC 0713-0166Label

Other countries: check your pack's registration number and we point you to your regulator.

Check your pack of Ergotamine tartrate and caffeine

Type the registration number on the pack, or scan it with your camera.

Or take photos of the pack
3 free checks left today Official sources: U.S. FDA · EMA (EU) · Health Canada · WHO alerts

Questions about Ergotamine tartrate and caffeine

What is Ergotamine tartrate and caffeine used for?

Ergotamine Tartrate and Caffeine Indicated as therapy to abort or prevent vascular headache, e.g., migraine, migraine variants or so-called “histaminic cephalalgia”. (From the official U.S. FDA label.)

How do I take Ergotamine tartrate and caffeine?

Follow your prescription or the leaflet in your pack. The official label says: Procedure For best results, dosage should start at the first sign of an attack. Rectally Two suppositories is the maximum dose for an individual attack. Total weekly dosage should not exceed 5 suppositories. Ergotamine Tartrate and Caffeine Suppositories should not be used for chronic daily administration. In carefully selected patients, with due consideration of maximum dosage…

Do I need a prescription for Ergotamine tartrate and caffeine?

Usually yes. Ergotamine tartrate and caffeine is a prescription medicine in most countries. Rules differ by country.

What brands contain Ergotamine tartrate and caffeine?

Ergotamine tartrate and caffeine is sold under names such as Migergot. Brand names differ between countries.

What are the side effects of Ergotamine tartrate and caffeine?

The official label lists: Cardiovascular: Vasoconstrictive complications of a serious nature may occur at times. These include ischemia, cyanosis, absence of pulse, cold extremities, gangrene, precordial distress and pain, EKG changes and muscle pains. Although these effects occur most commonly with long-term therapy at relatively high doses, they have also been reported with short-term or normal doses.… Tell your doctor about any side effect that bothers you or does not go away.

What happens if I take too much Ergotamine tartrate and caffeine?

The toxic effects of an acute overdosage of ergotamine tartrate and caffeine are due primarily to the ergotamine component. The amount of caffeine is such that its toxic effects will be overshadowed by those of ergotamine. Symptoms include vomiting, numbness, tingling, pain and cyanosis of the extre… Get medical help right away.

How should I store Ergotamine tartrate and caffeine?

Store and Dispense The suppositories should be refrigerated at 2° to 8°C (36° to 46°F). Distributed by: Cosette Pharmaceuticals, Inc. South Plainfield, NJ 07080 8-0166CPLNC1 Iss. 06/2020 VC7420

How can I check that my Ergotamine tartrate and caffeine is genuine?

Scan the registration number on your pack with PillVera (NAFDAC number in Nigeria, NDC in the United States, DIN in Canada), check the expiry date and buy only from licensed pharmacies.

Sources

This page shows what official sources say, in plain words. It is not medical advice: your prescription and your doctor or pharmacist come first. Brand names, strengths and rules differ between countries.