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Cafergot

"March 11, 2014 - The U.S. Food and Drug Administration allowed marketing of the first device as a preventative treatment for migraine headaches. This is also the first transcutaneous electrical nerve stimulation (TENS) device specifically "...

Cafergot

Cafergot

Cafergot Side Effects Center

Medical Editor: John P. Cunha, DO, FACOEP

Cafergot (ergotamine tartrate and caffeine) is used to treat a migraine type headache. This medication will only treat a headache that has already begun. It will not prevent migraine headaches or reduce the number of attacks. Cafergot should not be used to treat common tension headaches or any headache that seems to be different from your usual migraine headaches. Cafergot is a combination of two drugs, caffeine, a stimulant, and ergotamine an ergot alkaloid. This medication may be available in generic form. Common side effects include nausea, vomiting, upset stomach, restlessness, trouble sleeping, and dizziness.

Dosage of Cafergot should start at the first sign of an attack. Adult dose is 2 tablets at the start of an attack; 1 additional tablet every 1/2 hour, if needed for full relief (maximum 6 tablets per attack, 10 per week). Do not use Cafergot within 24 hours before or after using another migraine headache medicine, macrolide antibiotics, protease inhibitors, or azole antifungals. Grapefruit and grapefruit juice may interact with Cafergot and lead to potentially dangerous effects. Cafergot may harm a fetus and must not be used during pregnancy. It is recommended that men and women use two effective forms of birth control (e.g., condoms, birth control pill) while taking this medication. This drug may pass into breast milk and could have undesirable effects on a nursing infant. Breast-feeding is not recommended while using this drug.

Our Cafergot (ergotamine tartrate and caffeine) Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What is Patient Information in Detail?

Easy-to-read and understand detailed drug information and pill images for the patient or caregiver from Cerner Multum.

Cafergot in Detail - Patient Information: Side Effects

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 caffeine and ergotamine and call your doctor at once if you have a serious side effect such as:

  • sudden numbness or weakness, especially on one side of the body;
  • sudden headache, confusion, problems with vision, speech, or balance;
  • fast or slow heart rate;
  • muscle pain in your arms or legs;
  • leg weakness;
  • numbness or tingling and a pale or blue-colored appearance in your fingers or toes;
  • severe pain in your stomach or lower back;
  • urinating less than usual or not at all;
  • painful sores on your rectum after using the rectal suppositories;
  • swelling or itching in any part of your body;
  • cough with stabbing chest pain and trouble breathing; or
  • dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).

Less serious side effects may include:

  • dizziness, spinning sensation;
  • weakness;
  • nausea, vomiting; or
  • mild itching.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Read the entire detailed patient monograph for Cafergot (Ergotamine Tartrate and Caffeine) »

What is Prescribing information?

The FDA package insert formatted in easy-to-find categories for health professionals and clinicians.

Cafergot FDA Prescribing Information: Side Effects
(Adverse Reactions)

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.

Neurological: paresthesias, numbness, weakness, and vertigo.

Allergic: Localized edema and itching.

Fibrotic Complications

(see WARNINGS).

Drug Abuse And Dependence: There have been reports of drug abuse and psychological dependence in patients on CAFERGOT® (ergotamine tartrate and caffeine) (ergotamine tartrate and caffeine tablets, USP) 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).

Read the entire FDA prescribing information for Cafergot (Ergotamine Tartrate and Caffeine) »

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Report Problems to the Food and Drug Administration

 

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.


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